子宮頚部スメア中に認められた転移性腺癌の細胞像

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  • The features of metastatic adenocarcinoma cells in the uterine cervical smears.

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Twelve cases with metastatic uterine tumors were examined cyto-histologically. The primary sites were the stomach, colon, lung and ovary, respectively. Metastatic tumor cells were seen in the cervical smears in all cases.<BR>In the majority of cases, tumor cells were relatively few in number, appearing singly or forming small clusters in the smears. Stomach cancers were strongly suspected when adenocarcinoma cells were present as signet ring cells.<BR>Tumor cells seemed to spread in the uterine wall and reached the uterine surface by way of lymphatics except by direct invasion, in our precisely histologically examined five cases. In these cases, metastatic tumors did not localize only in the cervix but in more than one of the vaginal wall, uterine cervix, corpus and fallopian tubes.<BR>Five of twelve cases did not complain of gynecological symptoms such as vaginal bleeding. Thus, it was thought necessary for female cancer patients to be examined gynecologically, especially including cervical smears.

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