Brand E, Berek J S, Hacker N F
Department of Obstetrics and Gynecology, University of California, Los Angeles School of Medicine.
Obstet Gynecol. 1988 Feb;71(2):261-9.
Adenocarcinoma of the uterine cervix appears to be more prevalent now than a decade ago, and currently constitutes 10-20% of invasive cervical cancers. Because precursor lesions arise within the endocervical canal, identification and diagnosis of invasive disease is often more difficult than for squamous carcinoma. There is disagreement regarding the optimal treatment of adenocarcinoma. Adenocarcinoma may have a poorer prognosis than squamous carcinoma because it may be more difficult to detect and because it tends to metastasize earlier in its course. The controversies in the diagnosis and management of adenocarcinoma and adenosquamous carcinoma of the uterine cervix are reviewed.
子宫颈腺癌目前似乎比十年前更为普遍，目前占浸润性宫颈癌的10%-20%。由于前驱病变发生在宫颈管内，浸润性疾病的识别和诊断往往比鳞状细胞癌更困难。关于腺癌的最佳治疗方法存在分歧。腺癌的预后可能比鳞状细胞癌更差，因为它可能更难检测，并且在病程中往往更早发生转移。本文综述了子宫颈腺癌和腺鳞癌在诊断和治疗方面的争议。
