目的:提高对宫颈原发性小细胞癌的认识。方法:收集9例宫颈原发性小细胞癌病例进行临床病理学观察,其中5例为全子宫切除标本,另外4例为宫颈活检标本。结果:患者年龄34-60岁,平均43岁。患者主要以阴道不规则出血,有或无阴道异常排液,伴有头晕、低热或乏力等为主要症状。专科检查:阴道通畅,可见少量的血性分泌物,宫颈管扩张、增大,宫颈管内或宫颈外口处可见新生物。结论:宫颈原发性小细胞癌是一种宫颈罕见的高度恶性肿瘤,免疫组织化学染色有助于诊断与鉴别诊断。
Objective:To study the small cell carcinoma of primary cervix.Methods: Nine cases of primary cervix were analysed to investigate the clinicopathological features,five of them were holhysterectomia specimen,and the others were cervical biopsy.Results: The ages of the patients were from 34 to 60 years old(mean 43).All patients had vagina irregular bleeding,had or not vagina abnormity apocenosis,at the same time partner with dizziness,low-grade fever or hypodynamia.Special examine: The vagina was smooth,and it is thus clear that slight uprightness secretion.Cervical canals broaden or increment,there's a neoplasm in the cervical canals or cervix external.Conclusion: The small cell carcinoma of primary cervix is a scarce and high malignant tumor of the cervix,the immunohistochemistry is helpful for diagnosis and differential diagnosis.