查詢結果分析
相關文獻
- Evaluation of Atypical Glandular Cells of Undetermined Significance in Cervical Cytology Screening
- 某醫學中心婦女做子宮頸抹片檢查與其影響因素之探討
- 子宮頸抹片中無法決定其臨床意義的非典型鱗狀上皮細胞
- 臺北市忠孝醫院婦產科門診子宮頸抹片篩檢三年之研究初步報告
- 社區設站子宮頸抹片檢查之成本及利用情形分析
- Clinical Implication of Atypical Squamous Cells of Undetermined Significance with or without Favoring High-grade Squamous Intraepithelial Lesion on Cervical Smears
- Cognition and Utilization of Papanicolaou Testing after the Implementation of National Health Insurance in Rural Taiwan
- Discordance between Uterine Cervical Cytology and Biopsy : Results and Etiologies of a One-Year Audit
- 推廣婦女子宮頸抹片新策略與成果初步報告
- 兩種教育方案介入對工作場所婦女接受子宮頸抹片檢查之知識、健康信念及行為的影響
頁籤選單縮合
題 名 | Evaluation of Atypical Glandular Cells of Undetermined Significance in Cervical Cytology Screening=子宮頸抹片篩檢出的未明意義的非典型腺體上皮細胞的臨床分析 |
---|---|
作 者 | 張維君; 林智一; 蔡鴻德; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:1 1999.03[民88.03] |
頁 次 | 頁21-24 |
分類號 | 417.2832 |
關鍵詞 | 非典型性腺體上皮細胞; 子宮頸抹片; Atypical glandular cell cytology; Papanicolaou smear; |
語 文 | 英文(English) |
中文摘要 | 目的:本文研究之目的是想瞭解子宮頸抹片篩檢所發現意義未明的非典型腺體上 皮細胞所隱藏的病理病變以及臨床的重要性。方法:本文回顧本院自民國 86 年 1 月至 12 月一年內子宮頸抹片報告的電腦檔案,找出所有報告為未明意義的非典型腺體上皮細胞的病 人,分析這些病人的病歷,瞭解相關狀況和記錄這些病人臨床追蹤和評估的結果。結果:一 年間本院抹片數共有 4040 件, 有 21 位( 0.5 %)屬於為未明意義的非典型腺體上皮細 胞,而二 26 位( 3 %)為未明意義的非典型扁平上皮細胞。 病人平均年齡為 44.8 歲( 範圍 29 至 70 歲)。之中有 19 位有婦科檢查記錄並且沒有患婦癌的過去史,其中 15 位 被發現有下列病灶:1 位( 5 %)子宮頸癌, 3 位( 16 %)輕度子宮頸上皮內贅瘤, 5 位 (26 % ) 中至重度上皮內贅瘤,3 位( 16 %)子宮內膜單純性增生,2 位( 11 %) 子宮內膜非典型性增生,最後一位有非典型性子宮頸管腺體上皮。5 位有子宮內膜疾病的病 人平均年齡為 48 歲, 明顯地比 8 位子宮頸上皮內贅瘤的患者(平均年齡 37 歲)年長。 結論:子宮頸抹片檢查報告發現為未明意義的非典型腺體上皮細胞者,往往為患有重要婦科 疾病的指標。病人務必接受詳細檢查: 包括陰道鏡切片檢查,子宮頸管內搔刮術,年齡較大 者甚至也應接受子宮內膜切片檢查。 |
英文摘要 | Objective: The aim of this study was to know the clinical significance and underlying pathology of patients with atypical glandular cells of undetermined significance (AGCUS) identified in cervical Papanicolaou (Pap) smear screening. Methods: We searched the computerized files of China Medical College Hospital cytology laboratory from January 1997 to December 1997 to identify all patients with AGCUS. A retrospective review of the selected patients' medical records was done to identify associated conditions and to re- cord the clinical results of these patients. Results: Out of 4,040 patients, 21 (0.5%) had AGCUS identified, in contrast to 126 (3%) with atypical squamous cells of undetermined significance. Mean patient age was 44.8 years (range, 29-70), Among 19 patients with cytotogic findings of only AGCUS, who had no prior gynecologic cancer, 15 patients (79%) were diagnosed with the following lesions: one with invasive cervical carcinoma, three (16%) with grade 1 cervical intraepithetial neoplasms (CIN), five (26%) with grade 2-3 CIN, three (16%) with endometrial simple hyperplasia, two (11%) with endometrial atypical hy- perplasia, and one with atypical glandular epithelium. The mean age of the five women with endometriat lesions was 48 years, which was significantly higher than that of the eight patients with CIN who had a mean age of 37 years. Conclusions: The presence of AGCUS on cervical cytology screening is a marker for significant gynecologic neoplasia and should be investigated with colposcopically directed biopsies, endocervical curettage, and, in older women, endometrial biopsy. |
本系統中英文摘要資訊取自各篇刊載內容。