Ueki M, Sano T, Okamura S, Iito Y, Kitsuki K, Sugimoto O
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Nov;34(11):1846-52.
Six cases of cervical adenocarcinoma with plentiful mucous secretion were recently experienced. They were clearly distinguishable from the majority of adenocarcinoma without plentiful mucous secretion from the standpoint of clinical and colposcopic findings. As common features deduced from clinical and colposcopic findings, it could be pointed out that portio vaginalis become swollen as a whole showed resiliency as of a rubber ball, and that erosion widespread over nearly entire surface of portio vaginalis is accompanied with a plentiful mucus. On the surface of erosion was found neither localization of ulcer, nor necrosis and nor bleeding trend even in cases under progressing. Colposcopic findings were distinguished with features of papillea-, net-and transformation zone-like, and mixed type. On the other hand, all the cases were evaluated cytologically to be positive with difficulty. And they were histologically well differentiated adenocarcinoma with plentiful mucus. The distinctive feature in the clinical and colposcopic findings identified for the cases of well differentiated adenocarcinoma with a plentiful mucus was evaluated to be useful means to assist the diagnosis of cervical adenocarcinoma.
最近遇到6例宫颈腺癌伴有大量黏液分泌。从临床和阴道镜检查结果来看，它们与大多数无大量黏液分泌的腺癌明显不同。从临床和阴道镜检查结果推断出的共同特征是，阴道部整体肿胀，表现出如橡皮球般的弹性，并且几乎整个阴道部表面广泛存在的糜烂伴有大量黏液。即使在病情进展的病例中，糜烂表面也未发现溃疡、坏死或出血倾向。阴道镜检查结果具有乳头样、网状和转化区样以及混合型的特征。另一方面，所有病例在细胞学评估中都难以判定为阳性。它们在组织学上是高分化腺癌且伴有大量黏液。对于伴有大量黏液的高分化腺癌病例所确定的临床和阴道镜检查的独特特征，被评估为有助于宫颈腺癌诊断的有用手段。
