Yoh S, Tanaka H, Arimatsu T, Hamai J, Kitazono M, Nishida T, Nishimura H, Arima A, Yakushiji M, Kato T
Nihon Sanka Fujinka Gakkai Zasshi. 1984 Apr;36(4):549-56.
In order to arrive at a final diagnosis of early cervical cancer by colposcopy alone, a colposcopic scoring system was applied to 172 patients with the disease. Each colposcopic pattern was scored from one point (for white epithelium) to 9 (for invasive cancer). The results obtained were as follows; 1) With these scoring criteria, stage 0 cancers were restricted to below 10 points and were characterized colposcopically by white epithelia with gland openings 2) In stage I-a lesion, atypical vessels, punctuation by irregular arrangement of the dots and concentration of abnormal gland openings were usually observed, and these findings were combined with each other to show a more complicated colposcopic pattern reflected in 11 to 18 points of the score 3) Frank invasions were indicated by 19 points or more, and punctuations or mosaics were seldom found in this stage, although the early "I-b" cancer was difficult to distinguish from I-a with this method 4) The diagnoses from this scoring system were identical with the final diagnoses confirmed by surgical methods in 66.7% of stage 0, 59.4% of I-a and 76.5% of I-b.
为了仅通过阴道镜检查得出早期宫颈癌的最终诊断结果，对172例患有该疾病的患者应用了阴道镜评分系统。每种阴道镜检查模式的评分从1分（白色上皮）到9分（浸润癌）。得到的结果如下：1）根据这些评分标准，0期癌症的评分限制在10分以下，阴道镜检查特征为有腺体开口的白色上皮；2）在Ⅰa期病变中，通常可观察到非典型血管、点状结构（由不规则排列的小点组成）以及异常腺体开口集中，这些表现相互结合，呈现出更为复杂的阴道镜检查模式，评分在11至18分之间；3）19分及以上表明存在明显浸润，尽管早期“Ⅰb”期癌症用这种方法难以与Ⅰa期区分，但在该阶段很少发现点状结构或镶嵌样改变；4）该评分系统得出的诊断结果与通过手术方法确诊的最终诊断结果一致，在0期患者中为66.7%，Ⅰa期患者中为59.4%，Ⅰb期患者中为76.5%。
