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子宫内膜透明细胞癌(CCCE)是一种特殊组织学类型的子宫内膜癌。继Silverberg和DeGeorgi在1973年报道12例该病的临床病理发现后,又有一些有关报道。发病人数约占子宫内膜癌的3~5.5%。本文回顾1955~1984年间诊断的子宫内膜癌825例,对其组织学材料重新进行病理学诊断。除切片缺失或诊断错误等90例外,余735例中(?)有29例诊为CCCE,其诊断依据为病理切片中可见到片状或腺管状排列的透明细胞,并且有与卵巢透明细胞完全一样的呈鞋钉样或乳突状结构。在回顾性研究中,除外16例临床资料不足,29例CCCE占719例子宫内膜癌的4%。在研究组织学分类与生存率的关系时,另有10例因某些资料缺失及随访时间太短除外,余709例大部分为子宫内膜腺癌,其次为腺棘
Endometrial Clear Cell Carcinoma (CCCE) is a special histological type of endometrial cancer. Following Silverberg and DeGeorgi in 1973 reported 12 cases of the clinical and pathological findings of the disease, there are some related reports. The incidence of about 3 ~ 5.5% of endometrial cancer. This article reviews 825 cases of endometrial cancer diagnosed between 1955 and 1984 and reorganizes histological materials for pathological diagnosis. In addition to the lack of slice or 90 cases of diagnostic errors, the remaining 735 cases (?) 29 cases were diagnosed as CCCE, the diagnosis is based on pathological sections can be seen flake or gland-like arrangement of transparent cells, and ovarian clear cells completely The same was spike-like or papillary-like structure. In a retrospective study, with the exception of 16 cases of inadequate clinical data, 29 cases of CCCE accounted for 719 cases of 4% of endometrial cancer. In studying the relationship between histological classification and survival rate, another 10 cases were due to some missing data and the follow-up time was too short, the remaining 709 cases were mostly endometrial adenocarcinoma, followed by adenocarcinoma