论文部分内容阅读
1958—1959年,我院在地段普查及門診中发現了一些极早期的宫颈浸润癌。这些患者大多数无自觉症状,妇科阴道检查时往往无异常发現,在宮頸活检病理切片上也很难与原位癌鑑別,故在临床及病理上均易忽略此病。发病率——1950年Stoddard氏报导宮頸原位癌发展为浸润癌。1955年Fennell氏报告116例宮頸原位癌中有8例具有早期浸潤癌巢。我院宮頸原位癌54例中14例发展为早期浸潤癌,其中5例是在对30岁以上妇女5000名防癌普查中发現的。年龄——Wheeler氏201例宮頸原位癌之平均发病年龄为38岁,38例早期浸潤癌之平均发病年龄为42岁。本文14例早期浸潤癌的平均年龄为42岁,其中年龄最輕者31岁,最高者64岁。林崧等氏报告原位癌之发病年龄亦比浸潤癌为低,此点似为宮颈早期浸润癌由原位癌发展而来的理由之一。症状——絕大多数患者无症状。14例中无任何自覺症状者9例,白带增多及阴道不規則流血者3
1958-1959 years, our hospital in the census and outpatient found some very early cervical cancer. Most of these patients without symptoms, gynecological vaginal examination is often no abnormal findings in cervical biopsy pathology is also difficult to identify with the carcinoma in situ, it is easy to ignore the clinical and pathological disease. Incidence - 1950 Stoddard’s report Cervical carcinoma in situ develops invasive carcinoma. In 1955 Fennell’s report of 116 cases of cervical carcinoma in situ with early infiltration of the cancer nest. In our hospital, 54 cases of cervical carcinoma in situ developed 14 cases of early invasive carcinoma, of which 5 cases were found in the anti-cancer survey of 5000 women over the age of 30. Age -Wheeler’s 201 cases of cervical carcinoma in situ of the average age of 38 years of age, 38 cases of early invasive carcinoma of the average age of onset of 42 years. The average age of 14 cases of early invasive carcinoma is 42 years, of which the youngest was 31 years old, the highest was 64 years old. Lin Song et al reported that the incidence of cancer in situ cancer is also lower than the invasiveness of the cancer, this point seems to be one of the reasons for the early invasive carcinoma of the cervix from carcinoma in situ. Symptoms - Most patients are asymptomatic. There were 9 cases without any symptoms in 14 cases, and the vaginal discharge increased and the vaginal irregular bloodshed 3