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[宫颈癌癌前病变及早期阶段乳头瘤病毒感染的阴道镜、细胞及组织学征象]

[Colposcopic, cyto- and histologic signs of papilloma virus infection in precancerous and early stages of cervix cancer].

作者信息

Barten G, Rohde E, Barten M, Beust M

机构信息

Klinik für Gynäkologie und Geburtshilfe, Bereichs Medizin der Wilhelm-Pieck-Universität Rostock.

出版信息

Zentralbl Gynakol. 1990;112(1):23-31.

PMID:2316291
Abstract

Basis of present study are examinations in 100 women with colposcopic and/or cytologic abnormalities suspect of preinvasive or early invasive carcinoma of the uterine cervix. We found 76 colposcopic abnormal findings in 100 women examined. In 36 women there was a colposcopic suspicion on a papilloma virus infection, in 32 cases combined with abnormal colposcopic findings. All 100 patients had cytologic smears group III and/or IV according to Papanicolaou. In 71 women cytologic signs of a papilloma virus infection was detected in the cervical smears. We found histologic signs of a papilloma virus infection in 69 cases in the specimen of biopsy, conization or hysterectomy (5 times condylomata acuminata, 53 times flat condylomata and 11 times inverted condylomata). Preinvasive respectively invasive and papillomavirus caused lesions of the cervix are coexisting in 59 cases. Our examination demonstrates that also in GDR in about 70 per cent of the precancerous or invasive cervical lesions signs of an infection with human papilloma viruses are present histologically and/or cytologically.

摘要

本研究的基础是对100名阴道镜检查和/或细胞学检查异常、怀疑有子宫颈原位癌或早期浸润癌的女性进行的检查。我们在100名接受检查的女性中发现了76例阴道镜异常结果。36名女性阴道镜检查怀疑有乳头瘤病毒感染,其中32例伴有阴道镜检查异常结果。所有100例患者根据帕帕尼科拉乌分类法细胞学涂片均为III级和/或IV级。71名女性宫颈涂片检测到乳头瘤病毒感染的细胞学迹象。我们在活检、锥形切除或子宫切除标本中发现69例有乳头瘤病毒感染的组织学迹象(5例尖锐湿疣、53例扁平湿疣和11例内翻湿疣)。59例存在原位癌或浸润癌以及乳头瘤病毒引起的宫颈病变。我们的检查表明,在民主德国,约70%的癌前或浸润性宫颈病变在组织学和/或细胞学上也存在人乳头瘤病毒感染迹象。

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