Iakovleva I A, Chernyĭ A P
Arkh Patol. 1985;47(3):19-27.
Both most common and rare varieties of uterine cervix carcinoma were studied light and electron microscopically. It is shown that tumours histologically classified as squamous-cell carcinoma originate either from the squamous epithelium of the ectocervix or from the metaplastic epithelium. Characteristic ultrastructural features of these histogenetic variants of squamous-cell carcinoma are described. The authors' and literature data are presented indicating that the great histological variety of adenocarcinomas and glandular-squamous carcinomas is due to the pluripotential properties of proliferating stem cells capable of forming glandular, solid and squamous-cell structures. The source of clear-cell adenocarcinoma may be not only Gartner's duct but the mullerian epithelium as well. The classification of uterine cervix carcinomas reflecting their histogenesis is proposed.
对子宫颈癌的常见和罕见类型均进行了光镜和电镜研究。结果表明,组织学上分类为鳞状细胞癌的肿瘤要么起源于子宫颈外口的鳞状上皮,要么起源于化生上皮。描述了这些鳞状细胞癌组织发生学变体的特征性超微结构特征。呈现了作者及文献数据,表明腺癌和腺鳞癌的组织学多样性是由于增殖干细胞具有形成腺性、实性和鳞状细胞结构的多能特性。透明细胞腺癌的来源不仅可能是加特纳管,也可能是苗勒上皮。提出了反映子宫颈癌组织发生的分类方法。