与恶性宫颈息肉相关的诊断问题。
Diagnostic problems relating to uterine cervical polyps with malignancy.
作者信息
Shiromizu K, Ryou E, Tsukagoshi T, Nishimura T, Takahashi M, Matsuzawa M
机构信息
Division of Gynecology, Saitama Cancer Center, Japan.
出版信息
Asia Oceania J Obstet Gynaecol. 1993 Sep;19(3):257-60. doi: 10.1111/j.1447-0756.1993.tb00383.x.
In order to clarify the diagnostic problems relating to, and the proper treatment of, uterine cervical polyps, 951 polyps were analyzed clinicopathologically. All polyps were examined histopathologically and divided into 2 groups: benign polyps (Group-1), and polyps with neoplastic or malignant lesions (Group-2). Polyp size and cervical cytology are not always reliable for predicting the correct diagnosis of neoplastic or malignant lesions. Colposcopic diagnostic accuracy was 56.3%, but increased to 75.0% when combined with cytology. Neoplastic or malignant lesions were found at both the cervical polyp and the cervix in 21 out of 24 Group-2 patients (87.5%). These results suggest that in order not to miss rare neoplastic or malignant lesions in polyps and/or cervices, histopathological examinations of all polyps, aided by cervical cytology and colposcopic observation, are necessary.
为了阐明与子宫颈息肉相关的诊断问题及恰当治疗方法，对951例息肉进行了临床病理分析。所有息肉均进行了组织病理学检查，并分为两组：良性息肉（第1组）和伴有肿瘤性或恶性病变的息肉（第2组）。息肉大小和宫颈细胞学检查对于预测肿瘤性或恶性病变的正确诊断并不总是可靠的。阴道镜诊断准确率为56.3%，但与细胞学检查相结合时，准确率提高到了75.0%。在第2组的24例患者中，有21例（87.5%）在宫颈息肉和宫颈处均发现了肿瘤性或恶性病变。这些结果表明，为了不遗漏息肉和/或宫颈中罕见的肿瘤性或恶性病变，在宫颈细胞学检查和阴道镜观察的辅助下，对所有息肉进行组织病理学检查是必要的。
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