查詢結果分析
來源資料
相關文獻
- Clinical Implication of Atypical Squamous Cells of Undetermined Significance with or without Favoring High-grade Squamous Intraepithelial Lesion on Cervical Smears
- 某醫學中心婦女做子宮頸抹片檢查與其影響因素之探討
- Evaluation of Atypical Glandular Cells of Undetermined Significance in Cervical Cytology Screening
- 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
- 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 | Clinical Implication of Atypical Squamous Cells of Undetermined Significance with or without Favoring High-grade Squamous Intraepithelial Lesion on Cervical Smears=子宮頸抹片呈現非典型鱗狀上皮細胞其有或無高度鱗狀上皮內贄瘤傾向的臨床意義 |
|---|---|
| 作 者 | 張簡展照; 林浩; 邢福柳; 張維基; | 書刊名 | 長庚醫學 |
| 卷 期 | 22:4 1999.12[民88.12] |
| 頁 次 | 頁579-585 |
| 分類號 | 417.2832 |
| 關鍵詞 | 非典型鱗狀上皮細胞; 高度鱗狀上皮內贄瘤; 子宮頸抹片; Atypical squamous cells of undetermined significance; High-grade squamous intraepithelial lesion; Cervical smear; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:抹片報告出現非典型鱗狀上皮細胞的診斷常造成臨床醫師不知如何去處理 及追蹤病人。我們嘗試去探討非典型鱗狀上皮細胞據高度鱗狀上皮內贅瘤傾向其臨床意義及 提供一個處理方案。 方法:1997年l月至5月,共有5792個婦女在高雄長庚醫院接受子宮頭抹片檢查,其中65 位診斷為非典型鱗狀上皮細胞。65位裡面有13位因為抹片內有非典型化生(atypical metaplastic)及非典型旁角質(atypical parakeratosis)的鱗狀細胞,因此我們把這13位診 斷為非典型鱗狀上皮細胞據有高度鱗狀上皮內贅瘤傾向。所有65位病患都有在門診追蹤檢 查,包括重覆予宮頸抹片、陰道鏡、陰道鏡輔助子宮頸切片、或子宮內頸搔刮。平均追蹤間 為19個月,從16至21個月不等。 結果:52位診斷為非典型鱗狀上皮細胞沒有高度鱗狀上皮內贅瘤傾向的病人,其中6位(11.5%) 為低度鱗狀上皮內贅瘤(LSlL),l位(1.9%)為中度鱗狀上皮內甘瘤(ClN II),1位(1.9%)為侵 犯性鱗狀癌。另外,13位診斷為非典型鱗狀上皮細胞據有高度鱗狀上皮內贅瘤傾向的病人, 1位(7.6%)為不成熟化生,2位(15.4%)為低度鱗狀上皮內贅瘤(LSlL),2位(15.4%)為中度鱗 狀上皮內贅瘤(ClN ll),6位(46,2%)為高度鱗狀上皮內贅瘤(ClN III),及2位(15.4%)為侵 犯性鱗狀癌。 結論:病人在得到非典型鱗狀上皮細胞有高度鱗狀上皮內贅瘤傾向的診斷後必須做積極的處 理,包括陰道鏡輔助子宮頸切片,子宮內頸搔刮,或甚至於子宮頸錐狀切片。不過,沒有高 度鱗狀上皮內贅瘤傾向的病人,只要定期抹片追蹤即可。 |
| 英文摘要 | Background: The cytologic diagnosis of atypical squamous cells of undetermined significance (ASCUS) on a cervical smear usually makes clinicians unsure of how to manage the patient and follow-up on her condition. We attempted to define the clinical implication of qualifying the cytologic diagnosis of ASCUS as either favoring a high-grade squamous intraepithelial lesion (HSIL) or not in an effort to provide management guidelines. Methods: From January through May 1997, 65 of 5792 women who had cervical/vaginal smears taken at Kaohsiung Chang Gang Memorial Hospital were diagnosed as having ASCUS. Thirteen of the 65 cases of ASCUS favored an HSIL, based on nuclear abnormalities in atypical metaplastic and parakeratotic-type squamous cells. All these 65 patients were evaluated in our outpatient clinic by a second cervical smear, colposcopy, and colposcopically directed biopsies and/or endocervical curettage. The median length of the follow-up period was 19 months (range, 16 to 21 months). Results: Of the 52 patients evaluated for ASCUS smears without favoring HSIL, 6 (11.5%) had a low-grade SIL (LSIL), 1 (1.9%) had cervical intraepithelial neoplasia grade II (CIN II), and 1 (1.9%) had invasive squamous carcinoma. Of the 13 patients with a cervical cytologic diagnosis of ASCUS favoring HSIL, 1 (7.6%) had immature metaplasia, 2 (15.4%) had LSIL, 2 (15.4%) had CIN II, 6 (46.2%) had CIN III, and 2 (15.4%) had invasive squamous carcinoma. Conclusion: For patients with a cytologic diagnosis of ASCUS favoring HSIL, more aggressive interventions, such as colposcopy-directed biopsy, endocervical curettage, or even conization, should be performed promptly. However, those without features favoring HSIL may be evaluated with regularly repeated smears. |
本系統中英文摘要資訊取自各篇刊載內容。