【摘要】 本文对180例早期宫颈鳞癌标本结合临床随访资料进行了分析。癌灶主要为多中心性生长(89.4%),故临床活检多点取材,可提高早期癌检出率。早浸癌浸润的深度在5mm以内,以舌状、滴状与团状或融合状多灶混合型浸润为多见(63%)。癌灶问质内有脉管浸润者,浸润癌比早浸癌增高3.2倍。其浸润深度与脉管浸润成正比,并提示了有淋巴结转移,即使浸润深度小于3mm者,也具有危险性。选择适当的治疗方法和增强机体免疫功能是改善预后的关键。更多还原

【Abstract】 The present article with the use of clinical follow-up date, analysed the specimens of 180 cases of radical hysterectomy of the early cervical squamus cell carcinoma.There were 24 cases of carcinoma in situ (13.3%), 53 cases of carcinoma in situ with gland extensive (29.5%) , 65 cases of early invasive carcinoma (IA) (36.1%), 38 cases of invasive carcinoma (IB) (31.1%). The focuses of this series mainly showed multiple central growth (89.4%), while simple central growth was rare. So clinical multiple point biopsies raised the diagnostic positiveness of carly carcinoma. The depth of infiltration of the early invasive carcifioma was less than 5mm, and usually appeared in the forms of buds, drops, masses, or in a confluent multifocal mixed form of infiltration (63%). Clinically, carcinoma was preferably treated as invasive carcinoma. The simple invasion forms were relatively rare, and the cancer focus was less than 1mm, and should be treated as carcinoma in situ. In case of the interstitial vascular infiltration (in the cancer focus), the incidence of invasive cancer was about 3.2 times as that of the early invasive cancer. The dePth of its infiltration was proportional to that of the vascular infiltration. It was shown that lymph node metastasis was a dangerous sign, even if the depth of infiltration was less that 3mm. Therefore, to choose proper method of treatment and strengthen the immune function of the body were the key points to improve the prognosis更多还原