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子宫颈人乳头瘤病毒感染:通过免疫组织化学技术鉴定的28例组织学表现

Human papillomavirus infection of the uterine cervix: histological appearances in 28 cases identified by immunohistochemical techniques.

作者信息

Dyson J L, Walker P G, Singer A

出版信息

J Clin Pathol. 1984 Feb;37(2):126-30. doi: 10.1136/jcp.37.2.126.

DOI:10.1136/jcp.37.2.126
PMID:6319459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC498666/
Abstract

Twenty eight biopsy specimens of the cervix showed positive immunohistochemical staining when treated with an antiserum raised against an internal capsid antigen of human papillomavirus (HPV). Histological examination of adjoining sections from the same blocks showed a much wider range of abnormalities than those already described in association with HPV infection. The picture was usually diagnostic. It rested chiefly on identifying the koilocyte--the cell with the perinuclear halo that carries the viral antigen in its nucleus--but abnormal keratinisation was also a feature. The accompanying epithelial findings ranged from normal to CIN III (cervical intraepithelial neoplasia). The latter was of an unusual but distinct appearance, in which cytoplasmic maturation was preserved to some degree but in which gross nuclear atypia was seen in all layers of the epithelium.

摘要

用针对人乳头瘤病毒(HPV)衣壳内部抗原产生的抗血清处理时,28份宫颈活检标本显示免疫组化染色呈阳性。对来自相同组织块的相邻切片进行组织学检查发现,异常范围比先前描述的与HPV感染相关的异常范围要广泛得多。这种情况通常具有诊断意义。主要依据是识别挖空细胞——即核周有晕、细胞核内携带病毒抗原的细胞——但异常角化也是一个特征。伴随的上皮细胞表现从正常到CIN III(宫颈上皮内瘤变)不等。后者外观不寻常但很独特,其中细胞质成熟在一定程度上得以保留,但上皮各层均可见明显的核异型性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/aa2f95e7bbc7/jclinpath00173-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/9b878129ce06/jclinpath00173-0019-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/aa2f95e7bbc7/jclinpath00173-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/9b878129ce06/jclinpath00173-0019-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/14f01b710d87/jclinpath00173-0019-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/c3b23f179d97/jclinpath00173-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/05f8cc524024/jclinpath00173-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/1e0693285818/jclinpath00173-0020-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/498666/aa2f95e7bbc7/jclinpath00173-0021-a.jpg

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DNA sequences of human papillomavirus types 11, 16, and 18 in lesions of the uterine cervix in the west of Scotland.苏格兰西部子宫颈病变中11、16和18型人乳头瘤病毒的DNA序列

本文引用的文献

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Unusual patterns of squamous epithelium of the uterine cervix: cytologic and pathologic study of koilocytotic atypia.子宫颈鳞状上皮的异常形态:凹空细胞异型性的细胞学与病理学研究
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Cervical intraepithelial neoplasia.宫颈上皮内瘤变
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Routine papillomavirus antigen staining of cervical punch biopsy specimens.
J Clin Pathol. 1987 Oct;40(10):1212-6. doi: 10.1136/jcp.40.10.1212.
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Correlation of HPV antigen and type of genital warts with atypia.人乳头瘤病毒抗原及尖锐湿疣类型与异型性的相关性
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Human papillomavirus infection of the uterine cervix.子宫颈人乳头瘤病毒感染
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The prevalence of human papillomavirus antigen in patients with cervical intraepithelial neoplasia.宫颈上皮内瘤变患者中人乳头瘤病毒抗原的患病率。
Br J Cancer. 1983 Jul;48(1):99-101. doi: 10.1038/bjc.1983.163.
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Human papilloma virus linked to cervical (and other) cancers.人乳头瘤病毒与宫颈癌(及其他癌症)有关。
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J Clin Pathol. 1983 Jun;36(6):616-24. doi: 10.1136/jcp.36.6.616.
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The human papillomaviruses.
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Genital warts and cervical cancer. I. Evidence of an association between subclinical papillomavirus infection and cervical malignancy.尖锐湿疣与宫颈癌。一、亚临床乳头瘤病毒感染与宫颈恶性肿瘤之间关联的证据。
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