Ponder T B, Easley K O, Dávila R M
Department of Pathology, Washington University School of Medicine, St. Louis, Missouri, USA.
Acta Cytol. 1997 Nov-Dec;41(6):1701-4. doi: 10.1159/000333171.
To assess the significance of nonatypical glandular cells in vaginal smears from patients who had undergone total hysterectomy.
Vaginal smears with nonatypical glandular epithelium obtained from post-total hysterectomy patients were identified in our files over a 4.5-year period. The cytologic findings were correlated with the clinical data.
Smears with nonatypical glandular epithelium from 15 post-total hysterectomy patients were identified, making this the largest series in the literature. The patients' mean age was 59 years. Most patients (73%) had a history of gynecologic malignancy, and 60% had received radiotherapy. All patients had a normal gynecologic examination when the vaginal smear was obtained. None of the patients developed recurrent or de novo vaginal adenocarcinoma.
The presence of nonatypical glandular epithelial cells in smears from total hysterectomy patients is not indicative of adenocarcinoma.
评估全子宫切除术后患者阴道涂片中非典型腺细胞的意义。
在4.5年的时间里，从我们的档案中识别出全子宫切除术后患者的阴道涂片中有非典型腺上皮细胞的情况。将细胞学检查结果与临床数据进行关联。
识别出15例全子宫切除术后患者的阴道涂片中有非典型腺上皮细胞，这是文献中最大的系列研究。患者的平均年龄为59岁。大多数患者（73%）有妇科恶性肿瘤病史，60%接受过放疗。所有患者在进行阴道涂片检查时妇科检查均正常。所有患者均未发生复发性或新发阴道腺癌。
全子宫切除术后患者涂片中有非典型腺上皮细胞并不提示腺癌。
