论文部分内容阅读
目的 探讨宫颈息肉样病变的临床病理特点、诊断及鉴别诊断 .方法 分析了 42 39例宫颈息肉样病变的临床病理资料 ,进行光镜观察 ,部分病例进行了特殊染色和免疫组化染色 ,按病理组织学形态特点进行分类 .结果 宫颈息肉 (瘤样病变 )占 97 6 % ,其中纤维肉芽组织型 36 .9%、腺瘤样性息肉 2 4.0 %、单纯型 2 0 .0 %、血管瘤样型8.6 %、混合型 4.1%、囊肿型 2 .4%、淋巴组织增生型 2 .4%、假蜕膜型 1.4%、微腺管型 0 .3% ;肿瘤性病变占 2 .4% ,多为恶性肿瘤 .结论 宫颈息肉在病理形态上具有多态性 ,在诊断宫颈息肉时要注意与息肉样改变的真性肿瘤鉴别 ,还要考虑到部分类型宫颈息肉的潜在恶性 .
Objective To investigate the clinicopathological features, diagnosis and differential diagnosis of cervical polypoid lesions.Methods Clinicopathological data of 42 39 cervical polypoid lesions were analyzed by light microscopy, and some cases were stained by special staining and immunohistochemistry according to pathology Histopathological features were classified.Results Cervical polyps (tumor-like lesions) accounted for 97.6%, of which fibrous granulation tissue 36.9%, adenomatous polyps 2-4.0%, simple type 20.0%, hemangioma 8.6% of mixed type, 4.1% of mixed type, 2.4% of cyst type, 2.4% of lymphoid tissue hyperplasia type, 1.4% of pseudo-decidua type, 0.3% of microtubule type; Mostly malignant tumors.Conclusion Cervical polyps in the pathological morphology of polymorphisms in the diagnosis of cervical polyps should pay attention to changes in the true polyp like tumors, but also consider the potential of some types of cervical polyp malignancy.