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[外阴假性湿疣的阴道镜及病理研究]

[Colposcopical and pathological study of vulvar pseudocondyloma].

作者信息

Qian D Y

机构信息

Guangdong Provincial People's Hospital, Guangzhou.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1993 Apr;28(4):211-3, 253.

PMID:8404303
Abstract

One hundred and forty seven cases of pseudocondyloma, which were diagnosed by colposcopy and histopathology, and 129 cases of condyloma as control group were studied. Pseudocondyloma showed colposcopically as crowded together distribution of single papilla or vesiculated papules without branching structure and capillary loops. The color of the lesions is unchanged after acetic acid stain. The lesions can be divided into vesicular proliferative type and ciliary proliferative type. Differing from condyloma, pseudocondyloma lesions showed histopathologically only slight proliferation of squamous epithelium, lack of diagnostic koilocytes and negative result in HPV immunohistochemical study and hybridization of HPV-DNA. It is a reliable method to make a diagnosis of pseudocondyloma by colposcopy and histopathology.

摘要

对147例经阴道镜及组织病理学诊断的假性湿疣患者及129例尖锐湿疣患者作为对照组进行研究。假性湿疣阴道镜下表现为单个乳头或水疱状丘疹密集分布,无分支结构及毛细血管袢。醋酸染色后病变颜色无改变。病变可分为水疱增殖型和绒毛增殖型。与尖锐湿疣不同,假性湿疣病变组织病理学表现仅为鳞状上皮轻度增生,缺乏诊断性挖空细胞,HPV免疫组化研究及HPV-DNA杂交结果为阴性。通过阴道镜及组织病理学诊断假性湿疣是一种可靠的方法。

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