[摘要] 目的 探讨宫颈微偏腺癌(minimal deviation adenocarcinoma，MDA)的临床病理特征、诊断及鉴别诊断。 方法 3例宫颈微偏腺癌进行临床病理回顾性研究及相关文献复习。 结果 患者临床上多以水样白带、不规则阴道出血等为主要症状，宫颈肥大呈桶状和/或糜烂，镜下见增生的腺体形态不规则，扭曲呈鸡爪样或角状外翻，向宫颈壁深层浸润。 结论 宫颈微偏腺癌少见，早期确诊率低，易误诊。免疫化检测有助于该病的诊断与鉴别诊断。

    [关键词] 宫颈；微偏腺癌；临床病理；诊断

    [中图分类号] R737.33；R446.8[文献标识码] B[文章编号] 1673-9701(2012)10-0086-02

    Minimal deviation adenocarcinoma of cervix：a clinical copathologic analysis of 3 cases

    JIANG Heling HU Mingjuan LI Guowei LUO Mengjie

    Department of Pathology, Huadu District People＇s Hospital of Guangzhou City, Guangzhou 510800, China

    [Abstract] Objective To investigate the clinical pathological characteristics and differential diagnosis of minimal deviation adenocarcinoma (MDA). Methods The data of three cases with diagnosis of MDA were analyzed vetrospectively and some literatures reviewed here. Results The important clinical symptoms were watery leucorrhea or vaginal bleeding irregularly. Most patients had the signs of cervical hypertrophy and/or erosion. Histology showed irregular glandular patterns ......