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一例妊娠期阴道透明细胞腺癌病例。

A case of clear cell adenocarcinoma of the vagina in pregnancy.

作者信息

Davis J A, Wadehra V, McIntosh A S, Monaghan J M

出版信息

Br J Obstet Gynaecol. 1981 Mar;88(3):322-6. doi: 10.1111/j.1471-0528.1981.tb00989.x.

DOI:10.1111/j.1471-0528.1981.tb00989.x
PMID:7470424
Abstract

The case is described of a 20 year old pregnant woman with clear cell adenocarcinoma of the vagina who had been exposed to diethyl stilboestrol in utero. This is the second of three cases known to have occurred in Britain. The importance of radical treatment is discussed. Neither cervical nor vaginal intra-epithelial neoplasia were seen histologically, although squamous metaplasia was widespread, and in some areas was immature and showed atypical features which could be misinterpreted as intra-epithelial neoplasia. An area of atypical adenosis was noticed, a hitherto rarely observed feature.

摘要

本文描述了一名20岁的阴道透明细胞腺癌孕妇,她在子宫内曾接触己烯雌酚。这是英国已知发生的三例此类病例中的第二例。文中讨论了根治性治疗的重要性。组织学检查未发现宫颈或阴道上皮内瘤变,尽管鳞状化生广泛存在,且在某些区域不成熟并表现出非典型特征,可能会被误诊为上皮内瘤变。还发现了一处非典型腺病,这是一种迄今很少观察到的特征。

相似文献

1
A case of clear cell adenocarcinoma of the vagina in pregnancy.一例妊娠期阴道透明细胞腺癌病例。
Br J Obstet Gynaecol. 1981 Mar;88(3):322-6. doi: 10.1111/j.1471-0528.1981.tb00989.x.
2
Dysplasia and cytologic findings in 4,589 young women enrolled in diethylstilbestrol-adenosis (DESAD) project.参与己烯雌酚腺病(DESAD)项目的4589名年轻女性的发育异常及细胞学检查结果。
Am J Obstet Gynecol. 1981 Jul 1;140(5):579-86. doi: 10.1016/0002-9378(81)90236-2.
3
Clear cell carcinoma of the cervix and vagina in young women. A report of six cases with association of maternal stilbestrol therapy and adenosis of the vagina.
Trans Pac Coast Obstet Gynecol Soc. 1972;40:15-29.
4
Clear cell carcinoma of the cervix and vagina in young women. A report of six cases with association of maternal stilbestrol therapy and adenosis of the vagina.年轻女性宫颈和阴道的透明细胞癌。6例与母亲孕期己烯雌酚治疗及阴道腺病相关的病例报告。
Am J Obstet Gynecol. 1973 Jun 15;116(4):470-84. doi: 10.1016/0002-9378(73)90903-4.
5
DES-related clear cell adenocarcinoma of the vagina in pregnancy.孕期与己烯雌酚相关的阴道透明细胞腺癌
Obstet Gynecol. 1981 Jun;57(6 Suppl):76S-80S.
6
Natural history of vaginal adenosis in women exposed to diethylstilbestrol in utero.子宫内暴露于己烯雌酚的女性阴道腺病的自然病史。
J Reprod Med. 1977 Jan;18(1):1-13.
7
Congenital diethylstilbestrol-associated vaginal/cervical adenosis (DES babies).先天性己烯雌酚相关阴道/宫颈腺病(己烯雌酚暴露胎儿)
J Ark Med Soc. 1979 May;75(12):451-2.
8
[Clear cell vaginal adenocarcinoma in young girls. Apropos of a personal case].[年轻女孩的透明细胞阴道腺癌。基于一个个人病例]
J Gynecol Obstet Biol Reprod (Paris). 1975 Nov-Dec;4(8):1093-1102.
9
Squamous neoplasia of vagina related to DES syndrome.
Am J Obstet Gynecol. 1975 May;122(2):176-81. doi: 10.1016/s0002-9378(16)33489-5.
10
Stilboestrol and vaginal clear-cell adenocarcinoma syndrome.己烯雌酚与阴道透明细胞腺癌综合征。
Br Med J. 1978 Jun 17;1(6127):1588-90. doi: 10.1136/bmj.1.6127.1588.

引用本文的文献

1
Exogenous hormones in the aetiology of cancer in women.外源性激素在女性癌症病因中的作用
J R Soc Med. 1984 Jul;77(7):542-9. doi: 10.1177/014107688407700704.
2
The daughters of stilboestrol.己烯雌酚的衍生物
BMJ. 1991 Jun 15;302(6790):1414-5. doi: 10.1136/bmj.302.6790.1414.