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本文以5例绒癌的病理特点来讨论绒癌误诊因素。病理特点:增殖间变之滋养细胞大片地侵犯肌层及血管,常有远处转移及出血坏死。无绒毛结构。病人主诉常是转移灶症状,如不注意可误诊。少数病例原发瘤消失,死于转移瘤,更易误诊,这可能由于机体具有一种抵抗滋养组织侵犯因素在子宫增强的结果。有的绒癌病例孕试阴性,这也可误诊,其原因可能与癌组织广泛坏死及试剂不佳等因素有关,本组有两例在葡萄胎后,潜伏期均三年,三例在流产及足月产后,潜伏期分别为1.5、3、16年,这和文献记载近似。
In this paper, the pathological features of 5 cases of choriocarcinoma to discuss misdiagnosis factors. Pathological features: Proliferation of large trophoblast cells invade the muscle and blood vessels, often distant metastasis and hemorrhage and necrosis. Lint-free structure. Patients often complain of metastatic symptoms, if not pay attention to misdiagnosis. A small number of cases of primary tumor disappeared, died of metastases, more easily misdiagnosed, which may be due to the body has a resistance to nourishing tissue invasion factors in the uterus enhanced results. Some cases of choriocarcinoma negative pregnancy test, which may be misdiagnosed, the reason may be widespread necrosis and poor cancer reagents and other factors related to this group, two cases of hydatidiform mole, the incubation period of three years, three cases of abortion and After full-term labor, the incubation period was 1.5, 3, 16 years, which is similar to the literature.