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宫颈微腺癌(minimal deviation adenocarcinomaMDA)是一种罕见的高分化腺癌,又称为恶性腺瘤。170年Gussedow首次报道本病,20世纪60年代后又有散在的报道。该病比较罕见,仅占宫颈腺癌的1％～3％。因为临床表现缺乏特异性,瘤组织分化程度高,异形性小,病理诊断也非常困难,常易误诊和漏诊,因而错过最佳的治疗时机。Hart,WilliamR等报道的误诊率是34％。作者在此对本病进行综述,以期为临床早诊早治提供一些帮助。
Minimal deviation adenocarcinomaMDA is a rare, well-differentiated adenocarcinoma called malignant adenoma. The disease was first reported in 170 years by Gussedow and again in the 1960s. The disease is relatively rare, accounting for only 1% of cervical adenocarcinoma 3%. Because of the lack of specificity of clinical manifestations, high degree of tumor tissue differentiation, heterotypic small, pathological diagnosis is very difficult, often misdiagnosed and missed diagnosis, thus missing the best timing of treatment. Hart, WilliamR and other reports of misdiagnosis rate is 34%. Here the author reviews the disease, with a view to providing some help for early diagnosis and early treatment.