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[外阴尖锐湿疣与假性湿疣的临床及病理鉴别诊断]

[Clinical and pathological differential diagnosis of condyloma and pseudo-condyloma of vulva].

作者信息

Chen L Z

机构信息

Department of Pathology, The General Hospital of PLA, Beijing.

出版信息

Zhonghua Bing Li Xue Za Zhi. 1992 Aug;21(4):229-31.

PMID:1473208
Abstract

Three hundred and twenty-one biopsies from vulva, comprising 18 cases of condyloma acuminata (5.6%), 202 cases of pseudo-condyloma (62.9%), and 101 cases of non-specific vulvitis (31.5%), are reported. Clinically, most condylomata acuminata appeared as multiple soft papillary and verrucous lesions with local itchiness. The majority of patients with pseudo-condyloma were symptomless but with harbor roe-like warty papulae distributed symmetrically on both labia minora. Histologically, 18 cases of condyloma acuminata presented papillomatosis, parakeratosis, dyskeratosis, acanthosis, basal cell atypical hyperplasia and distinct koilocytosis. Pseudo-condylomata showed papillomatous growth but without atypical hyperplasia of basal cells and distinct koilocytosis.

摘要

报道了321例来自外阴的活检病例,其中包括18例尖锐湿疣(5.6%)、202例假性湿疣(62.9%)和101例非特异性外阴炎(31.5%)。临床上,大多数尖锐湿疣表现为多发性柔软乳头样和疣状病变,伴有局部瘙痒。大多数假性湿疣患者无症状,但有鱼子样疣状丘疹对称分布于双侧小阴唇。组织学上,18例尖锐湿疣表现为乳头瘤病、角化不全、角化不良、棘层肥厚、基底细胞非典型增生和明显的挖空细胞。假性湿疣表现为乳头样生长,但无基底细胞非典型增生和明显的挖空细胞。

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