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本文复习了子宫内膜癌手术摘除标本的组织切片142例,其中腺癌82例,腺鳞癌29例,腺棘癌8例,乳头状癌12例以及其他类型11例。癌瘤侵入子宫肌层的深浅与癌的类型、分化有密切关系。Ⅰ级腺癌不侵入肌层占68.6％,乳头状癌、粘液腺癌均不侵入肌层或仅侵入浅肌层,Ⅳ级腺癌、癌肉瘤及腺棘癌等全部或大部分侵入中、深肌层。癌间质淋巴细胞反应程度与癌侵入肌层的深浅有显著差异,反应差者癌侵入深肌层明显多于反应良好者;反应良好的72％不侵入肌层或侵入浅肌层。腺癌分级越高,临床越晚期。子宫内膜癌伴内膜增生过长有23.2％
In this paper, we reviewed 142 cases of endometrial cancer tissue sections, including 82 cases of adenocarcinoma, 29 cases of adenosquamous carcinoma, 8 cases of adenocarcinoma, 12 cases of papillary carcinoma and 11 cases of other types. Carcinoma invades the depth of the myometrium and cancer type, differentiation is closely related. Ⅰ grade adenocarcinoma does not invade the muscle layer accounted for 68.6%, papillary carcinoma, mucinous adenocarcinoma invading the muscular layer or only invaded the superficial muscle layer, grade Ⅳ adenocarcinoma, carcinoid sarcoma and adenocarcinoma, all or most of the invasion, Deep muscle. The degree of cancer interstitial lymphocyte reaction with the depth of cancer invasion of the muscular layer have significant differences, poor response invaded into the deep muscular layer was significantly more than good response; 72% of good response does not invade the muscular layer or invade the muscular layer. The higher the grade of adenocarcinoma, the more advanced clinical. Endometrial cancer with intimal hyperplasia was 23.2%