侵蚀性葡萄胎和绒癌的临床与病理诊断  

Clinical and pathologic diagnosis of choriocarcinomaand invasive hydatidiform mole.

作　　者：朱笕青[1] 徐益峰[1] 

机构地区：[1]浙江省肿瘤医院

出　　处：《中国实用妇科与产科杂志》1995年第3期157-158,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：本文通过２２７例恶性妊娠性滋养叶细胞肿瘤的病理学诊断，评价了侵蚀性葡萄胎和绒癌的临床诊断标准。根据末次妊娠性质，①足月产组：４１例（１００％）均为绒癌；②流产组：５１／５４例（９４．４％）为绒癌；③葡萄胎组：自葡萄胎排出至病理确诊时间，６个月以内，７１／８０例（８８．８％）为恶葡；１２个月以上，３４／３５例（９７．１％）为绒癌；６～１２个月，１４／１７例（８２．４％）为绒癌。27 cases of malignant gestational trophoblastictumor proved by pathology were presented to evaluatethe criteria of clinical diagnosis of choriocarcinoma andinvasive mole in this paper. All the cases were dividedinto 3 groups: (1 ) Term pregnancy group: In thisgroup,all the 41 cases were with choriocarcinoma. (2)Abortion group:There were 54 cases in this group among which 51 cases(94. 4% )suffered from choriocarcinoma. (3) Hydatidiform mole group ; In this group,there were 132 cases and was also divied into 3 subgroups. (A) In group A,there were 80 cases,of which71 cases were with invasive mole and the durationfrom the expelling of mole to pathologic diagnosis waswithin 6 monthes. (B) In this group,if the above timewas over 12 monthes,there were 34 out of the 35 cases suffered from choriocarcinoma (97. 1 % ). (C)In thisgroup, if the above time was 6 w 12 monthes, therewere 14 out of the 17 cases suffered from choriocarcinoma.

关 键 词：滋养叶细胞肿瘤 子宫肿瘤 绒毛膜腺癌 诊断 

分 类 号：R737.330.4[医药卫生—肿瘤]