Abstract: Cervical adenocarcinoma is highly related to HPV infection，and Silva pattern system proposed recently can predict prognosis and guide clinical treatment better，compared with current clinical instruction.The diagnosis and treatment strategy of cervical adenocarcinoma，clinicopathological significance of Silva pattern system and related research progress were discussed in this article.

Key words: cervical adenocarcinoma, Silva pattern system, prognosis

摘要： 子宫颈腺癌与HPV感染高度相关，近期提出的Silva分型相较于目前的诊疗依据，能更好地预测子宫颈腺癌的预后并指导临床治疗。文章就当前子宫颈腺癌的诊治现状、Silva分型的临床病理意义及相关研究进展进行阐述和分析。

关键词: 子宫颈腺癌, Silva分型, 预后