Zhang W H
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Zhong Liu Za Zhi. 1993 May;15(3):218-20.
Colposcopic technique has become a major method in the diagnosis of cervical cancer. Sixteen patients of adenocarcinoma of the cervix were examined by colposcopy from 1984.2 to 1991.6. Transformation-zone-like and papillary finding were common colposcopical appearances of adenocarcinoma of the cervix. The common vascular patterns in 16 cases were root-like vessels and waste-thread-like vessel. Among the 16 cases, cytologic positive rate was only 25% (3/12), while the accordance rate between colposcopic examination and pathology was 84.6% (11/13). The result suggests that colposcopic examination is superior to the cytology in the diagnosis of cervical adenocarcinoma. Based on the above results and the data of literature, we consider that there are obvious differences of colposcopic findings between adenocarcinoma and squamous cell carcinoma of the cervix which may be useful in the early diagnosis of the cervical adenocarcinoma.
阴道镜检查技术已成为宫颈癌诊断的主要方法。1984年2月至1991年6月，对16例宫颈腺癌患者进行了阴道镜检查。转化区样和乳头状表现是宫颈腺癌常见的阴道镜表现。16例患者常见的血管形态为根状血管和废丝状血管。16例中，细胞学阳性率仅为25%（3/12），而阴道镜检查与病理的符合率为84.6%（11/13）。结果表明，阴道镜检查在宫颈腺癌诊断中优于细胞学检查。基于上述结果和文献资料，我们认为宫颈腺癌与鳞状细胞癌的阴道镜表现存在明显差异，这可能有助于宫颈腺癌的早期诊断。
