中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
9期
25-26
,共2页
宫颈疾病%细胞学%癌,鳞状细胞%不典型
宮頸疾病%細胞學%癌,鱗狀細胞%不典型
궁경질병%세포학%암,린상세포%불전형
Uterine cervical diseases%Cytology%Carcinoma,squamous cell,atypical
目的 评价宫颈细胞学中诊断为未明确诊断意义的不典型鳞状细胞(ASCUS)的临床病理学意义.方法 回顾性分析2118例行宫颈液基薄层细胞学检查(TCT)患者的临床资料,按照TBS细胞学分类法诊断ASCUS和鳞状上皮内病变(SIL)的发生情况,并追踪组织病理学结果.结果 2118例中诊断为ASCUS 72例,检出率为3.4%,是SIL(1.2%,25/2118)的2.9倍.72例ASCUS的细胞病理学表现:不典型中表层鳞状细胞和不典型挖空细胞16例(22.2%)、不典型萎缩的鳞状细胞11例(15.3%)、不典型成熟或不成熟化生细胞28例(38.9%)、其他不典型细胞17例(23.6%).其中43例有组织病理学结果:慢性宫颈炎22例(51.2%)、低级别鳞状上皮内瘤变12例(27.9%)、高级别鳞状上皮内瘤变8例(18.6%)、鳞状细胞癌1例(2.3%).结论 ASCUS存在鳞状上皮内病变的危险,应加强管理.
目的 評價宮頸細胞學中診斷為未明確診斷意義的不典型鱗狀細胞(ASCUS)的臨床病理學意義.方法 迴顧性分析2118例行宮頸液基薄層細胞學檢查(TCT)患者的臨床資料,按照TBS細胞學分類法診斷ASCUS和鱗狀上皮內病變(SIL)的髮生情況,併追蹤組織病理學結果.結果 2118例中診斷為ASCUS 72例,檢齣率為3.4%,是SIL(1.2%,25/2118)的2.9倍.72例ASCUS的細胞病理學錶現:不典型中錶層鱗狀細胞和不典型挖空細胞16例(22.2%)、不典型萎縮的鱗狀細胞11例(15.3%)、不典型成熟或不成熟化生細胞28例(38.9%)、其他不典型細胞17例(23.6%).其中43例有組織病理學結果:慢性宮頸炎22例(51.2%)、低級彆鱗狀上皮內瘤變12例(27.9%)、高級彆鱗狀上皮內瘤變8例(18.6%)、鱗狀細胞癌1例(2.3%).結論 ASCUS存在鱗狀上皮內病變的危險,應加彊管理.
목적 평개궁경세포학중진단위미명학진단의의적불전형린상세포(ASCUS)적림상병이학의의.방법 회고성분석2118례행궁경액기박층세포학검사(TCT)환자적림상자료,안조TBS세포학분류법진단ASCUS화린상상피내병변(SIL)적발생정황,병추종조직병이학결과.결과 2118례중진단위ASCUS 72례,검출솔위3.4%,시SIL(1.2%,25/2118)적2.9배.72례ASCUS적세포병이학표현:불전형중표층린상세포화불전형알공세포16례(22.2%)、불전형위축적린상세포11례(15.3%)、불전형성숙혹불성숙화생세포28례(38.9%)、기타불전형세포17례(23.6%).기중43례유조직병이학결과:만성궁경염22례(51.2%)、저급별린상상피내류변12례(27.9%)、고급별린상상피내류변8례(18.6%)、린상세포암1례(2.3%).결론 ASCUS존재린상상피내병변적위험,응가강관리.
Objective To evaluate the clinical pathology meaning of atypical squamous cell of undetermined significance (ASCUS) in cervical cytology. Methods The clinical data of 2118 cases who underwent cervical liquid thin-prep cell test (TCT) were analyzed retrospectively, ASCUS and squamous epithelium (SIL) were diagnosed according to the classification of the data TBS cytology, the histopathological examination results were tracked. Results The incidence of ASCUS was 3.4% (72/2218), and the ratio for SIL ( 1.2%, 25/2118) was 2.9. In the cellular pathology of ASCUS, there were four aspects, atypical surface cells and atypical hollowed cells in 16 cases (22.2%), atypical atrophy of the squamous epithelial cells in 11 cases (15.3%), atypical mature or immature metaplastic cells 28 cases (38.9%), atypical cells less influence diagnosis 17 cases (23.6%). Tracking the histologic findings in 43 cases with chronic cervicitis 22 cases (51.2%), low level squamous epithelium neoplasia in 12 cases (27.9%), high levels of squamous epithelial change in 8 cases (18.6%), squamous cell carcinoma 1 case(2.3%). Conclusion ASCUS exists within the risk of squamous lesions, management should be strengthened.
