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性别 | 女 | 年龄 | 40 | 临床诊断 | 宫颈肿瘤 |
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一般病史 | 不唯上,不唯书,只唯实 | ||||
标本名称 | 宫颈 | ||||
大体所见 | 干条条,但有符号的是新的 |
表1 宫颈肿瘤WHO分类 |
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病种 | Entities | ICD-O 编码 | |
上皮性肿瘤 | Epithelial tumours |
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鳞状细胞肿瘤及前驱病变 | Squamous cell tumours and precursors |
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鳞状上皮内病变● | Squamous intraepithelial lesions |
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低级别鳞状上皮内病变●▲ | Low-grade squamous intraepithelial lesion | 8077/0 | |
高低级别鳞状上皮内病变●▲ | High-grade squamous intraepithelial lesion | 8077/2 | |
鳞状细胞癌,非特异性 | Squamous cell carcinoma, NOS | 8070/3 | |
角化型 | Keratinizing | 8071/3 | |
非角化型 | Non-keratinizing | 8072/3 | |
乳头状 | Papillary | 8052/3 | |
基底细胞样 | Basaloid | 8083/3 | |
湿疣性 | Warty | 8051/3 | |
疣状 | Verrucous | 8051/3 | |
鳞状移行细胞癌 | Squamotransitional | 8120/3 | |
淋巴上皮瘤样 | Lymphoepithelioma-like | 8082/3 | |
良性鳞状细胞病变 | Benign squamous cell lesions |
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鳞状上皮化生●▲ | Squamous metaplasia |
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尖锐湿疣 | Condyloma acuminatum |
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鳞状上皮乳头状瘤 | Squamous papilloma |
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移行细胞化生●▲ | Transitional metaplasia |
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腺体肿瘤及前驱病变 | Glandular tumours and precursors |
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原位腺癌 | Adenocarcinoma in situ | 8140/2 | |
腺癌 | Adenocarcinoma | 8140/3 | |
宫颈腺癌,普通型● | Endocervical adenocarcinoma, usual type |
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黏液腺癌,非特殊型● | Mucinous carcinoma, NOS | 8480/3 | |
胃型● | Gastric type | 8482/3 | |
肠型 | Intestinal type | 8144/3 | |
印戒细胞型 | Signet-ring cell type | 8490/3 | |
绒毛腺管状腺癌 | Villoglandular carcinoma | 8263/3 | |
子宫内膜样癌 | Endometrioid carcinoma | 8380/3 | |
透明细胞癌 | Clear cell carcinoma | 8310/3 | |
浆液性癌 | Serous carcinoma | 8441/3 | |
中肾管癌 | Mesonephric carcinoma | 9110/3 | |
腺癌和神经内分泌癌混合型癌● | Adenocarcinoma admixed with neuroendocrine carcinoma | 8574/3 | |
良性腺体肿瘤及瘤样病变 | Benign glandular tumours and tumour-like lesions |
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宫颈息肉 | Endocervical polyp |
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Müllerian乳头状瘤 | Müllerian papilloma |
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Nabothian囊肿●▲ | Nabothian cyst |
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隧道状腺丛●▲ | Tunnel clusters |
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微小腺体增生●▲ | Microglandular hyperplasia |
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小叶状宫颈内膜腺体增生●▲ | Lobular endocervical glandular hyperplasia |
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弥漫层状宫颈内膜腺体增生●▲ | Diffuse laminar endocervical hyperplasia |
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中肾管残余及增生●▲ | Mesonephric remnants and hyperplasia |
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A-S反应●▲ | Arias Stella reaction |
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宫颈内膜异位症●▲ | Endocervicosis |
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子宫内膜异位症●▲ | Endometriosis |
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输卵管子宫内膜样化生●▲ | Tuboendometrioid metaplasia |
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异位前列腺组织●▲ | Ectopic prostate tissue |
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其它上皮性肿瘤 | Other epithelial tumours |
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腺鳞癌 | Adenosquamous carcinoma | 8560/3 | |
毛玻璃样细胞癌● | Glassy cell carcinoma | 8015/3 | |
腺样基底细胞癌 | Adenoid basal carcinoma | 8098/3 | |
腺样囊性癌 | Adenoid cystic carcinoma | 8200/3 | |
未分化癌 | Undifferentiated carcinoma | 8020/3 | |
神经内分泌肿瘤 | Neuroendocrine tumours |
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低级别神经内分泌肿瘤 | Low-grade neuroendocrine tumour |
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类癌 | Carcinoid tumour | 8240/3 | |
非典型类癌 | Atypical carcinoid tumour | 8249/3 | |
高级别神经内分泌肿瘤 | High-grade neuroendocrine carcinoma |
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小细胞神经内分泌癌● | Small cell neuroendocrine carcinoma | 8041/3 | |
大细胞神经内分泌癌 | Large cell neuroendocrine carcinoma | 8013/3 | |
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间叶性肿瘤及瘤样病变 | Mesenchymal tumours and tumour-like lesions |
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良性 | Benign |
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平滑肌瘤 | Leiomyoma | 8890/0 | |
横纹肌瘤●▲ | Rhabdomyoma | 8905/0 | |
其它 | Others |
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恶性 | Malignant |
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平滑肌肉瘤 | Leiomyosarcoma | 8890/3 | |
横纹肌肉瘤●▲ | Rhabdomyosarcoma | 8910/3 | |
腺泡状软组织肉瘤 | Alveolar soft-part sarcoma | 9581/3 | |
血管肉瘤 | Angiosarcoma | 9120/3 | |
恶性外周神经鞘膜瘤 | Malignant peripheral nerve sheath tumour | 9540/3 | |
其它肉瘤 | Other sarcomas |
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脂肪肉瘤 | Liposarcoma | 8850/3 | |
未分化宫颈管肉瘤 | Undifferentiated endocervical sarcoma | 8805/3 | |
尤因肉瘤●▲ | Ewing sarcoma | 9364/3 | |
瘤样病变 | Tumour-like lesions |
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术后梭形细胞结节 | Postoperative spindle cell nodule |
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淋巴瘤样病变●▲ | Lymphoma-like lesion |
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混合性上皮-间叶肿瘤 | Mixed epithelial and mesenchymal tumours |
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腺肌瘤 | Adenomyoma | 8932/0 | |
腺肉瘤 | Adenosarcoma | 8933/3 | |
癌肉瘤 | Carcinosarcoma | 8980/3 | |
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黑色素细胞肿瘤 | Melanocytic tumours |
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篮痣 | Blue naevus | 8780/0 | |
恶性黑色素瘤 | Malignant melanoma | 8720/3 | |
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生殖细胞肿瘤 | Germ cell tumours |
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卵黄囊瘤 | Yolk sac tumour | 9071/3 | |
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淋巴样和髓样肿瘤 | Lymphoid and myeloid tumours |
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淋巴瘤▲ | Lymphomas |
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髓样肿瘤●▲ | Myeloid neoplasms |
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继发性肿瘤 | Secondary tumours |
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注:带●(着重号)者为新增病种。带*(星号)者为新增编码,2013年由IARC/WHO编码委员会批准。0代表良性,1代表不确定、交界性或生物学行为不定,2代表原位癌/上皮内瘤变Ⅲ级,3代表生物学行为恶性。带▲(三角号)者为译者所加,目前尚无ICD-O编码,以待后续 |