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[子宫颈原位癌及微浸润癌的局部解剖]

[Topography of carcinoma in situ and carcinoma with minimal invasion of the uterine cervix].

作者信息

Krizanac S, Jukić S, Orescanin M

出版信息

Jugosl Ginekol Perinatol. 1986 May-Aug;26(3-4):57-60.

PMID:3561024
Abstract

There were 160 coni histologically analysed in which carcinoma in situ (CIS) or carcinoma cum invasione minimali (CIM) were diagnosed. Their most frequent localization was the transitional zone. CIS was spreading in 95.4% of cases to the transitional zone, in 67.4% to the part covered with a cylindrical epithelium, and in 19.8% to the part covered with a squamous epithelium. CIM was found to have affected the transitional zone in 90.5%, the cervical zone covered with a cylindrical epithelium in 78.4% and the zone partly covered with a squamous epithelium in 52.7% of cases. CIS was spread to both cervical labia in 65.1% of cases--to the front labium in 23.3% and the back labium in 11.6% of cases. CIM was found to have affected both labia in 90.5% of cases--the front labium in 6.7% and the back labium in 2.7% of cases. CIS and CIM were formed from three types of cells, i.e. types A, B, and C. Both CIS and CIM formed from type A were located in the zone of the squamous epithelium in the portio, those formed from type C endocervically, and those from type B in--between. There were also carcinomas formed from two or three cell types. In the mixed types of carcinoma, type C cells were never found in the portio, nor type A cells in the endo-cervix.

摘要

对160例进行了组织学分析,其中诊断出原位癌(CIS)或微浸润癌(CIM)。它们最常见的部位是移行区。CIS在95.4%的病例中扩散至移行区,在67.4%的病例中扩散至柱状上皮覆盖部分,在19.8%的病例中扩散至鳞状上皮覆盖部分。发现CIM在90.5%的病例中累及移行区,在78.4%的病例中累及柱状上皮覆盖的宫颈区,在52.7%的病例中累及部分鳞状上皮覆盖区。CIS在65.1%的病例中扩散至双侧宫颈唇——23.3%扩散至前唇,11.6%扩散至后唇。CIM在90.5%的病例中累及双侧唇——6.7%累及前唇,2.7%累及后唇。CIS和CIM由三种类型的细胞形成,即A、B和C型。由A型形成的CIS和CIM均位于宫颈阴道部鳞状上皮区,由C型形成的位于宫颈管内,由B型形成的位于两者之间。也有由两种或三种细胞类型形成的癌。在混合型癌中,宫颈阴道部从未发现C型细胞,宫颈管内也从未发现A型细胞。

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