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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。
This article analyzed the clinical follow-up data of 180 cases of early cervical squamous cell carcinoma. Focal lesions are mostly multicentric (89.4%), so clinical biopsy at multiple points can increase early cancer detection. The depth of infiltration of early immersion cancer was less than 5 mm, and mixed infiltration of tongue, drops, lumps, or fusions was more common (63%). There were vascular infiltrates in the tumor mass, and infiltrating cancer was 3.2 times higher than that in early immersion cancer. Its depth of invasion is directly proportional to vessel invasion, suggesting lymph node metastasis, even if the depth of invasion is less than 3 mm. Choosing appropriate treatment and enhancing immune function is the key to improve prognosis.