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非尖锐湿疣性宫颈疣病毒感染

Noncondylomatous cervical wart virus infection.

作者信息

Reid R, Laverty C R, Coppleson M, Isarangkul W, Hills E

出版信息

Obstet Gynecol. 1980 Apr;55(4):476-83.

PMID:6245394
Abstract

Human papillomavirus (HPV) infections of the genital tract frequently involve cervical epithelium and produce a macroscopically flat lesion that the authors have called noncondylomatous cervical wart virus infection (NCWVI). Over a 6-month period, 92 of 7281 routine cervical smears (1.3%) and 46 of 183 colposcopically directed punch biopsies (25%) showed morphologic evidence of wart virus infection. The etiologic role of HPV was confirmed by the demonstration of virus particles in 24 of 53 cases (45%) examined by electron microscopy. The colposcopic features of NCWVI consist principally of epithelial opacity and vascular atypia, leading to frequent confusion with cervical intraepithelial neoplasia. Differences in surface contour, color, vascular patterns, and topography generally permit colposcopic differentiation. These 2 conditions sometimes coexist; whether the association is causal or casual in not presently known.

摘要

生殖道的人乳头瘤病毒(HPV)感染常累及宫颈上皮,并产生一种肉眼可见的扁平病变,作者将其称为非湿疣性宫颈疣病毒感染(NCWVI)。在6个月的时间里,7281份常规宫颈涂片中有92份(1.3%)以及183份阴道镜引导下的穿刺活检中有46份(25%)显示有疣病毒感染的形态学证据。通过电子显微镜检查,53例中有24例(45%)发现病毒颗粒,从而证实了HPV的病因学作用。NCWVI的阴道镜特征主要包括上皮不透明和血管异型性,这常导致与宫颈上皮内瘤变混淆。表面轮廓、颜色、血管形态和部位的差异通常有助于阴道镜鉴别。这两种情况有时并存;目前尚不清楚这种关联是因果关系还是偶然关系。

相似文献

1
Noncondylomatous cervical wart virus infection.非尖锐湿疣性宫颈疣病毒感染
Obstet Gynecol. 1980 Apr;55(4):476-83.
2
The significance of noncondylomatous wart virus infection of the cervical transformation zone. A review with discussion of two illustrative cases.宫颈转化区非尖锐湿疣病毒感染的意义。附两例说明性病例的综述与讨论。
Acta Cytol. 1978 Jul-Aug;22(4):195-201.
3
Genital warts and cervical cancer. IV. A colposcopic index for differentiating subclinical papillomaviral infection from cervical intraepithelial neoplasia.尖锐湿疣与宫颈癌。IV. 一种用于区分亚临床乳头瘤病毒感染与宫颈上皮内瘤变的阴道镜指数。
Am J Obstet Gynecol. 1984 Aug 15;149(8):815-23. doi: 10.1016/0002-9378(84)90597-0.
4
Nuclear DNA content of normal, neoplastic and "wart-affected" cervical biopsies.正常、肿瘤性及“疣状病变”宫颈活检组织的核DNA含量
Anal Quant Cytol. 1983 Jun;5(2):112-6.
5
[Human papillomavirus infections in the lower genital tract of women].[女性下生殖道的人乳头瘤病毒感染]
Minerva Ginecol. 1993 Apr;45(4):149-58.
6
Natural history of cervical epithelial abnormalities in patients with vulval warts. A colposcopic study.外阴湿疣患者宫颈上皮异常的自然史。一项阴道镜研究。
Br J Vener Dis. 1983 Oct;59(5):327-9. doi: 10.1136/sti.59.5.327.
7
Wart virus infection of cervix uteri and vagina in women with atypical cervical cytology.非典型宫颈细胞学女性的子宫颈和阴道疣病毒感染
Scand J Urol Nephrol Suppl. 1984;86:223-6.
8
Colposcopic differentiation of abnormalities arising in the transformation zone.转化区异常的阴道镜鉴别
Obstet Gynecol Clin North Am. 1993 Mar;20(1):83-110.
9
Genital warts and cervical cancer. VII. An improved colposcopic index for differentiating benign papillomaviral infections from high-grade cervical intraepithelial neoplasia.尖锐湿疣与宫颈癌。VII. 一种用于区分良性乳头瘤病毒感染与高级别宫颈上皮内瘤变的改良阴道镜指数。
Am J Obstet Gynecol. 1985 Nov 15;153(6):611-8. doi: 10.1016/s0002-9378(85)80244-1.
10
Cervical neoplasia. Its association with human papillomavirus infection.宫颈肿瘤。其与人类乳头瘤病毒感染的关联。
J Fla Med Assoc. 1993 Feb;80(2):106-11.

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3
Colposcopy.阴道镜检查。
Can Fam Physician. 1987 Sep;33:2083-8.
4
Significance of a first-time atypical Papanicolaou smear in a young, high-risk African-American and Latino-American population.首次非典型巴氏涂片在年轻、高危非裔美国人和拉丁裔美国人中的意义。
J Natl Med Assoc. 1994 Apr;86(4):273-7.
5
Genital warts and cervical neoplasia: an epidemiological study.尖锐湿疣与宫颈肿瘤:一项流行病学研究。
Br J Cancer. 1983 Nov;48(5):621-8. doi: 10.1038/bjc.1983.243.
6
Screening for cervical intraepithelial neoplasia and cancer in the Sheffield STD clinic.谢菲尔德性传播疾病诊所对宫颈上皮内瘤变和癌症的筛查。
Br J Vener Dis. 1984 Apr;60(2):117-20. doi: 10.1136/sti.60.2.117.
7
Presence of human papillomavirus DNA sequences in cervical intraepithelial neoplasia.宫颈上皮内瘤变中人类乳头瘤病毒DNA序列的存在情况。
Br Med J (Clin Res Ed). 1983 Sep 17;287(6395):784-8. doi: 10.1136/bmj.287.6395.784.
8
Histopathology of papilloma virus infection of the cervix uteri: the history, taxonomy, nomenclature and reporting of koilocytic dysplasias.子宫颈乳头瘤病毒感染的组织病理学:凹空细胞发育异常的历史、分类学、命名法及报告
J Clin Pathol. 1983 Jun;36(6):616-24. doi: 10.1136/jcp.36.6.616.
9
Abnormalities of the uterine cervix in women with vulval warts. A preliminary communication.患有外阴湿疣的女性子宫颈异常。初步报告。
Br J Vener Dis. 1983 Apr;59(2):120-3. doi: 10.1136/sti.59.2.120.
10
Condylomata of the uterine cervix and koilocytosis of cervical intraepithelial neoplasia.子宫颈湿疣与子宫颈上皮内瘤变的挖空细胞形成
J Clin Pathol. 1981 May;34(5):532-41. doi: 10.1136/jcp.34.5.532.