子宫内膜癌筛查方法的研究进展

摘要

子宫内膜癌是女性生殖系统三大恶性肿瘤之一,目前,子宫内膜癌的发病率逐渐上升,并有年轻化的趋势,癌前筛查显得愈发重要,癌前筛查一般是指在普通人群中进行检查,密切关注病变的可能.目前临床上检查子宫内膜癌的方法包括血清学检查、经阴道超声学检查(TVS)、子宫内膜细胞学检查(ECT)、病理学诊断以及免疫组织化学等方法,然而这些检查各有优缺点,将任意一项作为筛查方式直接应用到普通人群并不可行,故选择一项可行的方法并将其推广至普通人群作为筛查方法仍需要积累经验,不断地改进和提高.在必要时候,可以选择多种检查方式联合,提高诊断率.%Endometrial cancer (EC) is the most common malignant tumor in female genital system,now the morbidity of EC is increasing gradually with a trend of attacking young adults,so the screening of precancerous lesion is increasingly important.It means we should take some examination in common people,pay attention to the lesion,and recognize the disease in time,now clinical diagnosis methods include serological examination,TVS,endometrial cytology test (ECT),pathological diagnosis and immunohistochemical,however these inspections have their virtues and disadvantages,it's impractical to choose one of them as a reliable way applying to general population,so it needs a lot of exploration to find a available method and put into use.When it's necessary,we should combine some examinations to help diagnosis.