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宫颈腺癌较少见,我们复习了近10年来我院收治的14例病例,并结合有关文献分析如下。资料与分析 1975～1986年,我院诊治宫颈腺癌14例,鳞癌104例,腺癌占全部宫颈癌的11.8％。患者平均年龄53.1(27～65)岁,绝大多数为绝经后或绝经期妇女。平均产次5次,无未孕者。临床症状多为阴道不规则流血(78.5％),合并白带增多及排液(21.5％)。临床分型:外生型(7例)呈息肉样、菜花状或结节状病损;内生型(3例)有宫颈肥大充血或程度不等的糜烂改变,不易与慢性宫颈炎辨别;溃疡型(4例)多半宫颈原形消失,形成空洞,污秽、出血。临床分期(FIGO分期法):Ⅰ期1例,Ⅱ期11例,Ⅲ期2例。治疗:除2例不明外,
Cervical adenocarcinoma is rare, we reviewed the past 10 years admitted to our hospital in 14 cases, combined with the relevant literature as follows. Data and Analysis From 1975 to 1986, 14 cases of cervical adenocarcinoma and 104 cases of squamous cell carcinoma were diagnosed and treated in our hospital. Adenocarcinomas accounted for 11.8% of all cervical cancers. The average age of patients was 53.1 (27-65) years old, the vast majority of postmenopausal or menopausal women. The average yield of 5 times, no non-pregnant. Clinical symptoms were mostly vaginal irregular bleeding (78.5%), with increased vaginal discharge and drainage (21.5%). Clinical types: exophytic (7 cases) were polyps, cauliflower-like or nodular lesions; endogenous (3 cases) cervical hypertrophy or varying degrees of erosion change, not easy to distinguish with chronic cervicitis; Ulcer type (4 cases) most of the original prototype of the cervix disappeared, the formation of hollow, dirty, bleeding. Clinical staging (FIGO staging): stage Ⅰ in 1 case, stage Ⅱ in 11 cases, stage Ⅲ in 2 cases. Treatment: In addition to 2 cases of unknown,