{"id":32051,"date":"2024-05-01T04:01:10","date_gmt":"2024-05-01T04:01:10","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=32051"},"modified":"2024-05-01T04:01:10","modified_gmt":"2024-05-01T04:01:10","slug":"%e5%a5%b3%e6%80%a7%e7%94%9f%e6%ae%96%e7%b3%bb%e7%bb%9f%e7%97%85%e7%90%86","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=32051","title":{"rendered":"\u5973\u6027\u751f\u6b96\u7cfb\u7edf\u75c5\u7406"},"content":{"rendered":"<h2 data-tool='mdnice\u7f16\u8f91\u5668'>1 \u5916\u9634\u75be\u75c5\uff1a\u4e73\u623f\u5916Paget\u75c5<\/h2>\n<p>\u4e73\u623f\u5916Paget\u75c5(extramammary paget disease)\u662f\u4e00\u79cd\u7f55\u89c1\u7684\u4e0a\u76ae\u5185\u817a\u764c\uff0c\u8d77\u6e90\u4e8e\u5bcc\u542b\u5206\u6ccc\u817a\u7684\u89e3\u5256\u5b66\u90e8\u4f4d\uff0c\u6700\u5e38\u89c1\u4e8e\u5973\u6027\u5916\u9634\u548c\u7537\u6027\u809b\u5468\u533a\u57df\u3002<\/p>\n<p>\u5178\u578b\u4e34\u5e8a\u8868\u73b0\u4e3a\u7f13\u6162\u8fdb\u5c55\u7684\u5883\u754c\u6e05\u695a\u7684\u7ea2\u6591\u6216\u6591\u5757\uff0c\u8868\u9762\u5e38\u5448\u7cdc\u70c2\u3001\u7ed3\u75c2\u6216\u8986\u89d2\u5316\u6027\u9cde\u5c51(scaly)\uff0c\u65f6\u6709\u6e17\u51fa\uff0c\u4f3c\u6e7f\u75b9\u6837\u6539\u53d8\uff0c\u591a\u4f34\u7619\u75d2\u6216\u75bc\u75db\u3002<\/p>\n<p>\u955c\u4e0b\u6539\u53d8\u4e3a\u9cde\u72b6\u4e0a\u76ae\u5185\u6709\u80bf\u7624\u6027\u7684\u817a\u4e0a\u76ae\u6d78\u6da6\uff0c\u4f46\u5e38\u5e38\u627e\u4e0d\u5230\u4e0b\u65b9\u7684\u80bf\u7624\u80cc\u666f\uff0c\u5c5e\u4e8e\u539f\u4f4d\u764c\u3002\u542b\u6709\u9ecf\u86cb\u767d\uff0c\u6545PAS\u67d3\u8272\u9633\u6027\u3002<\/p>\n<p>\u89d2\u8d28\u5c42\u660e\u663e\uff1b\u4e0a\u76ae\u5185\u6709\u5927\u7684\u3001\u80de\u6d46\u7a7a\u4eae\u7684\u5f02\u578b\u7ec6\u80de\uff1b\u5355\u4e2a\u6216\u6210\u7fa4\u5206\u5e03<\/p>\n<p>\u5176\u53d1\u5c55\u7f13\u6162\uff0c\u6076\u6027\u7a0b\u5ea6\u4f4e\uff0c\u9884\u540e\u597d\u3002\u4e00\u65e6\u8f6c\u79fb\u9884\u540e\u5dee\u3002<\/p>\n<h2 data-tool='mdnice\u7f16\u8f91\u5668'>2 \u9634\u9053\u75be\u75c5\uff1a\u9634\u9053\u900f\u660e\u7ec6\u80de\u817a\u764c<\/h2>\n<p>\u9634\u9053\u900f\u660e\u7ec6\u80de\u817a\u764c(clear cell adenocarcinoma)\uff0c\u662f\u4e00\u79cd\u975e\u5e38\u7f55\u89c1\u7684\u9634\u9053\u6216\u5b50\u5bab\u9888\u5185\u7684\u80bf\u7624\uff0c\u5e74\u8f7b\u65f6\u53d1\u75c5\u5e38\u4e0e\u6bcd\u4eb2\u8fd0\u7528\u81f4\u764c\u836f\u54c1\u5df1\u70ef\u96cc\u915a(diethylstilbestrol)\u4fdd\u80ce\u6709\u5173\u3002<\/p>\n<h2 data-tool='mdnice\u7f16\u8f91\u5668'>3 \u5b50\u5bab\u9888\u75be\u75c5<\/h2>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>3.1 \u6162\u6027\u5b50\u5bab\u9888\u708e<\/h3>\n<p>\u6162\u6027\u5b50\u5bab\u9888\u708e(chronic cervicitis)\u662f\u80b2\u9f84\u671f\u5973\u6027\u6700\u5e38\u89c1\u7684\u5987\u79d1\u75be\u75c5\u3002\u955c\u4e0b\uff0c\u5b50\u5bab\u9888\u9ecf\u819c\u5145\u8840\u6c34\u80bf\uff0c\u95f4\u8d28\u5185\u6709\u6162\u6027\u708e\u7ec6\u80de\u6d78\u6da6\uff0c\u817a\u4e0a\u76ae\u53ef\u4f34\u6709\u589e\u751f\u53ca\u9cde\u72b6\u4e0a\u76ae\u5316\u751f\u3002<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u7eb3\u535a\u7279\u56ca\u80bf(Nabothian cyst)\uff1a\u589e\u751f\u7684\u9cde\u72b6\u4e0a\u76ae\u8986\u76d6\u548c\u963b\u585e\u5b50\u5bab\u9888\u7ba1\u817a\u4f53\u7684\u5f00\u53e3\uff0c\u4f7f\u9ecf\u6db2\u6f74\u7559\uff0c\u817a\u4f53\u9010\u6e10\u6269\u5927\u5f62\u6210\u56ca\u80bf\u3002<\/li>\n<\/ul>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u5b50\u5bab\u9888\u606f\u8089(cervical polyp)\uff1a\u5b50\u5bab\u9888\u9ecf\u819c\u4e0a\u76ae\u3001\u817a\u4f53\u548c\u95f4\u8d28\u7ed3\u7f14\u7ec4\u7ec7\u5c40\u9650\u6027\u589e\u751f\u5f62\u6210\u7684\u606f\u8089\u72b6\u7269\u3002\u5c5e\u826f\u6027\u75c5\u53d8\u3002<\/li>\n<\/ul>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u5bab\u9888\u7cdc\u70c2(cervical erosion)\uff1a\u5b50\u5bab\u9888\u635f\u4f24\u7684\u9cde\u72b6\u4e0a\u76ae\u88ab\u5b50\u5bab\u9888\u7ba1\u9ecf\u819c\u67f1\u72b6\u4e0a\u76ae\u589e\u751f\u4e0b\u79fb\u53d6\u4ee3\uff0c\u7531\u4e8e\u67f1\u72b6\u4e0a\u76ae\u8f83\u8584\uff0c\u4e0a\u76ae\u4e0b\u8840\u7ba1\u8f83\u6613\u663e\u9732\u800c\u5448\u7ea2\u8272\uff0c\u75c5\u53d8\u9ecf\u819c\u5448\u8fb9\u754c\u6e05\u695a\u7684\u7ea2\u8272\u7cdc\u70c2\u6837\u533a\u3002\u4e0d\u662f\u771f\u6027\u7cdc\u70c2\uff0c\u662f\u5bab\u9888\u67f1\u72b6\u4e0a\u76ae\u5f02\u4f4d\u7684\u5e38\u89c1\u751f\u7406\u73b0\u8c61\u3002<\/li>\n<\/ul>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>3.2 \u5b50\u5bab\u9888\u4e0a\u76ae\u5185\u7624\u53d8(CIN)<\/h3>\n<p>\u5b50\u5bab\u9888\u4e0a\u76ae\u5185\u7624\u53d8(cervical intraepithelial neoplasia, CIN)\u662f\u6307\u5b50\u5bab\u9888\u9cde\u72b6\u4e0a\u76ae\u88ab\u4e0d\u540c\u7a0b\u5ea6\u5f02\u578b\u6027\u7684\u7ec6\u80de\u6240\u53d6\u4ee3\uff0c\u5c5e\u4e8e\u764c\u524d\u75c5\u53d8\u3002\u955c\u4e0b\u8868\u73b0\u4e3a\u7ec6\u80de\u5927\u5c0f\u5f62\u6001\u4e0d\u4e00\uff0c\u6838\u589e\u5927\u6df1\u67d3\uff0c\u6838\u5206\u88c2\u8c61\u589e\u591a\uff0c\u7ec6\u80de\u6781\u6027\u7d0a\u4e71\u3002<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u2160\u7ea7\uff1a\u5f02\u578b\u7ec6\u80de\u5c40\u9650\u4e8e\u4e0a\u76ae\u7684\u4e0b1\/3<\/li>\n<li>\u2161\u7ea7\uff1a\u5f02\u578b\u7ec6\u80de\u7d2f\u53ca\u4e0a\u76ae\u5c42\u7684\u4e0b1\/3\u81f32\/3<\/li>\n<li>\u2162\u7ea7\uff1a\u5f02\u578b\u7ec6\u80de\u8d85\u8fc7\u5168\u5c42\u76842\/3\uff0c\u5305\u542b\u539f\u4f4d\u764c(carcinoma in situ)\uff08\u5f02\u578b\u7ec6\u80de\u7d2f\u53ca\u5b50\u5bab\u9888\u9ecf\u819c\u4e0a\u76ae\u5168\u5c42\uff0c\u4f46\u672a\u7a81\u7834\u57fa\u5e95\u819c\uff09<\/li>\n<\/ul>\n<p>\u4e0eHPV\u611f\u67d3\u6709\u5173\uff0c\u597d\u53d1\u4e8e\u9cde\u72b6\u4e0a\u76ae\u548c\u67f1\u72b6\u4e0a\u76ae\u4ea4\u754c\u90e8\u4f4d(squamocolumnar junction, transformation zone)\u3002<\/p>\n<p>\u73b0\u5c06CIN\u2160\u5f52\u5165\u4f4e\u7ea7\u522b\u9cde\u72b6\u4e0a\u76ae\u5185\u7624\u53d8(low-grade squamous intraepithelial lesion,&nbsp;LSIL)\uff0cCIN\u2161\u548c\u2162\u5408\u79f0\u4e3a\u9ad8\u7ea7\u522b\u9cde\u72b6\u4e0a\u76ae\u5185\u7624\u53d8(HSIL)\u3002<\/p>\n<p>\u4eba\u4e73\u5934\u7624\u75c5\u6bd2(human papillomavirus, HPV)\u80fd\u5f15\u8d77\u76ae\u80a4\u9ecf\u819c\u4e0a\u76ae\u7ec6\u80de\u7684\u589e\u6b96\u3002\u9ad8\u5371\u578b\u5982HPV16\u300118\u4e0e\u5bab\u9888\u764c\u3001\u53e3\u54bd\u764c\u3001HSIL\u7b49\u6709\u5173\uff0c\u4f4e\u5371\u578b\u5982HPV6\u300111\u4e0eLSIL\u3001\u75a3(wart)\u7b49\u6709\u5173\u3002<\/p>\n<p>p16\u88ab\u8ba4\u4e3a\u662f\u6301\u7eed\u9ad8\u5371\u578bHPV\u611f\u67d3\u7684\u66ff\u4ee3\u6807\u8bb0\u7269\uff0c\u662f\u6291\u764c\u57fa\u56e0\u7684\u7f16\u7801\u4ea7\u7269\u3002Ki-67\u662f\u7ec6\u80de\u589e\u6b96\u6807\u8bb0\u7269\uff0c\u6b63\u5e38\u4ec5\u5728\u57fa\u5e95\u5c42\u8868\u8fbe\u3002p16\u548cKi-67\u514d\u75ab\u7ec4\u5316\u67d3\u8272\u6709\u52a9\u4e8e\u9274\u522bLSIL\u548cHSIL\u3002<\/p>\n<p>CIN\u591a\u65e0\u660e\u663e\u75c7\u72b6\u3002\u7898\u8bd5\u9a8c(Schiller test)\u662f\u5c06\u7898\u6eb6\u6db2\u6d82\u5728\u5bab\u9888\u548c\u9634\u9053\u58c1\u4e0a\uff0c\u89c2\u5bdf\u5176\u67d3\u8272\u60c5\u51b5\uff0c\u6b63\u5e38\u5bab\u9888\u9634\u9053\u90e8\u548c\u9634\u9053\u9cde\u72b6\u4e0a\u76ae\u542b\u7cd6\u539f\u4e30\u5bcc\uff0c\u88ab\u7898\u6eb6\u6db2\u67d3\u4e3a\u68d5\u8272\u6216\u6df1\u8d64\u8910\u8272\uff1b\u4e0d\u7740\u8272\u63d0\u793a\u6709\u75c5\u53d8\uff0c\u9700\u8fdb\u4e00\u6b65\u68c0\u67e5\u3002<\/p>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>3.3 \u5b50\u5bab\u9888\u6d78\u6da6\u764c<\/h3>\n<p>\u5b50\u5bab\u9888\u6d78\u6da6\u764c(invasive carcinoma of the cervix)\u662f\u53d1\u751f\u4e8e\u5b50\u5bab\u9888\u4e0a\u76ae\u7684\u6076\u6027\u80bf\u7624\uff0c\u597d\u53d1\u4e8e40~60\u5c81\u3002\u65e9\u671f\u5e38\u65e0\u81ea\u89c9\u75c7\u72b6\uff0c\u968f\u75c5\u53d8\u8fdb\u5c55\u8868\u73b0\u4e0d\u89c4\u5219\u9634\u9053\u51fa\u8840\u53ca\u63a5\u89e6\u6027\u51fa\u8840\u3001\u767d\u5e26\u589e\u591a(leukorrhea)\u7b49\uff0c\u665a\u671f\u56e0\u764c\u7ec4\u7ec7\u6d78\u6da6\u76c6\u8154\u795e\u7ecf\u53ef\u51fa\u73b0\u75bc\u75db\u3002<\/p>\n<p>\u5927\u4f53\u8868\u73b0\u53ef\u5206\u4e3a\u7cdc\u70c2\u578b(erosion)\u3001\u5916\u751f\u83dc\u82b1\u578b(cauliflower)\u3001\u5185\u751f\u6d78\u6da6\u578b(infiltrative)\u3001\u6e83\u75a1\u578b(ulcerative)\u3002<\/p>\n<p>\u7ec4\u7ec7\u5b66\u5206\u578b\u4ee5\u9cde\u764c\u4e3a\u4e3b\uff0875%\uff0c\u597d\u53d1\u4e8e\u9cde\u67f1\u4ea4\u754c\u5904\uff09\uff0c\u5176\u6b21\u4e3a\u817a\u764c\uff0820%\uff09\u548c\u795e\u7ecf\u5185\u5206\u6ccc\u80bf\u7624\uff085%\uff09\u3002<\/p>\n<p>2020\u5e74\u7b2c\u4e94\u7248WHO\u5206\u7c7b\u5c06\u5bab\u9888\u9cde\u72b6\u7ec6\u80de\u764c\u3001\u5bab\u9888\u817a\u764c\u5747\u5206\u4e3aHPV\u76f8\u5173\u6027\u548cHPV\u975e\u76f8\u5173\u6027\u4e24\u5927\u7c7b\u3002<\/p>\n<p>\u4f9d\u636e\u5176\u8fdb\u5c55\u8fc7\u7a0b\uff0c\u5b50\u5bab\u9888\u9cde\u72b6\u7ec6\u80de\u764c\u53ef\u5206\u4e3a\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u65e9\u671f\u6d78\u6da6\u764c\uff08\u5fae\u5c0f\u6d78\u6da6\u6027\u9cde\u72b6\u7ec6\u80de\u764c\uff09(early\/microinvasive)\uff1a\u764c\u7ec6\u80de\u7a81\u7834\u57fa\u5e95\u819c\uff0c\u5411\u56fa\u6709\u5c42\u95f4\u8d28\u5185\u6d78\u6da6\uff0c\u4f46\u6d78\u6da6\u6df1\u5ea6\u4e0d\u8d85\u8fc7\u57fa\u5e95\u819c\u4e0b5mm\uff0c\u6ca1\u6709\u8f6c\u79fb\u3002<\/li>\n<li>\u6d78\u6da6\u764c(invasive)\uff1a\u764c\u7ec4\u7ec7\u5411\u95f4\u8d28\u5185\u6d78\u6da6\u751f\u957f\uff0c\u6d78\u6da6\u6df1\u5ea6\u8d85\u8fc7\u57fa\u5e95\u819c\u4e0b5mm\u3002<\/li>\n<\/ul>\n<p>\u5bab\u9888\u764c\u7684\u8f6c\u79fb\u9014\u5f84\u4e3b\u8981\u4e3a\u6dcb\u5df4\u8f6c\u79fb\uff08\u6700\u5e38\u89c1\uff09\u3001\u76f4\u63a5\u8513\u5ef6\uff0c\u8840\u884c\u8f6c\u79fb\u5c11\u89c1\u3002<\/p>\n<h2 data-tool='mdnice\u7f16\u8f91\u5668'>4 \u5b50\u5bab\u4f53\u75be\u75c5<\/h2>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.1 \u5b50\u5bab\u5185\u819c\u5f02\u4f4d\u75c7<\/h3>\n<p>\u5b50\u5bab\u5185\u819c\u5f02\u4f4d\u75c7(endometriosis)\u662f\u6307\u5b50\u5bab\u5185\u819c\u817a\u4f53\u548c\u95f4\u8d28\u51fa\u73b0\u4e8e\u5b50\u5bab\u5185\u819c\u4ee5\u5916\u7684\u90e8\u4f4d\u3002\u5f02\u4f4d\u7684\u5185\u819c\u53ef\u4fb5\u72af\u5168\u8eab\u4efb\u4f55\u90e8\u4f4d\uff0c\u4f46\u5927\u591a\u6570\u4f4d\u4e8e\u76c6\u8154\u810f\u5668\u548c\u58c1\u8179\u819c\uff0c\u5375\u5de2\u6700\u4e3a\u591a\u89c1\u3002\u5982\u51fa\u73b0\u5728\u5b50\u5bab\u808c\u5c42\uff0c\u5219\u79f0\u4f5c\u5b50\u5bab\u817a\u808c\u75c5(adenomyosis)\u3002<\/p>\n<p>\u5f02\u4f4d\u7684\u5b50\u5bab\u5185\u819c\u4f1a\u7ecf\u5386\u5468\u671f\u6027\u51fa\u8840\uff0c\u5bfc\u81f4\u75db\u7ecf(dysmenorrhea)\uff08\u8fdb\u884c\u6027\u52a0\u91cd\uff09\u3001\u76c6\u8154\u75bc\u75db(pelvic pain)\u3001\u6708\u7ecf\u5f02\u5e38\u7b49\u75c7\u72b6\u300240%\u7684\u60a3\u8005\u4e0d\u5b55(sterility)\u3002<\/p>\n<p>\u53d1\u751f\u5728\u5375\u5de2\u65f6\uff0c\u53cd\u590d\u5468\u671f\u6027\u51fa\u8840\u5bfc\u81f4\u5375\u5de2\u4f53\u79ef\u589e\u5927\uff0c\u5f62\u6210\u56ca\u8154\uff0c\u5185\u542b\u9ecf\u7a20\u7684\u5496\u5561\u8272\u6db2\u4f53\uff0c\u79f0\u4e3a\u5de7\u514b\u529b\u56ca\u80bf(chocolate cyst)\u3002<\/p>\n<p>\u955c\u4e0b\u53ef\u89c1\u6b63\u5e38\u7684\u5b50\u5bab\u5185\u819c\u817a\u4f53\u3001\u95f4\u8d28\u53ca\u542b\u94c1\u8840\u9ec4\u7d20\u3002<\/p>\n<p>\u5b50\u5bab\u5185\u819c\u5f02\u4f4d\u75c7\u7684\u75c5\u56e0\u672a\u660e\uff0c\u6709\u51e0\u79cd\u5b66\u8bf4\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u6708\u7ecf\u671f\u5b50\u5bab\u5185\u819c\u7ecf\u8f93\u5375\u7ba1\u53cd\u6d41\u81f3\u8179\u8154\u5668\u5b98\u3002<\/li>\n<li>\u5b50\u5bab\u5185\u819c\u5728\u624b\u672f\u5207\u53e3\u6216\u7ecf\u8840\u6d41\u3001\u6dcb\u5df4\u7ba1\u64ad\u6563\u81f3\u8fdc\u5904\u5668\u5b98\u3002<\/li>\n<li>\u5f02\u4f4d\u7684\u5b50\u5bab\u5185\u819c\u7531\u4f53\u8154\u4e0a\u76ae\u5316\u751f\u800c\u6765\u3002<\/li>\n<\/ul>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.2 \u5b50\u5bab\u5185\u819c\u589e\u751f\u75c7<\/h3>\n<p>\u5b50\u5bab\u5185\u819c\u589e\u751f\u75c7(endometrial hyperplasia)\u662f\u7531\u4e8e\u5185\u6e90\u6027\u6216\u5916\u6e90\u6027\u96cc\u6fc0\u7d20\u589e\u9ad8\u5f15\u8d77\u7684\u5b50\u5bab\u5185\u819c\u817a\u4f53\u6216\u95f4\u8d28\u589e\u751f\u3002\u662f\u5b50\u5bab\u5185\u819c\u6837\u764c\u7684\u524d\u9a71\u75c5\u53d8\u3002\u5e38\u89c1\u4e34\u5e8a\u8868\u73b0\u4e3a\u4e0d\u89c4\u5219\u9634\u9053\u51fa\u8840\u3001\u6708\u7ecf\u5f02\u5e38\u7b49\u3002<\/p>\n<p>\u75c5\u7406\u53d8\u5316\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u5355\u7eaf\u6027\u589e\u751f(simple hyperplasia)<\/li>\n<ul>\n<li>\u817a\u4f53\u4e0e\u95f4\u8d28\u540c\u65f6\u589e\u751f\uff08\u817a\u4f53\u95f4\u8d28\u6bd4\u4f8b&gt;1:1\uff0c&lt;3:1\uff09\u3002\u5b50\u5bab\u5185\u819c\u817a\u4f53\u6570\u91cf\u589e\u52a0\uff0c\u5f62\u6001\u548c\u6392\u5217\u4e0e\u589e\u751f\u671f\u5b50\u5bab\u5185\u819c\u76f8\u4f3c\uff0c\u90e8\u5206\u53ef\u6269\u5f20\u6210\u5c0f\u56ca\u3002<\/li>\n<li>\u817a\u4e0a\u76ae\u7ec6\u80de\u65e0\u5f02\u578b\u6027\u3002<\/li>\n<\/ul>\n<li>\u590d\u6742\u6027\u589e\u751f(complex hyperplasia)<\/li>\n<ul>\n<li>\u5b50\u5bab\u5185\u819c\u817a\u4f53\u589e\u751f\u663e\u8457\uff0c\u817a\u4f53\u62e5\u6324\u3001\u7ed3\u6784\u590d\u6742\uff0c\u800c\u95f4\u8d28\u660e\u663e\u51cf\u5c11\uff08\u817a\u4f53\u95f4\u8d28\u6bd4\u4f8b&gt;3:1\uff09\u3002<\/li>\n<li>\u817a\u4e0a\u76ae\u7ec6\u80de\u65e0\u5f02\u578b\u6027\u3002<\/li>\n<\/ul>\n<\/ul>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u975e\u5178\u578b\u589e\u751f(atypical hyperplasia, AH)\uff08\u5b50\u5bab\u5185\u819c\u6837\u4e0a\u76ae\u5185\u7624\u53d8(endometrioid intraepithelial neoplasia, EIN)\uff09<\/li>\n<ul>\n<li>\u5728\u5355\u7eaf\u6027\u6216\u590d\u6742\u6027\u589e\u751f\u7684\u57fa\u7840\u4e0a\uff0c\u817a\u4e0a\u76ae\u7ec6\u80de\u6709\u5f02\u578b\u6027\u3002\u7ec6\u80de\u6781\u6027\u7d0a\u4e71\uff0c\u4f53\u79ef\u589e\u5927\uff0c\u6838\u8d28\u6bd4\u4f8b\u589e\u52a0\uff0c\u6838\u67d3\u8272\u8d28\u6d53\u805a\uff0c\u6838\u4ec1\u660e\u663e\uff0c\u6838\u5206\u88c2\u8c61\u589e\u591a\u3002<\/li>\n<li>\u662f\u4e00\u79cd\u514b\u9686\u6027\u75c5\u53d8\uff0c\u6709\u8bb8\u591a\u89c1\u4e8e\u5b50\u5bab\u5185\u819c\u6837\u764c\u7684\u9057\u4f20\u5b66\u6539\u53d8\uff0c\u5982PTEN\u3001PAX2\u7684\u7a81\u53d8\u5931\u6d3b\u3002<\/li>\n<\/ul>\n<\/ul>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.3 \u5b50\u5bab\u5185\u819c\u764c<\/h3>\n<p>\u5b50\u5bab\u5185\u819c\u764c(endometrial carcinoma)\u662f\u53d1\u751f\u4e8e\u5b50\u5bab\u5185\u819c\u7684\u4e00\u7ec4\u4e0a\u76ae\u6027\u6076\u6027\u80bf\u7624\uff0c\u662f\u6700\u5e38\u89c1\u7684\u5973\u6027\u751f\u6b96\u7cfb\u7edf\u80bf\u7624\u4e4b\u4e00\uff0c\u597d\u53d1\u4e8e\u56f4\u7edd\u7ecf\u671f\u548c\u7edd\u7ecf\u540e\u5973\u6027\u3002\u4e3b\u8981\u4e34\u5e8a\u8868\u73b0\u662f\u4e0d\u89c4\u5219\u9634\u9053\u51fa\u8840\u3002<\/p>\n<p>\u7ec4\u7ec7\u5b66\u5206\u578b\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u2160\u578b\uff08\u96cc\u6fc0\u7d20\u4f9d\u8d56\u578b\uff09\uff1a\u4e3b\u8981\u662f\u5b50\u5bab\u5185\u819c\u6837\u764c(endometrioid CA)\uff0c\u536080%\u5de6\u53f3\u3002\u4e0e\u96cc\u6fc0\u7d20\u957f\u671f\u6301\u7eed\u4f5c\u7528\u6709\u5173\uff0c\u591a\u7ee7\u53d1\u4e8e\u5b50\u5bab\u5185\u819c\u589e\u751f\u3002\u5bf9\u6fc0\u7d20\u6cbb\u7597\u53cd\u5e94\u6027\u597d\uff0c\u9884\u540e\u8f83\u597d\u3002<\/li>\n<li>\u2161\u578b\uff08\u975e\u96cc\u6fc0\u7d20\u4f9d\u8d56\u578b\uff09\uff1a\u4e3b\u8981\u662f\u6d46\u6db2\u6027\u764c(serous CA)\uff0c\u5176\u6b21\u4e3a\u900f\u660e\u7ec6\u80de\u764c\u3002\u5e73\u5747\u5e74\u9f84\u504f\u5927\u3002\u591a\u7ee7\u53d1\u4e8e\u5b50\u5bab\u5185\u819c\u840e\u7f29\u3002\u5e38\u5206\u5316\u5dee\u3001\u4fb5\u88ad\u6027\u5f3a\uff0c\u5bf9\u6fc0\u7d20\u6cbb\u7597\u4e0d\u654f\u611f\u3002<\/li>\n<\/ul>\n<p>\u5927\u4f53\u8868\u73b0\uff1a\u5206\u4e3a\u5f25\u6f2b\u578b\u548c\u5c40\u9650\u578b\u3002<\/p>\n<p>\u955c\u4e0b\u8868\u73b0\uff1a\u5b50\u5bab\u5185\u819c\u6837\u764c\u5206\u4e3a\u9ad8\u3001\u4e2d\u3001\u4f4e\u5206\u5316\uff0c\u4ee5\u9ad8\u5206\u5316\u817a\u764c\u5c45\u591a\uff08\u5b9e\u6027\u65e0\u817a\u6837\u7ed3\u6784\u533a\u22645%\uff09\u3002\u4e2d\u5206\u5316\u817a\u764c\u7684\u5b9e\u6027\u65e0\u817a\u6837\u7ed3\u6784\u533a\u53605%~50%\uff0c\u4f4e\u5206\u817a\u764c\u7684\u8d85\u8fc750%\u3002<\/p>\n<p>\u5206\u5b50\u5206\u578b\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>POLE\u7a81\u53d8\u578b\u3002<\/li>\n<li>MMR\u7f3a\u9677\u578b\u3002\u5987\u79d1\u80bf\u7624\u4e2dMSI-H\u5728\u5b50\u5bab\u5185\u819c\u764c\u8f83\u9ad8\uff08\u7ea628.3%\uff09\u3002<\/li>\n<li>NSMP\u578b(no-specific molecular profile)\uff1a\u65e0\u7279\u5f02\u6027\u5206\u5b50\u7279\u5f81\u3002<\/li>\n<li>p53\u7a81\u53d8\u578b\uff1a\u5305\u62ec\u51e0\u4e4e\u6240\u6709\u6d46\u6db2\u6027\u764c\u3001\u5927\u591a\u6570\u6df7\u5408\u6027\u764c\u4ee5\u53ca\u90e8\u5206\u9ad8\u7ea7\u522b\u5b50\u5bab\u5185\u819c\u6837\u764c\uff0c\u57284\u4e2a\u5206\u5b50\u5206\u578b\u4e2d\u9884\u540e\u6700\u5dee\u3002<\/li>\n<\/ul>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.4 \u5b50\u5bab\u5185\u819c\u606f\u8089<\/h3>\n<p>\u5b50\u5bab\u5185\u819c\u606f\u8089(endometrial polyps)\u662f\u4e00\u79cd\u5c40\u90e8\u5b50\u5bab\u5185\u819c\u817a\u4f53\u548c\u95f4\u8d28\u8fc7\u5ea6\u751f\u957f\uff0c\u88ab\u8986\u4e0a\u76ae\u5e76\u7a81\u51fa\u4e8e\u5468\u56f4\u5b50\u5bab\u5185\u819c\u7684\u826f\u6027\u589e\u751f\u6027\u75c5\u53d8\u3002\u5e38\u89c1\uff0c\u53ef\u53d1\u751f\u4e8e\u4efb\u4f55\u5e74\u9f84\uff0c\u66f4\u597d\u53d1\u4e8e\u56f4\u7edd\u7ecf\u671f\u53ca\u7edd\u7ecf\u540e\u5987\u5973\u3002\u4e34\u5e8a\u4e0a\u53ef\u51fa\u73b0\u5f02\u5e38\u51fa\u8840\u3002<\/p>\n<p>\u67d3\u8272\u4f53\u5f02\u5e38\u53ef\u80fd\u5728\u5b50\u5bab\u5185\u819c\u606f\u8089\u7684\u53d1\u5c55\u4e2d\u8d77\u4f5c\u7528\uff0c\u5982\u57fa\u8d28\u7ec6\u80de\u4e2d6p21~22\u91cd\u6392\u3002<\/p>\n<p>\u5927\u4f53\u8868\u73b0\uff1a\u606f\u8089\u53ef\u80fd\u53d1\u751f\u5728\u5b50\u5bab\u4f53\u7684\u4efb\u4f55\u90e8\u4f4d\uff0c\u5355\u53d1\u6216\u591a\u53d1\u3002\u76f4\u5f840.5cm~3cm\u4e0d\u7b49\uff0c\u65e0\u8482\u6216\u6709\u8482\uff0c\u5149\u6ed1\uff0c\u7403\u5f62\u6216\u5706\u67f1\u5f62\u7ed3\u6784\u3002<\/p>\n<p>\u955c\u4e0b\u8868\u73b0\uff1a\u5b50\u5bab\u5185\u819c\u606f\u8089\u5927\u591a\u4fdd\u7559\u57fa\u5e95\u5c42\u5185\u819c\u7684\u817a\u4f53\u53ca\u95f4\u8d28\u7279\u5f81\uff0c\u56e0\u800c\u5f02\u4e8e\u5468\u56f4\u5b50\u5bab\u5185\u819c\uff0c\u4e14\u4e0d\u968f\u6708\u7ecf\u5468\u671f\u8131\u843d\u3002\u817a\u4f53\u7684\u751f\u957f\u65b9\u5411\u4e0d\u4e00\uff0c\u5e38\u5448\u4e0d\u89c4\u5219\u5f2f\u66f2\u6216\u662f\u56ca\u6027\u6269\u5f20\u3002\u5e38\u4f34\u6709\u7ea4\u7ef4\u5316\u53ca\u539a\u58c1\u8840\u7ba1\u6210\u5206\u3002<\/p>\n<p>\u7edd\u5927\u90e8\u5206\u5448\u73b0\u826f\u6027\u75c5\u7a0b\u3002\u5c11\u6570\u75c5\u4f8b\u4f1a\u53cd\u590d\u590d\u53d1\u5e76\u53d1\u751f\u6076\u53d8\u3002<\/p>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.5 \u5e73\u6ed1\u808c\u7624<\/h3>\n<p>\u5b50\u5bab\u5e73\u6ed1\u808c\u7624(leiomyoma of uterus)\u7b80\u79f0\u5b50\u5bab\u808c\u7624\uff0c\u662f\u5973\u6027\u751f\u6b96\u7cfb\u7edf\u6700\u5e38\u89c1\u7684\u826f\u6027\u80bf\u7624\u3002\u5e38\u89c1\u4e8e30\uff5e50\u5c81\u5987\u5973\u3002\u591a\u65e0\u660e\u663e\u75c7\u72b6\uff0c\u6709\u75c7\u72b6\u8005\u5982\u6708\u7ecf\u8fc7\u591a(menorrhagia)\u3001\u76c6\u8154\u75bc\u75db\u7b49\u3002<\/p>\n<p>\u5927\u4f53\u8868\u73b0\uff1a\u591a\u6570\u80bf\u7624\u53d1\u751f\u4e8e\u5b50\u5bab\u808c\u5c42\uff0c\u4e5f\u53ef\u4f4d\u4e8e\u9ecf\u819c\u4e0b(submucosal)\u6216\u6d46\u819c\u4e0b(subserosa)\u3002\u5355\u53d1\u6216\u591a\u53d1\uff0c\u8868\u9762\u5149\u6ed1\u3001\u754c\u6e05\u3001\u65e0\u5305\u819c\uff0c\u5207\u9762\u7070\u767d\uff0c\u8d28\u97e7\uff0c\u7f16\u7ec7\u72b6\u6216\u65cb\u6da1\u72b6(whorled)\u3002<\/p>\n<p>\u955c\u4e0b\u8868\u73b0\uff1a\u7624\u7ec6\u80de\u4e0e\u6b63\u5e38\u5b50\u5bab\u5e73\u6ed1\u808c\u7ec6\u80de\u76f8\u4f3c\uff0c\u68ad\u5f62\uff0c\u675f\u72b6\u6216\u65cb\u6da1\u72b6\u6392\u5217\u3002\u4e0e\u6b63\u5e38\u5468\u56f4\u7ec4\u7ec7\u754c\u9650\u6e05\u695a\u3002<\/p>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>4.6 \u5e73\u6ed1\u808c\u8089\u7624<\/h3>\n<p>\u5b50\u5bab\u5e73\u6ed1\u808c\u8089\u7624(leiomyosarcoma of uterus)\u662f\u7531\u5177\u6709\u5e73\u6ed1\u808c\u5206\u5316\u7684\u7ec6\u80de\u7ec4\u6210\u7684\u6076\u6027\u80bf\u7624\u3002\u597d\u53d1\u4e8e\u56f4\u7edd\u7ecf\u671f\u6216\u7edd\u7ecf\u540e\u5987\u5973\u3002<\/p>\n<p>\u5b50\u5bab\u5e73\u6ed1\u808c\u7624\u6781\u5c11\u6076\u53d8\uff0c\u591a\u6570\u5b50\u5bab\u5e73\u6ed1\u808c\u8089\u7624\u4ece\u5f00\u59cb\u5373\u4e3a\u6076\u6027\u3002<\/p>\n<p>\u5927\u4f53\u8868\u73b0\u901a\u5e38\u662f\u5355\u4e2a\u3001\u5207\u9762\u8d28\u8f6f\u3001\u8089\u8272\u7684\u80bf\u5757\uff0c\u5207\u9762\u5e38\u6709\u51fa\u8840\u548c\u574f\u6b7b\u3002<\/p>\n<p>\u955c\u4e0b\u8868\u73b0\u4e3a\u660e\u663e\u7684\u7ec6\u80de\u5f02\u578b\u6027\uff0c\u6709\u4e1d\u5206\u88c2\u6d3b\u8dc3\uff0c\u53ef\u89c1\u51fa\u8840\u6216\u574f\u6b7b\u3002<\/p>\n<p>\u68ad\u5f62\u7ec6\u80de\u578b\u5e73\u6ed1\u808c\u8089\u7624\u7531\u55dc\u9178\u6027\u68ad\u5f62\u7ec6\u80de\u7ec4\u6210\uff0c\u7ec6\u80de\u4ea4\u9519\u6742\u4e71\u6392\u5217\u3002\u5176\u8bca\u65ad\u9700\u8981\u5177\u5907\u4ee5\u4e0b\u4e09\u4e2a\u7279\u5f81\u4e2d\u7684\u4e24\u4e2a\uff1a\u80bf\u7624\u6027\u574f\u6b7b\uff0c\u660e\u663e\u7684\u7ec6\u80de\u5f02\u578b\u6027\u3001\u226510\u6838\u5206\u88c2\/10HPF\u3002<\/p>\n<p>\u5bb9\u6613\u590d\u53d1\u548c\u8f6c\u79fb\uff0c5\u5e74\u751f\u5b58\u7387\u7ea640%\u3002<\/p>\n<h2 data-tool='mdnice\u7f16\u8f91\u5668'>5 \u5375\u5de2\u75be\u75c5<\/h2>\n<p>\u5375\u5de2\u80bf\u7624\u4e3b\u8981\u5206\u4e09\u5927\u7c7b\uff1a<\/p>\n<ul data-tool='mdnice\u7f16\u8f91\u5668'>\n<li>\u4e0a\u76ae\u6027\u80bf\u7624(epithelial tumor)\uff1a\u536060~70%\uff0c\u6700\u5e38\u89c1\u3002<\/li>\n<ul>\n<li>\u8fc7\u53bb\u8ba4\u4e3a\u662f\u8986\u76d6\u5728\u5375\u5de2\u8868\u9762\u7684\u4e0a\u76ae\u5f15\u8d77\u7684\u80bf\u7624\uff0c\u73b0\u5728\u8ba4\u4e3a\u662f\u4ece\u8f93\u5375\u7ba1\u7684\u672b\u7aef\u5f15\u8d77\u7684\u3002<\/li>\n<li>\u5305\u62ec\u6d46\u6db2\u6027\u80bf\u7624(serous)\u3001\u9ecf\u6db2\u6027\u80bf\u7624(mucinous)\u3001\u5b50\u5bab\u5185\u819c\u6837\u80bf\u7624(endometrioid)\u3001\u900f\u660e\u7ec6\u80de\u80bf\u7624\u3001\u6d46-\u9ecf\u6db2\u6027\u80bf\u7624(seromucinous)\u3001Brenner\u7624\u7b49\u3002<\/li>\n<\/ul>\n<li>\u751f\u6b96\u7ec6\u80de\u80bf\u7624(germ cell tumor)\uff1a\u536015~20%\u3002<\/li>\n<li>\u6027\u7d22\u95f4\u8d28\u80bf\u7624(sex-cord stromal tumor)\uff1a\u53605%~10%\u3002<\/li>\n<\/ul>\n<h3 data-tool='mdnice\u7f16\u8f91\u5668'>5.1 \u5375\u5de2\u4e0a\u76ae\u6027\u80bf\u7624<\/h3>\n<p>\u6027\u8d28\u4e0a\u76ae\u589e\u6b96\u7a0b\u5ea6\u7ec6\u80de\u5f02\u578b\u6027\u95f4\u8d28\u6d78\u6da6\u826f\u6027(benign, \/0)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1 \u5916\u9634\u75be\u75c5\uff1a\u4e73\u623f\u5916Paget\u75c5 \u4e73\u623f\u5916Paget\u75c5(extramammary  &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=32051\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-32051","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/32051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=32051"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/32051\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32051"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}