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子宫颈人乳头瘤病毒感染(湿疣)与子宫颈上皮内瘤变:组织病理学与统计学分析

Human papilloma virus infection (condyloma) of the cervix and cervical intraepithelial neoplasia: a histopathologic and statistical analysis.

作者信息

Crum C P, Egawa K, Barron B, Fenoglio C M, Levine R U, Richart R M

出版信息

Gynecol Oncol. 1983 Feb;15(1):88-94. doi: 10.1016/0090-8258(83)90120-8.

DOI:10.1016/0090-8258(83)90120-8
PMID:6822369
Abstract

Two hundred fifty consecutive cases previously diagnosed as advanced intraepithelial neoplasia (CIN 2 and CIN III) were reviewed and examined for the presence of coexisting condyloma. When the mean ages and age distributions were analyzed, there was a consistent shift of the age distribution to a younger age among women with CIN and condyloma as opposed to CIN alone. Furthermore, when the relationship between age and case accumulation was normalized from a curvilinear to a linear relationship, there were significant differences in the slope of the accumulation rate between cohorts of CIN III with and without condyloma. These differences suggest that the concordant observation of both lesions in a given patient is not a random process resulting from two independent events but rather indicates an underlying dependence between the two (i.e., condyloma and CIN). It cannot, however, be determined statistically whether the associated condyloma is directly responsible for the CIN lesion or hastens its transit time.

摘要

对250例先前被诊断为高级别上皮内瘤变(CIN 2和CIN III)的连续病例进行回顾,并检查是否存在并存的尖锐湿疣。分析平均年龄和年龄分布时,与单纯CIN患者相比,患有CIN和尖锐湿疣的女性年龄分布一致地向更年轻的年龄段偏移。此外,当年龄与病例累积之间的关系从曲线关系归一化为线性关系时,伴有和不伴有尖锐湿疣的CIN III队列之间累积率的斜率存在显著差异。这些差异表明,在特定患者中同时观察到这两种病变并非两个独立事件导致的随机过程,而是表明两者(即尖锐湿疣和CIN)之间存在潜在的相关性。然而,无法从统计学上确定相关的尖锐湿疣是否直接导致CIN病变或加速其发展进程。

相似文献

1
Human papilloma virus infection (condyloma) of the cervix and cervical intraepithelial neoplasia: a histopathologic and statistical analysis.子宫颈人乳头瘤病毒感染(湿疣)与子宫颈上皮内瘤变:组织病理学与统计学分析
Gynecol Oncol. 1983 Feb;15(1):88-94. doi: 10.1016/0090-8258(83)90120-8.
2
[Intraepithelial cervical neoplasia: incidence of associated condylomatous lesions. Results of CO2 laser treatment].[宫颈上皮内瘤变:相关湿疣样病变的发生率。二氧化碳激光治疗的结果]
J Gynecol Obstet Biol Reprod (Paris). 1982;11(7):849-54.
3
Multivariate discriminant analysis of normal, intraepithelial neoplasia and human papillomavirus infection of the uterine cervix samples.
Histol Histopathol. 1994 Jan;9(1):135-40.
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Condylomata acuminata of the cervix: histopathology and association with cervical neoplasia.宫颈尖锐湿疣:组织病理学及其与宫颈肿瘤形成的关联。
Int J Gynecol Pathol. 1982;1(3):246-57. doi: 10.1097/00004347-198203000-00002.
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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.
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Simultaneous condyloma acuminatum and dysplasia of the uterine cervix.尖锐湿疣与子宫颈发育异常并存。
Acta Cytol. 1981 Jul-Aug;25(4):393-9.
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Atypical immature metaplasia (AIM). A subset of human papilloma virus infection of the cervix.非典型不成熟化生(AIM)。子宫颈人乳头瘤病毒感染的一个子集。
Cancer. 1983 Jun 15;51(12):2214-9. doi: 10.1002/1097-0142(19830615)51:12<2214::aid-cncr2820511211>3.0.co;2-2.
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[Condyloma and intraepithelial cervical neoplasms. Epidemiological contribution to their interpretation].
Minerva Ginecol. 1989 Feb;41(2):69-74.
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[A pathological study on the correlation of HPV infection with precancerous cervical lesions].[人乳头瘤病毒感染与子宫颈癌前病变相关性的病理学研究]
Zhonghua Bing Li Xue Za Zhi. 1999 Aug;28(4):248-51.
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Cervical condylomatous atypia and its relationship to cervical neoplasia.宫颈湿疣样异型性及其与宫颈肿瘤的关系。
Am J Clin Pathol. 1981 Sep;76(3):255-62. doi: 10.1093/ajcp/76.3.255.

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J Clin Diagn Res. 2015 Mar;9(3):EC11-2. doi: 10.7860/JCDR/2015/11594.5673. Epub 2015 Mar 1.
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Social implications of sexually transmitted diseases.性传播疾病的社会影响。
Can Fam Physician. 1983 Oct;29:1933-6.
3
Quantitative DNA analysis of low grade cervical intraepithelial neoplasia and human papillomavirus infection by static and flow cytometry.通过静态和流式细胞术对低级别宫颈上皮内瘤变和人乳头瘤病毒感染进行DNA定量分析。
Br Med J (Clin Res Ed). 1987 Oct 31;295(6606):1090-2. doi: 10.1136/bmj.295.6606.1090.
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Pathobiology of papillomavirus-related cervical diseases: prospects for immunodiagnosis.
Clin Microbiol Rev. 1991 Jul;4(3):270-85. doi: 10.1128/CMR.4.3.270.