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本文复查2,204例宫颈浸润癌,有9例(0.4％)病理诊断腺样囊性癌。平均年龄67.3岁,均为经产妇和绝经后。主要症状为阴道滴血或出血及下腹疼。 2例为Ⅰ期B,5例Ⅱ期B,1例Ⅲ期B及1例Ⅳ期B。4例放疗,2例放疗加化疗,1例广泛子宫切除及1例广泛子宫颈切除(此例做过子宫半摘除),1例由于年龄大(99岁)及内科问题,只做对症治疗。 9例中3～6年后3例无瘤生存;4例因肺转移死亡。1例在18个月后有肺转移但生存。1例未治疗于5个月后死于癌。镜下所见:腺样囊性癌由有暗染核及少量胞浆的成群小而一致的规则基底样细胞组成。核分裂不
This review of 2,204 cases of invasive cervical cancer, 9 cases (0.4%) pathological diagnosis of adenoid cystic carcinoma. The average age of 67.3 years old, both by maternal and postmenopausal women. The main symptoms of vaginal bleeding or bleeding and abdominal pain. 2 cases of stage B, 5 cases of stage B, 1 case of stage B and 1 case of stage IV B. 4 cases of radiotherapy, 2 cases of radiotherapy plus chemotherapy, 1 case of extensive hysterectomy and 1 case of extensive cervical resection (in this case had a hysterectomy), and 1 case of symptomatic treatment due to age (99 years) and medical problems. Three of the nine patients survived 3 to 6 years later and 4 died of lung metastases. One patient had lung metastases but survived after 18 months. One patient died of cancer after 5 months of untreated treatment. Microscopic findings: Adenoid cystic carcinoma with a dark nucleus and a small amount of cytoplasm of small groups of consistent and consistent basal-like cells. Nuclear fission is not