Ventura G, Di Girolamo L, Ventura G C
Divisione di Ostetricia e Ginecologia, Ospedale Civile, Pescara.
Minerva Ginecol. 1990 Dec;42(12):503-6.
Human papillomavirus infection (HPV) causes cellular alterations which are detectable from a cervico-vaginal smear. Cells marked by these alterations are defined as koilocytes and diskeratocytes. Whereas koilocytes are pathognomonic of HPV infection, diskeratocytes, found in isolation on a smear, do not always play a reliable diagnostic role. In this study, a sample group of 82 women aged between 25 and 60 (mean age 44 years) were examined who, following cytological tests, revealed isolated or agglutinated diskeratocytes as the sole element of suspected genital condylomatosis. A biopsy sample of the portio was collected from all patients during colposcopy, and histrological tests confirmed the existence of condylomatosis in 69%, often associated with preneoplastic pathologies: this percentage is considered statistically significant, thus confirming the positive association between dyskeratocytes detected on the smear and condylomatous alterations.
人乳头瘤病毒感染(HPV)会引起细胞改变,这些改变可通过宫颈阴道涂片检测到。由这些改变标记的细胞被定义为空泡化细胞和角化不良细胞。虽然空泡化细胞是HPV感染的特征性表现,但在涂片上单独发现的角化不良细胞并不总是起可靠的诊断作用。在本研究中,对一组82名年龄在25至60岁(平均年龄44岁)的女性进行了检查,她们在细胞学检查后显示,孤立或聚集的角化不良细胞是疑似生殖器湿疣的唯一可疑因素。在阴道镜检查期间从所有患者身上采集了宫颈活检样本,组织学检查证实69%的患者存在湿疣,且常与癌前病变相关:该百分比被认为具有统计学意义,从而证实了涂片上检测到的角化不良细胞与湿疣样改变之间存在正相关。