Czernobilsky B, Barash A, Lancet M
Obstet Gynecol. 1982 Jan;59(1):75-7.
This study is based on a review of all moles diagnosed at the Kaplan Hospital in Israel from 1968 to 1977. Histologic reevaluation revealed that of a total of 72 moles, 47 (65%) were complete and 25 (35%) partial. In contrast to complete moles, about one third of the partial moles showed fetal parts. An analysis of the patient records showed smaller uteri, less vaginal bleeding, absence of severe vomiting, lower gonadotropin levels, and normal follow-up in patients with partial moles as compared with those who had complete moles. These results indicate that the partial mole is a distinct clinicopathologic entity that can be suspected by the clinician and confirmed by the pathologist on morphologic grounds, even in the absence of cytogenetic analysis.
本研究基于对1968年至1977年期间在以色列卡普兰医院诊断的所有痣的回顾。组织学重新评估显示,在总共72个痣中,47个(65%)为完全性,25个(35%)为部分性。与完全性痣相比,约三分之一的部分性痣显示有胎儿部分。对患者记录的分析表明,与完全性痣患者相比,部分性痣患者的子宫较小、阴道出血较少、无严重呕吐、促性腺激素水平较低且随访正常。这些结果表明,部分性痣是一种独特的临床病理实体,即使在没有细胞遗传学分析的情况下,临床医生也可怀疑,病理学家可根据形态学依据予以确诊。