中国实用妇科与产科杂志2026，Vol.42Issue(7)：680-684,5.DOI:10.19538/j.fk2026070103
子宫颈原位腺癌的阴道镜图像识别难点与临床处理策略
Challenges and clinical management strategies in colposcopic recognition of cervical adenocarcinoma in situ
吴敏霞 1尤志学1
作者信息
- 1. 南京医科大学第一附属医院妇科,江苏南京 210029
- 折叠
摘要
Abstract
Cervical adenocarcinoma in situ(AIS)is the only precursor lesion of cervical adenocarcinoma,with its incidence rising steadily in recent years.However,AIS presents non-specific colposcopic manifestations.It is often misdiagnosed as immature metaplastic epithelium or low-grade squamous intraepithelial lesion(LSIL),leading to missed or delayed diagnosis.Furthermore,occult and endocervical AIS lesions are difficult to detect under colposcopy.Based on histopathological features and lesion distribution patterns,we summarize colposcopic imaging characteristics and analyze core diagnostic challenges,thereby proposing combined low-threshold multiple biopsy for acetowhite epithelium and endocervical curettage to improve colposcopists' recognition of AIS.关键词
子宫颈原位腺癌/阴道镜/醋酸白色上皮/子宫颈管搔刮/诊断难点Key words
adenocarcinoma in situ/coloposcopy/acetow-hite epithelium/endocervical curettage/diagnostic chal-lenges分类
医药卫生引用本文复制引用
吴敏霞,尤志学..子宫颈原位腺癌的阴道镜图像识别难点与临床处理策略[J].中国实用妇科与产科杂志,2026,42(7):680-684,5.
