Chen L, Shen L, Lü Y
PLA General Hospital, Beijing.
Zhonghua Fu Chan Ke Za Zhi. 1995 Jan;30(1):15-7.
One hundred and thirty seven cases of paraffin-embedded tissue specimens biopsied each from condylomata and pseudo-condylomata of vulva and vagina were examined. Type 6b 11 human papillomavirus (HPV) DNA was detected in condylomata by in situ hybridization using digoxigeninlabelled probes and polymerase chain reaction (PCR). The positive rate was 82.5%, 83.9% respectively. It was negative in the 137 cases of pseudo-condylomata by in situ hybridization, but positive in 3 cases by PCR. For a correct diagnosis, the necessity of combining the data of clinical finding, microscopic examination and in situ hybridization or PCR is emphasized. Our results showed that pseudo-condylomata represent dysplastic appearances of vulval and vaginal mucosa, which become more marked during pregnancy and fungal or trichomonal infections, and could rather easily be misdiagnosed as condylomata.
对137例分别取自外阴及阴道尖锐湿疣和假性湿疣的石蜡包埋组织标本进行了检查。采用地高辛标记探针原位杂交及聚合酶链反应(PCR)检测尖锐湿疣中的6b型和11型人乳头瘤病毒(HPV)DNA。阳性率分别为82.5%、83.9%。137例假性湿疣病例经原位杂交检测为阴性,但经PCR检测有3例为阳性。强调为做出正确诊断,需结合临床发现、显微镜检查及原位杂交或PCR的数据。我们的结果显示,假性湿疣表现为外阴及阴道黏膜的发育异常外观,在妊娠期间以及真菌或滴虫感染时更为明显,且很容易被误诊为尖锐湿疣。