MINIMAL DEVIATION CARCINOMA (ADENOMA MALIGNUM) OF THE CERVIX
MINIMAL DEVIATION CARCINOMA (ADENOMA MALIGNUM) OF THE CERVIX
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DOI：
10.1097/00004347-198302000-00005
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发表时间：
1983-01-01
影响因子：
2.4
通讯作者：
NORRIS, HJ
中科院分区：
文献类型：
--
作者：
KAMINSKI, PF;NORRIS, HJ
宫颈微小偏离癌是非常罕见的，约占宫颈腺癌的1%，不到高分化宫颈癌的六分之一。微小偏离癌由轮廓不规则的扭曲腺体组成，位于宫颈深处，通常需要子宫切除术以产生足够深的边缘以允许识别浸润。在早期病变中，宫颈的大体外观可能是正常的。微偏癌通常生长缓慢。两名死于宫颈腺癌的患者分别在初次诊断和治疗后6年和14年死亡。本报告中的13例病例与以前报告的不同之处在于细胞类型更多样化（文献中的大多数病例为粘液细胞类型），癌在早期被识别，患者的生存率比以前的报告要好得多。发现与独立的卵巢肿瘤相关。
Minimal deviation carcinoma of the cervix is very rare, representing about 1% of adenocarcinomas of the cervix and less than one-sixth of well-differentiated cervical carcinomas. Composed of distorted glands having an irregular outline and deeply positioned in the cervix, minimal deviation carcinoma often requires hysterectomy to produce a sufficiently deep margin to permit identification of invasion. The gross appearance of the cervix may be normal in early lesions. Minimal deviation carcinoma often grows slowly. The two patients who died of cervical adenocarcinoma did so 6 and 14 years after initial diagnosis and treatment. The 13 cases in this report differ from those previously reported in that the cell types were more varied (most cases in the literature are of a mucinous cell type), the carcinomas were identified at early stages, and the survival of patients was much better than in earlier reports. An association with independent ovarian neoplasms was found.