宫颈息肉样病变临床病理分析

目的 探讨宫颈息肉样病变的临床病理特点、诊断及鉴别诊断。方法 分析了4239例宫颈息肉样病变的临床病理资料，进行光镜观察，部分病例进行了特殊染色和免疫组化染色，按病理组织学形态特点进行分类。结果 宫颈息肉（瘤样病变）占97．6％，其中纤维肉芽组织型36．9％、腺瘤样性息肉24．0％、单纯型20．0％、血管瘤样型8．6％、混合型4．1％、囊肿型2．4％、淋巴组织增生型2．4％、假蜕膜型1．4％、微腺管型0．3％；肿瘤性病变占2．4％，多为恶性肿瘤。结论 宫颈息肉在病理形态上具有多态性，在诊断宫颈息肉时要注意与息肉样改变的真性肿瘤鉴别，还要考虑到部分类型宫颈息肉的潜在恶性。

Clinicopathologic Study of 4239 Cases with Cervical Polypoid Lesions

Objective To study the clinicopathologic characteristic and differential diagnosis of cervical polyoid lesions. Methods The 4239 cases with cervical polyoid lesions were taken histopathology analysis and classification at the light microscopic level,and some of them were studied by special stain and immunohistochemistry. Results Most of them were cervical polyp(97.6%).According to histopathological classification,they can be divided into fibro-granulation tissue(36.9%),adenomoid type(24.0%), common type(20.0%),hemangiomoid type(8.6%),mixture type(4.1%),cyst type(2.4%),hyperlasia of lymphoid tissue(2.4%), pseudodecidua type(1.4%),micoadenomoid type(0.3%).Small part of them was real tumor(2.4%) ,most of which was mailgnant tumor(61.6%). Conclusions Cervical polyps is a benign tumorlike lesions with histopatholgical polymormhisms.It is suggested that pathologists shoud pay attention to differentiate polyp-like tumor with cervical polypoid lesions.It is more important to emphasize some type of cervical polypoid lesions with latent malignity.