阴道的原发性腺癌约占阴道所有原发性癌15%。除了透明细胞腺癌认识较清楚外,其他类型的腺癌尚未得到足够的重视。作者报道了18例阴道原发性子宫内膜样腺癌,患者年龄45~81岁,平均60岁。临床症状主要表现为阴道出血或不适。16例患者曾行子宫切除术,9例有子宫内膜异位症病史,5例有 Vaginal primary adenocarcinoma accounts for about 15% of all primary cancers of the vagina. In addition to clear understanding of clear cell adenocarcinoma, the other types of adenocarcinoma have not been given enough attention. The authors reported 18 cases of primary endometrioid vaginal adenocarcinoma, aged 45 to 81 years, mean 60 years. Clinical symptoms mainly manifested as vaginal bleeding or discomfort. 16 patients had hysterectomy, 9 patients had a history of endometriosis, 5 patients had