宫颈腺癌的大体检查和处理,包括术中评估——来自国际妇科病理学会的推荐

摘要:国际妇科病理学会(ISGyP)宫颈腺癌项目旨在为宫颈腺癌的病理评估、分类和报告提供循证指导。本文就宫颈癌患者标本的大体评估和术中咨询进行推荐。这些推荐是对已发表的同行评议证据、国际准则和机构大体标本处理手册以及本工作组内部审议进行总结的产物。本文详细讨论了在实际工作中遇到的不同标本类型的取材方法:环形电切术、锥切术、宫颈切除术、根治性子宫切除术、盆腔脏器切除术和淋巴结切除术标本。也提出了术中评估宫颈切除术和前哨淋巴结标本的指南。与之相关的ISGyP关于癌症分期的推荐,在本期中是作为一篇单独的论述呈现,同时本文在合适的段落也有所涉及。虽然本文是在宫颈腺癌的框架下构思的,但大多数讨论和推荐也可应用于宫颈其他恶性肿瘤。

顾伟勇 宁燕 翻译 刘爱军 审校

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