绒毛在绒毛膜癌与恶性葡萄胎鉴别诊断中的意义  

CHORION1G VILLI IN THE DIFFERENTIAL DIAGNOSIS OF CHORIOCARCINOMA FROM INVASIVE MOLE

作　　者：熊世钢[1] 姚敏[1] 王萍[1] 

机构地区：[1]蚌埠医学院病理学教研室

出　　处：《蚌埠医学院学报》1990年第1期20-22,共3页Journal of Bengbu Medical College

摘　　要：本文对有随访结果的53例绒癌和48例恶葡进行组织病理学和免疫组织化学观察。提出绒毛的出现并不能作为鉴别绒癌和恶葡的唯一指标,而应参考下列情况:1.恶葡绒毛,2.退变绒毛(可进一步分为倾向进一步恶变和向良性转化两种发展趋势),3.残存的胎盘绒毛,4.恶葡与绒癌同时并存等;并应结合临床资料,方能作出正确诊断。A histopathologic and immunohistochemical study of pathologically-established uterine choriocarcinoma ( CC ) and invasive mole ( IM ) was carried out in 101 follow-up cases ( 53 CC and 48 IM ) . Our observations suggest that the presence of chorionic villi should not be used as the sole criterion in the differential diagnosis of CC from IM, and the following observations are noteworthy: 1) degenerative villi, which could be subdivided into those with malignant tendency and those transforming into the benign ( recurrence ) ; 2) remaining villi of placenta; 3 ) the villi of IM; and 4 ) coexistence of CC with IM. In order to make a correct diagnosis the clinical data should also be taken into consideration

关 键 词：绒毛 绒毛膜癌 葡萄胎 诊断 

分 类 号：R737.330.4[医药卫生—肿瘤]