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外阴原位癌:一项持续的挑战。

Carcinoma in situ of the vulva: a continuing challenge.

作者信息

Friedrich E G, Wilkinson E J, Fu Y S

出版信息

Am J Obstet Gynecol. 1980 Apr 1;136(7):830-43. doi: 10.1016/0002-9378(80)91039-x.

DOI:10.1016/0002-9378(80)91039-x
PMID:7361832
Abstract

The epidemiologic data, clinical features, associated diseases, and histologic characteristics present in 50 cases of carcinoma in situ of the vulva are analyzed. A comparison of follow-up results obtained with various treatment methods is presented. With primary surgery the recurrence rate is dependent on the presence or absence of tumor at the surgical margins. Deoxyribonucleic acid patterns, determined by microspectrophotometry, were aneuploid in 92% of the cases studied. Five patients (10%) with aneuploid lesions, observed without therapy, experienced spontaneous regression of tumor and replacement of abnormal areas by euploid epithelium.

摘要

分析了50例外阴原位癌的流行病学数据、临床特征、相关疾病及组织学特征。并对采用不同治疗方法所获得的随访结果进行了比较。采用一期手术时,复发率取决于手术切缘有无肿瘤。通过显微分光光度法测定的脱氧核糖核酸模式显示,在所研究的病例中,92%为非整倍体。5例(10%)非整倍体病变患者未经治疗,肿瘤出现自发消退,异常区域被整倍体上皮取代。

相似文献

1
Carcinoma in situ of the vulva: a continuing challenge.外阴原位癌:一项持续的挑战。
Am J Obstet Gynecol. 1980 Apr 1;136(7):830-43. doi: 10.1016/0002-9378(80)91039-x.
2
Vulvar intraepithelial neoplasia: a clinicopathological study of carcinoma in situ of the vulva.外阴上皮内瘤变:一项外阴原位癌的临床病理研究
Gynecol Oncol. 1989 May;33(2):157-63. doi: 10.1016/0090-8258(89)90542-8.
3
Vulvar intraepithelial neoplasia and microinvasive carcinoma of the vulva.外阴上皮内瘤变及外阴微浸润癌
J Clin Pathol. 1984 Nov;37(11):1201-11. doi: 10.1136/jcp.37.11.1201.
4
Vulvar intraepithelial neoplasia with superficially invasive carcinoma of the vulva.外阴上皮内瘤变伴外阴浅表浸润性癌。
Br J Obstet Gynaecol. 1996 May;103(5):453-6. doi: 10.1111/j.1471-0528.1996.tb09772.x.
5
Multicentric nature of vulvar carcinoma in situ.外阴原位癌的多中心性
Obstet Gynecol. 1981 Jul;58(1):69-74.
6
Vulvar intraepithelial neoplasia (severe atypia and carcinoma in situ). A clinicopathologic analysis of 41 cases.外阴上皮内瘤变(重度异型增生和原位癌)。41例临床病理分析。
Cancer. 1984 Oct 1;54(7):1429-34. doi: 10.1002/1097-0142(19841001)54:7<1429::aid-cncr2820540733>3.0.co;2-g.
7
Carcinoma in situ of the vulva. A clinicopathologic study of 50 cases.外阴原位癌。50例临床病理研究。
J Reprod Med. 1986 Sep;31(9):808-14.
8
Spontaneous regression of vulvar intraepithelial neoplasia 2-3.外阴上皮内瘤变2-3级的自发消退
Obstet Gynecol. 2000 Sep;96(3):470-2. doi: 10.1016/s0029-7844(00)00949-2.
9
Vulvar intraepithelial neoplasia.
Obstet Gynecol. 1982 Sep;60(3):346-9.
10
[Cancer of the vulva: modern diagnostic and therapeutic principles].[外阴癌:现代诊断与治疗原则]
Akush Ginekol (Sofiia). 2000;39(3):26-9.

引用本文的文献

1
Correlation of histopathologic findings with clinical predictors of disease recurrence and progression to vulvar carcinoma in patients with differentiated vulvar intraepithelial neoplasia (dVIN).分化型外阴上皮内瘤变(dVIN)患者组织病理学结果与疾病复发及进展为外阴癌临床预测指标的相关性
Gynecol Oncol Rep. 2024 Mar 11;52:101358. doi: 10.1016/j.gore.2024.101358. eCollection 2024 Apr.
2
Squamous precursor lesions of the vulva: current classification and diagnostic challenges.外阴鳞状前驱病变:当前分类及诊断挑战
Pathology. 2016 Jun;48(4):291-302. doi: 10.1016/j.pathol.2016.02.015. Epub 2016 Apr 23.
3
Multicentric pigmented Bowen's disease of the genitalia associated with carcinoma in situ of the cervix.
多中心性色素沉着性生殖器鲍温病伴宫颈原位癌
Br J Vener Dis. 1984 Dec;60(6):406-8. doi: 10.1136/sti.60.6.406.
4
The association of condylomata acuminata and squamous carcinoma of the vulva.尖锐湿疣与外阴鳞状细胞癌的关联。
Br J Cancer. 1984 Oct;50(4):533-5. doi: 10.1038/bjc.1984.211.
5
Vulvar intraepithelial neoplasia and microinvasive carcinoma of the vulva.外阴上皮内瘤变及外阴微浸润癌
J Clin Pathol. 1984 Nov;37(11):1201-11. doi: 10.1136/jcp.37.11.1201.
6
Diagnosis and treatment of vulvar carcinoma in situ with anal involvement in young women. Two case reports and literature review.年轻女性外阴原位癌伴肛门受累的诊断与治疗。两例病例报告及文献综述。
Arch Gynecol. 1986;239(2):115-22. doi: 10.1007/BF02133970.
7
Vulval intraepithelial neoplasia: clinical review.外阴上皮内瘤变:临床综述
Genitourin Med. 1987 Jun;63(3):147-52. doi: 10.1136/sti.63.3.147.
8
Multiple primary tumours in women with vulvar neoplasms: a case-control study.外阴肿瘤女性中的多原发性肿瘤:一项病例对照研究。
Br J Cancer. 1988 Apr;57(4):423-7. doi: 10.1038/bjc.1988.96.
9
Recognising covert disease in women with chronic vulval symptoms attending an STD clinic: value of detailed examination including colposcopy.识别就诊于性传播疾病诊所的慢性外阴症状女性中的隐匿性疾病:包括阴道镜检查在内的详细检查的价值。
Genitourin Med. 1989 Jan;65(1):46-9. doi: 10.1136/sti.65.1.46.