Minassian H, Schinella R, Reilly J C
Department of Pathology, Monmouth Medical Center, Long Branch, New Jersey 07740.
Acta Cytol. 1993 Mar-Apr;37(2):149-52.
We examined 6,132 cervical smears, applying strict criteria separating hematoidin cockleburrs from crystalline bodies. We found only crystalline bodies in 37 cases. There was a significant increase in the incidence of crystalline bodies in women taking oral contraceptives and in pregnant women. The bodies were not associated with an increase in complications of pregnancy or of abnormal births. A review of the literature led us to the conclusion that in cervical smears two types of crystalline structures may be found. One of these is the hematoidin body, which is related to hemorrhage during pregnancy and is probably associated with an increase in complications of pregnancy or abnormal births; the other, crystalline bodies, is not. We also conclude that crystalline bodies are much more common than hematoidin bodies. We found an unexpectedly high association of crystalline bodies with low grade squamous intraepithelial lesion (CIN1) in cervical smears.
我们检查了6132份宫颈涂片，采用严格标准将血晶刺与晶体区分开来。我们仅在37例中发现了晶体。服用口服避孕药的女性和孕妇中晶体的发生率显著增加。这些晶体与妊娠并发症或异常分娩的增加无关。文献综述使我们得出结论，在宫颈涂片中可能会发现两种类型的晶体结构。其中一种是血晶，它与孕期出血有关，可能与妊娠并发症或异常分娩的增加有关；另一种是晶体，则并非如此。我们还得出结论，晶体比血晶更为常见。我们发现在宫颈涂片中，晶体与低级别鳞状上皮内病变（CIN1）存在出乎意料的高度关联。
