国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (2): 155-158.

• 综述 • 上一篇    下一篇

子宫内膜癌筛查方法的研究进展

孙金1,胡卫平2   

  1. 1. 安徽省立医院
    2. 安徽医科大学附属省立医院
  • 收稿日期:2016-08-18 修回日期:2016-12-27 出版日期:2017-04-15 发布日期:2017-05-18
  • 通讯作者: 胡卫平,E-mail:syhwp@163.com E-mail:syhwp@163.com

Advance in Screening Methods of Endometrial Cancer

SUN Jin,HU Wei-ping   

  1. Department of Obstetrics and Gynecology,Anhui Provincial Hospital Affiliated to Anhui Medical University,Hefei 230000,China
  • Received:2016-08-18 Revised:2016-12-27 Published:2017-04-15 Online:2017-05-18
  • Contact: HU Wei-ping,E-mail:syhwp@163.com E-mail:syhwp@163.com

摘要:  子宫内膜癌是女性生殖系统三大恶性肿瘤之一,目前,子宫内膜癌的发病率逐渐上升,并有年轻化的趋势,癌前筛查显得愈发重要,癌前筛查一般是指在普通人群中进行检查,密切关注病变的可能。目前临床上检查子宫内膜癌的方法包括血清学检查、经阴道超声学检查(TVS)、子宫内膜细胞学检查(ECT)、病理学诊断以及免疫组织化学等方法,然而这些检查各有优缺点,将任意一项作为筛查方式直接应用到普通人群并不可行,故选择一项可行的方法并将其推广至普通人群作为筛查方法仍需要积累经验,不断地改进和提高。在必要时候,可以选择多种检查方式联合,提高诊断率。
   

关键词: 子宫内膜肿瘤, 子宫内膜, 细胞学技术, 免疫组织化学

Abstract:  Endometrial cancer (EC) is the most common malignant tumor in female genital system, now the morbidity of EC is increasing gradually with a trend of attacking young adults, so the screening of precancerous lesion is increasingly important. It means we should take some examination in common people, pay attention to the lesion, and recognize the disease in time, now clinical diagnosis methods include serological examination, TVS, endometrial cytology test(ECT), pathological diagnosis and immunohistochemical, however these inspections have their virtues and disadvantages, it′s impractical to choose one of them as a reliable way applying to general population, so it needs a lot of exploration to find a available method and put into use. When it′s necessary, we should combine some examinations to help diagnosis.

Key words:  Endometrial neoplasms, Endometrium, Cytological techniques, Immunohistochemistry