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宫颈微浸癌占宫颈癌4.5%~9%,其淋巴转移率低,长期生存率高。对其治疗从锥切直至根治性子宫切除形式不一。锥切可用于宫颈癌的诊断和治疗,主要适于年轻、肿瘤浸润深度<1mm,无脉管浸润,锥切缘无残存病变的患者。本文评估与微浸癌锥切术后宫颈残留病变相关的病理因素。 选择163例经复审确诊为宫颈微浸癌患者,年龄21~76岁,平均随访59.5月。病理检查包括①肿瘤浸润深度;②最大扩散宽度;③病灶散在或广泛;④微小脉管浸润;⑤HPV感染形态学表现;⑥锥切缘受累情况。微小脉管浸润指毛细血管内发现肿
Cervical micro-invasive cancer accounts for 4.5% to 9% of cervical cancer, the lymphatic metastasis rate is low, long-term survival rate. Its treatment from conization to radical hysterectomy in different forms. Cone can be used for the diagnosis and treatment of cervical cancer, mainly for young, tumor infiltration depth <1mm, no vascular invasion, conization margin patients without residual disease. This article assesses the pathological factors associated with residual cervical lesions following conization of micro-invasive carcinoma. A total of 163 cases of cervical micro-invasive carcinoma diagnosed by review were selected, ranging in age from 21 to 76 years, with an average follow-up of 59.5 months. Pathological examination including ① depth of tumor invasion; ② maximum diffusion width; ③ scattered lesions or extensive; ④ microvascular invasion; ⑤ HPV infection morphological manifestations; ⑥ Cone margin involvement. Microvascular invasion refers to the discovery of swollen capillaries