宫颈胃型腺癌与普通型宫颈腺癌的诊疗特征及预后对比分析

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中图分类号：R737.33 文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.16.029

文章编号：1006-1959（2025）16-0140-04

Comparative Analysis of Diagnosis and Treatment Characteristics and Prognosis of Gastric-type Endocervical Adenocarcinoma and Usual-type Endocervical Adenocarcinomas

MENG Yuan

（DepartmentofGynecologyand Obstetrics，Tianjin Port Hospital，Tianjin 3OO456，China）

Abstractltctceo usual-typeedoceicaleocarsUE）eodsotalf9aitsiCdatitsitUdetee hysterectomyinTanjinPortHospitalfromJanuaryO19toDecemberO23wereselectedasthereseachbjectsThedagosisandtreatmet characteristiclldesisdat patientsandUEApatientsereomparedCoclusioereesignificantdiferecesiagosdreaetaracteristidprogosis betwnG-EACdUEApatintsResultseproprtofgialischagndceicallargeentiGECatintsasatin UEA patients（ P <0.05）.The proportionofHPVpositiveinG-EACpatientswaslessthanthatinUEApatients，whiletheproportionofFIGO stage>ueetsd metastasis was more than that in UEA patients （ P< 0.05）.The incidence of disease progression and metastasis in G-EAC patients was higher than that in UEA patients （ P< 0.05）.CnclusionTherearegreatdiferencesinthediagnosisand treatmentcharacteristicsandprognosisbetweenG-EAC andUEApatintsThealfetatiosndatholoicalxamatiocabfedtoprovetearlysingndtionf the disease.

Keyords：stricoecaloca;UsltdecaldocaaalaiusCcaio; Pathological examination; Prognosis

宫颈腺癌（endocervicaladenocarcinoma，ECA）为女性高发恶性肿瘤疾病，其肿瘤异质性强、分型多、预后差[，2]，依据其人乳头状瘤病毒（human pa-pillomavirus，HPV）感染及形态学特征可分为非

HPV相关型腺癌（non-HPV-associatedadenocarci-noma，NHPVA）与HPV相关型腺癌（HPV-associatedadenocarcinoma，HPVA）3]，前者的主要分型为宫颈胃型腺癌（gastric-type endocervical adenocarcinoma，G-EAC），后者则以普通型子宫颈腺癌（usual-typeendocervicaladenocarcinomas，UEA）最为多见，二者发病机制不同，其病情发展及预后多存在一定差异[4.5]。（剩余4749字）