[宫颈癌的病理-分子检测]。

Q4 Medicine Magyar onkologia Pub Date : 2022-12-31
Balázs Járay, Zsuzsa Schaff
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引用次数: 0

摘要

宫颈癌在全世界妇女发病率和死亡率中排名第四。组织学上,大多数宫颈癌为鳞状细胞癌,小部分为腺癌。宫颈癌的发生可以通过癌前病变的不同步骤进行跟踪,以前称为发育不良(轻度、中度和重度),最近使用的Bethesda分类术语为LSIL(低级别鳞状上皮病变)和HSIL(高级别鳞状上皮病变),然后通过细胞学筛查和组织学控制进展为浸润性癌。引入了几种新开发的病毒和细胞分子生物标志物,广泛应用于人乳头瘤病毒(HPV)的诊断检测和其他作为细胞转化标志的标志物,提高了检测的灵敏度和特异性。细胞学、组织学、人乳头瘤病毒检测与新型分子检测相结合被纳入一些国家的现代筛查和诊断指南,匈牙利也强烈建议这样做。
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[The pathology of cervical cancer - molecular tests].

Cervical cancer is the 4th in incidence and mortality rate among women worldwide. Histologically the majority of cervical cancers are squamous cell carcinomas, with a minor proportion of adenocarcinomas. Cervical carcinogenesis can be followed through different steps of precancerous lesions, previously named dysplasias (mild, moderate and severe), by recently used terminology of the Bethesda classification as LSIL (low-grade squamous epithelial lesion) and HSIL (high-grade squamous epithelial lesion) before progression to invasive cancer by cytological screening together and controlled by histology. Introduction of several newly developed viral and cellular molecular biomarkers are extendedly applied as diagnostic tests for detection of human papillomavirus (HPV) and other markers as signs of cellular transformation, which increased both the sensitivity and specificity of the testing. Cytology, histology, HPV detection in combination with novel molecular tests are incorporated into the modern screening and diagnostic guidelines in several countries which is strongly suggested in Hungary too.

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来源期刊
Magyar onkologia
Magyar onkologia Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
30
期刊最新文献
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