Young R H, Scully R E
Department of Pathology, Harvard Medical School, Massachusetts General Hospital, Boston 02114.
Semin Diagn Pathol. 1990 Aug;7(3):205-27.
Adenocarcinomas and related tumors now account for approximately 15% of carcinomas of the uterine cervix. In this review, the features of these neoplasms are reviewed with emphasis on their microscopic features, differential diagnosis, and subtypes about which there is new information such as adenoma malignum, and villoglandular, mesonephric, adenoid basal, and adenoid cystic carcinomas. These tumors may cause considerable diagnostic difficulty, sometimes being difficult to distinguish from nonneoplastic glandular proliferations. Their correct identification has major prognostic implications.
腺癌及相关肿瘤目前约占子宫颈癌的15%。在本综述中,将对这些肿瘤的特征进行回顾,重点关注其微观特征、鉴别诊断以及有新信息的亚型,如恶性腺瘤、绒毛腺管状、中肾、腺样基底和腺样囊性癌。这些肿瘤可能会造成相当大的诊断困难,有时难以与非肿瘤性腺体增生相区分。其正确识别具有重要的预后意义。