Philippe E, Ritter J, Starkova O
J Gynecol Obstet Biol Reprod (Paris). 1982;11(2):255-65.
The histological criteria for diagnosing micro-invasive carcinoma of the cervix and for deciding the treatment which should theoretically follow these criteria have been reviewed from the literature. To make a diagnosis of micro-invasive carcinoma it is necessary to have an adequate biopsy specimen and at least a cone that has been taken to include healthy material. There is a need to have a classification that can easily be used by pathologists and the following different stages of early epithelioma are therefore proposed: widespread, spreading-incipient, early micro-invasive and an established micro-invasive. The risk of metastasis, although it is slight, should only be considered in the established micro-invasive stage. This may make extended surgical treatment justified.
已从文献中回顾了诊断宫颈微浸润癌的组织学标准以及确定理论上应遵循这些标准的治疗方法。要诊断微浸润癌，必须有足够的活检标本，并且至少要有一个包含健康组织的锥形切除标本。需要有一个病理学家易于使用的分类方法，因此提出了早期上皮瘤的以下不同阶段：广泛型、扩散初期型、早期微浸润型和确诊微浸润型。转移风险虽然很小，但仅在确诊微浸润阶段才应予以考虑。这可能使扩大手术治疗成为合理的选择。
