本文报告6例宫颈恶性腺瘤(或称分化极佳腺癌),组织特征主要是腺体增殖,形态及大小不一,腺上皮向腔内增生,呈乳头、搭桥、树枝状,其中纤维间质极少。腺体分泌粘液旺盛,上皮易脱落,使粘液漏入间质。腺上皮细胞核小、单层、位于基底部;使本病在病理组织学的诊断上有反复、误诊情况。而细胞学检查,对本病的诊断有一定作用。在临床上,本病恶性程度甚高,预后差,5例中有3例在术后5年内死亡(1例失访),应引起临床及病理科医师们注意。 This article reports 6 cases of cervical adenocarcinoma (also known as excellent differentiation of adenocarcinoma), the main features of the organization of gland proliferation, morphology and size, glandular epithelial hyperplasia, was nipple, bypass, dendritic, in which the fiber between Very few quality. Gland secretion of mucus, epithelial easily shed, so that leakage of mucus interstitial. Glandular epithelial cell nucleus small, monolayer, located in the basal Department; make the disease in the pathological diagnosis of repeated, misdiagnosis. The cytology, the diagnosis of the disease have a role. Clinically, the disease is extremely malignant and has a poor prognosis. 3 of 5 patients died within 5 years after operation (1 patient lost follow-up) and should be brought to the attention of clinicians and pathologists.