Nakayama K, Kaku S, Chin Z, Yagi H, Hirai Y, Hamada T, Yamauchi K, Hasumi K, Masubuchi K
Department of Gynecology, Cancer Institute Hospital, Tokyo.
Nihon Sanka Fujinka Gakkai Zasshi. 1988 Jan;40(1):21-5.
Between 1958 and 1985 (28 years), 53 cases of uterine sarcoma were seen at the Cancer Institute Hospital. Their cytological examination produced the following findings: 1) The positive rate in preoperative cytologic diagnostic tests was a low 21.7 percent for pure sarcoma and 70.0 percent for mixed mesodermal tumor. 2) The preoperative cytologic diagnosis and the final histologic diagnosis agreed in only 13.0 percent of pure sarcoma and 16.7 percent of mixed mesodermal tumor cases. 3) About one-half of the cases of mixed mesodermal tumor were diagnosed preoperatively as adenocarcinoma. 4) The positive rate in the cytologic diagnosis and the clinical stage were not correlated. 5) The positive rate in the cytologic diagnosis was high in cases of intracavity growth type sarcoma, but all cases of intramuscular localized type sarcoma were negative.
1958年至1985年（28年间），癌症研究所医院共收治53例子宫肉瘤患者。其细胞学检查结果如下：1）术前细胞学诊断检查中，纯肉瘤的阳性率低至21.7%，混合性中胚层肿瘤的阳性率为70.0%。2）术前细胞学诊断与最终组织学诊断仅在13.0%的纯肉瘤病例和16.7%的混合性中胚层肿瘤病例中相符。3）约一半的混合性中胚层肿瘤病例术前被诊断为腺癌。4）细胞学诊断的阳性率与临床分期无关。5）腔内生长型肉瘤病例的细胞学诊断阳性率较高，但所有肌内局限性肉瘤病例均为阴性。
