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子宫颈癌前病变和癌性病变——形态学诊断的风险

[Precancerous and cancerous lesions of the uterine cervix--risks of the morphological diagnostics].

作者信息

Marinova P, Rampalova Ja, Kolnikova G, Ortova S, Frantishek O

出版信息

Akush Ginekol (Sofiia). 2010;49(5):58-64.

Abstract

In this article authors are analyzing the current state of the morphological-macroscopic and microscopic diagnostics of precancerous and cancerous tumors and lesions of the uterine cervix it is made a brief, retrospective view of the development of the relevant questions, examining closely the routinely applied procedures and indicators leading to possible risks of erroneous diagnostics. The evaluation is focusing on diagnostic problems within the area of cytological, as well as, histological analyses. Some lesions in endocervical pathology have the potential to be misinterpreted and are discussed as sources of false-positive smears in cytological diagnostics. More emphasis is placed on those benign lesions which mimics malignancy: ectopias, metaplasias and hyperplasias (mesonephric remants, endometriosis: tunnel clusters, tubal metaplasia, microglandular hyperplasia etc.).

摘要

在本文中,作者分析了子宫颈癌前和癌性肿瘤及病变的形态学宏观和微观诊断的现状,对相关问题的发展进行了简要的回顾,仔细研究了常规应用的程序和指标,这些程序和指标可能导致错误诊断的风险。评估集中在细胞学以及组织学分析领域的诊断问题上。宫颈内膜病理学中的一些病变有可能被误诊,并作为细胞学诊断中假阳性涂片的来源进行讨论。更多的重点放在那些模仿恶性肿瘤的良性病变上:异位、化生和增生(中肾残余、子宫内膜异位症:隧道状簇、输卵管化生、微腺性增生等)。

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