Massoni E A, Hajdu S I
Acta Cytol. 1984 Mar-Apr;28(2):93-100.
The cytologic features of primary and metastatic uterine sarcomas, as seen in both gynecologic and nongynecologic smears from a series of 58 patients with positive cytologic findings, are presented and discussed. Cytologic examination plays a role in tumor typing but not in early diagnosis of uterine sarcomas since these neoplasms almost exclusively originate submucosally and infrequently shed cells prior to attaining considerable size. Cytomorphology of neoplastic cells varied greatly according to the type of tumor and ranged from small, uniform cells in tight, cohesive clusters to bizarre, pleomorphic spindle-shaped cells with long, ill-defined cytoplasmic processes. Distant metastases occurred within an average of 7 months after tissue diagnosis, and the average survival time was 21 months.
本文呈现并讨论了58例细胞学检查结果呈阳性患者的妇科和非妇科涂片样本中，原发性和转移性子宫肉瘤的细胞学特征。细胞学检查在肿瘤分型中发挥作用，但对子宫肉瘤的早期诊断并无帮助，因为这些肿瘤几乎都起源于黏膜下，在达到相当大的尺寸之前很少脱落细胞。肿瘤细胞的细胞形态根据肿瘤类型的不同有很大差异，从紧密聚集的小而均匀的细胞，到具有长而不明确胞质突起的奇异、多形性梭形细胞。远处转移平均发生在组织诊断后的7个月内，平均生存时间为21个月。
