Izutsu T, Kagabu T, Sato K, Kubota T, Harada K, Nishiya I
Nihon Sanka Fujinka Gakkai Zasshi. 1981 Dec;33(12):2163-72.
Non-epithelial tumors originating in the uterus are a relatively rare affliction, accounting for less than 3% of all malignant uterine neoplasms. For this reason, there are at present few cytological reports on these sarcoma, so that histological determination on the basis of cytological diagnosis becomes quite difficult. On this occasion, We are privileged to report on cytological examinations we have made over the past decade on six cases involving uterine sarcomas in the course of our practise at the Iwate Medical University School of Medicine. The histological diagnosis of these tumor were Leiomyosarcoma (1 case) Mixed mesodermal tumor (1 case). Rhabdomyosarcoma (1 case). Carcinosarcoma (2 cases), and Mixed cell sarcoma (1 case). The cytologic findings of these tumor cells in vaginal smear and aspiration smear of uterine cavity are as follows: 1) In all cases, We observed the appearance of tumor cells of undifferentiated non-epithelial origin, showing an almost identical configuration. 2) Also, in these various sarcomas, We confirmed distinctive tumor cells from which histologic type could be inferred. This suggested the possibility of histologic type diagnosis on the basis of cytological diagnosis.
起源于子宫的非上皮性肿瘤是一种相对罕见的疾病，占所有子宫恶性肿瘤的比例不到3%。因此，目前关于这些肉瘤的细胞学报告很少，以至于基于细胞学诊断进行组织学判定变得相当困难。在此，我们有幸报告过去十年间在岩手医科大学医学院的临床工作中，对6例子宫肉瘤病例进行的细胞学检查。这些肿瘤的组织学诊断为平滑肌肉瘤（1例）、混合性中胚叶肿瘤（1例）、横纹肌肉瘤（1例）、癌肉瘤（2例）和混合细胞肉瘤（1例）。这些肿瘤细胞在阴道涂片和子宫腔吸引涂片的细胞学表现如下：1）在所有病例中，我们观察到未分化非上皮起源的肿瘤细胞出现，呈现出几乎相同的形态。2）此外，在这些不同的肉瘤中，我们确认了可以推断出组织学类型的独特肿瘤细胞。这表明基于细胞学诊断进行组织学类型诊断的可能性。
