Cervical adenocarcinoma: Pattern classification

The current cervical adenocarcinoma staging scheme does not specify how to determine the immersive components, and since the cervical tube glands do not have a clear substrate membrane, it may be difficult to determine the starting point of lesions.
often accompanied by cervical in-place adenocarcinoma, and tumors often have exogenous growth, but also affected the depth of immersion of the accurate judgment.
to prevent complications from overtreated and unnecessary surgery, studies have proposed risk stratization based on interstitia immersion.
Matetern A is a highly differentiated to medium differentiation structure with no destructive immersion and no vein immersion; Pattern B's common cervical adenocarcinoma has destructive immersion in the background of ThePtern A gland, and may be accompanied by pulse tube immersion; Pattern C is diffuse and destructive immersion, and has a significant fibrous connective tissue hyperpluration reaction.
a Pattern-based grouping programme has shown a better correlation with lymph node metastasis risk and clinical prognostication.
There are studies that pattern A people have no lymph node metastasis, clinical stations are phase I, no recurrence, while Patten C people are more likely to show stage II or higher, lymph node metastasis rate of 22.5%, recurrence rate of 19.7% ;P atternB also showed stage I lesions, lymph node metastasis rate is lower.
Given the excellent tumor prognosmation in The Patten Group A, the programme does not have to distinguish between Partn A cervical adenocarcinoma and cervical adenocarcinoma, and identification itself is extremely difficult and less repeatable.
General cervical adenocarcinoma Patten classification scheme is applicable to all excision specimens, for conical, cyclic and other specimens can also predict the subsequent hysterectomy specimens in the immersion mode, especially for Putern B, Pattern C tumors.
, however, is not suitable for biopsy specimens, especially Putern Group A tumors.
also stressed that the program is only suitable for HPV-related common cervical adenocarcinoma, and the entire tumor must be examined under the mirror in order to make an accurate grouping.
that all non-HPV-related cervical adenocarcinomas are Partn C.
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