Ito T, Yago H, Kuribayashi M, Ohsawa H
Nihon Sanka Fujinka Gakkai Zasshi. 1986 Feb;38(2):168-76.
Recently colposcopy has come to be increasing used in the diagnosis of the early cervical cancer. We studied colposcopic findings (epithelial, vascular and glandular findings) of dysplasia, carcinoma in situ and microinvasive cancer of the uterine cervix. The results were as follows. We could classify the cases without white epithelium into microinvasive cancer and carcinoma in situ according to elevation or hollowness and roughness and the cases with I grade white epithelium (thin white epithelium) into severe dysplasia and mild or moderate dysplasia according to the existence of elevation, roughness, II type vessels and elevation of gland opening. Among the cases with II grade white epithelium (thick white epithelium) those without roughness, II type vessels and increased gland opening were mild or moderate dysplasia and most case with III or IV type vessels were microinvasive cancer. We concluded that more than half of the cases without III or IV type vessels spread to transverse pollution of white epithelium and lack or indefiniteness of gland opening, severe dysplasia with 0 finding, carcinoma in situ with 1 or 2 finding and microinvasive cancer with 3 findings. With these criteria, we were able to obtain high (93.4% with mean) correct diagnostic ratios.
近年来，阴道镜检查在早期宫颈癌诊断中的应用越来越广泛。我们研究了子宫颈发育异常、原位癌和微浸润癌的阴道镜检查结果（上皮、血管和腺体表现）。结果如下。我们可以根据隆起或凹陷、粗糙程度，将无白色上皮的病例分为微浸润癌和原位癌；根据隆起、粗糙程度、Ⅱ型血管以及腺体开口抬高情况，将Ⅰ级白色上皮（薄白色上皮）的病例分为重度发育异常和轻、中度发育异常。在Ⅱ级白色上皮（厚白色上皮）的病例中，无粗糙、Ⅱ型血管和腺体开口增加的为轻、中度发育异常，大多数有Ⅲ或Ⅳ型血管的病例为微浸润癌。我们得出结论，超过一半无Ⅲ或Ⅳ型血管的病例表现为白色上皮横向蔓延、腺体开口缺失或不明确，0项表现为重度发育异常，1或2项表现为原位癌，3项表现为微浸润癌。依据这些标准，我们能够获得较高（平均93.4%）的正确诊断率。
