CAJ | 학술논문

目的：探讨内生型宫颈鳞癌的临床特点和误诊原因，以提高对该病的认识和重视。方法对曾误诊的3例内生型宫颈鳞癌的临床资料进行回顾性分析。结果本组3例年龄分别为47、50和32岁，皆因不规则阴道流血于基层医院误诊为功能性子宫出血，给予相应治疗效果欠佳。3例经高危型宫颈人乳头瘤病毒( HPV)、诊断性刮宫术后病理及盆腔B超等检查均提示宫颈癌，后行宫颈组织病理学检查确诊为宫颈鳞癌，给予相应治疗，现生存2例，失访1例。结论内生型宫颈鳞癌因宫颈表面无明显赘生物，易被临床医生忽视。未能规律行宫颈细胞学或高危型HPV病毒筛查的宫颈癌患者易被漏诊或误诊，临床接诊此类患者时应更加重视对宫颈的检查。
목적：탐토내생형궁경린암적림상특점화오진원인，이제고대해병적인식화중시。방법대증오진적3례내생형궁경린암적림상자료진행회고성분석。결과본조3례년령분별위47、50화32세，개인불규칙음도류혈우기층의원오진위공능성자궁출혈，급여상응치료효과흠가。3례경고위형궁경인유두류병독( HPV)、진단성괄궁술후병리급분강B초등검사균제시궁경암，후행궁경조직병이학검사학진위궁경린암，급여상응치료，현생존2례，실방1례。결론내생형궁경린암인궁경표면무명현췌생물，역피림상의생홀시。미능규률행궁경세포학혹고위형HPV병독사사적궁경암환자역피루진혹오진，림상접진차류환자시응경가중시대궁경적검사。
Objective To analyze the clinical features and misdiagnosis cause of endophytic cervical squamous cell car-cinoma in order to enhance awareness of reconstruction of the disease. Methods Clinical data of 3 cases misdiagnosed as endo-phytic cervical squamous carcinoma was analyzed retrospectively. Results 3 female patients, aged 32,,47 and 50 years old were misdiagnosed and treated ineffectively as dysfunctional uterine bleeding due to abnormal vaginal bleeding in some local rural hospitals. Later, cervical cancer was suggested by high-risk HPV examination, diagnostic curettage pathological, pelvic ultra-sound and then confirmed by cervical histological examination. 2 patients survived after surgery with radiotherapy and chemother-apy, and 1 patient was lost for follow-up. Conclusion Endophytic cervical squamous carcinoma tends to be ignored by clini-cians because of lack of obvious neoplasm on the surface of the cervix. Clinicians should pay close attention to inspecting the cer-vix of those women without regular cervical cytology screening or high-risk HPV examinations.