Wright E D, Chiphangwi J, Hutt M S
Trans R Soc Trop Med Hyg. 1982;76(6):822-9. doi: 10.1016/0035-9203(82)90118-3.
The histopathology of 176 cases of gynaecological schistosomiasis reported from Malawi during the period 1976-80 was reviewed. Schistosomal infection was found throughout the genital tract, with 60% of cases involving the cervix. The dominant tissue reactions to ova were categorized into five histopathological groups A-E and for each site the relationship between histopathological and clinical features was explored. No evidence was found linking schistosomiasis with cancer of the genital tract. Schistosomiasis was a significant cause of gynaecological morbidity, particularly when infection involved the lower genital tract; however in a proportion of cases ova were found coincidentally in other lesions or normal tissues, and were not apparently causally linked with symptoms. The findings are discussed in relation to previous studies of gynaecological schistosomiasis.
对1976年至1980年期间马拉维报告的176例妇科血吸虫病的组织病理学进行了回顾。在整个生殖道均发现了血吸虫感染，其中60%的病例累及宫颈。对虫卵的主要组织反应分为A - E五个组织病理学组，并探讨了每个部位组织病理学与临床特征之间的关系。未发现血吸虫病与生殖道癌症有关的证据。血吸虫病是妇科发病的一个重要原因，尤其是当感染累及下生殖道时；然而，在一部分病例中，虫卵是在其他病变或正常组织中偶然发现的，显然与症状没有因果关系。结合先前关于妇科血吸虫病的研究对这些发现进行了讨论。
