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宫颈淋巴上皮样癌。

Lymphoepithelioma-like carcinoma of the uterine cervix.

机构信息

Department of Obstetrics and Gynecology, Oita Prefectural Hospital, Oita, Japan.

出版信息

Arch Gynecol Obstet. 2009 Nov;280(5):725-7. doi: 10.1007/s00404-009-0993-4. Epub 2009 Feb 24.

Abstract

PURPOSE

To elucidate the clinicopathologic features of lymphoepithelioma-like carcinoma (LELC) of the uterine cervix, we examined three Japanese cases.

METHODS

We collected three cases of LELC of the uterine cervix between 2000 and 2007. We examined these patients' clinicopathologic data, Epstein-Barr virus (EBV) and human papilloma virus (HPV) infectious status, and infiltrated lymphocyte population.

RESULTS

Our patients had disease Fédération Internatinale de Gynécologie et d'Obstétrique stages I and II. All of them were free of disease at the time of the study. Macroscopically, one of the three tumors was polypoid. All tumor cells were negative for EBV and HPV using in situ hybridization and immunohistochemistry. The inflammatory background contained many CD3(+) and CD8(+) cells, but there were few CD4(+), CD20(+), or CD79a(+) cells.

CONCLUSIONS

In our Japanese series, LELC of the uterine cervix showed good prognosis, and there is no relationship between this carcinoma and EBV or HPV infection.

摘要

目的

为了阐明宫颈淋巴上皮样癌(LELC)的临床病理特征,我们检查了 3 例日本病例。

方法

我们收集了 2000 年至 2007 年间的 3 例宫颈 LELC 病例。我们检查了这些患者的临床病理数据、EBV 和 HPV 感染状态以及浸润淋巴细胞群体。

结果

我们的患者疾病分期为FIGO I 期和 II 期。所有患者在研究时均无疾病。大体上,3 例肿瘤中有 1 例呈息肉状。所有肿瘤细胞均经原位杂交和免疫组化检测 EBV 和 HPV 阴性。炎症背景中含有大量 CD3(+)和 CD8(+)细胞,但 CD4(+)、CD20(+)或 CD79a(+)细胞较少。

结论

在我们的日本系列中,宫颈 LELC 预后良好,与 EBV 或 HPV 感染无关。

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