低分化漿液型子宮頸腺癌病例報告

Low-grade serous type adenocarcinoma of the cervix

子宮頸腺癌佔所有子宮頸癌的比例為15－25％，與最常見的子宮頸鱗狀上皮癌（75％）不相似，子宮頸腺癌整體而言比子宮頸鱗狀上皮癌預後要差，淋巴結轉移率較高，遠端轉移率較高，無惡化存活時間較短，五年存活率較低。本病例介紹一位五十九歲婦女，臨床診斷為國際婦產科聯盟的一期下，腫瘤大小並無超過四公分，病患接受開腹性根除性全子宮切除，加上雙側卵巢輸卵管及淋巴結廓清術，病人術後，接受追蹤，目前無病狀況。藉由本例，我們回顧一下子宮頸腺癌的治療與預後。

It is significant difference between adenocarcinoma (15-25%) and squamous cell carcinoma of the cervix, because the prognosis of adenocarcinoma seems to be worse compared to that of squamous cell carcinoma. Adenocarcinoma of the cervix is associated with high frequency of lymph node metastases, contributing to the shorter progression free survival and lower 5-year survival rate. The current case report shows a 59-year woman with FIGO stage IB1 adenocarcinoma of the cervix who was treated with radical hysterectomy and the patient was alive without disease. Based on the current report, the management and outcome of the adenocarcinoma of the cervix has been extensively reviewed.