THE CURRENT CLINICAL PRESENTATION OF COMPLETE MOLAR PREGNANCY
THE CURRENT CLINICAL PRESENTATION OF COMPLETE MOLAR PREGNANCY
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目前完全性葡萄胎妊娠的临床表现
DOI：
10.1136/ijgc-00009577-200303001-00284
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
S. Segal
中科院分区：
文献类型：
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作者：
O. Gemer;A. Kopmar;S. Segal
58-81），在对子宫 MMMT 进行明确手术治疗之前，使用办公室宫腔镜和盐溶液进行宫腔镜检查作为扩张的手段。所有患者均处于绝经期，其中 5 名患者 (41.7%) 未生育。宫腔镜检查结果与手术后的病理特征相关。结果：宫腔镜检查对所有患者都是可行的。 6例患者子宫腔肿瘤表现为息肉样病变，伴有脑部、坏死变性区、血管不规则扩张。在 3 名患者中，肿瘤表现为真正的带蒂病变，在 1 例患者中，肿瘤表现为粘膜下肌瘤，具有血管丰富和坏死变性区域。在一种情况下，子宫腔看起来很规则，而在另一种情况下，由于子宫颈上有花椰菜病变，因此无法评估。 5例患者肿瘤扩散至宫颈管。宫颈管的受累是基于肥大的乳头状突起或血管丰富的息肉样微病变（具有灰色、易碎区域）的检测。所有病例均经过子宫病理检查后确诊为宫颈受累。 3例（25%）腹膜细胞学检查呈阳性，均为晚期（1例III期，2例IV B期）。结论：宫腔镜检查有助于子宫 MMMT 分期，并且与腹膜细胞学阳性的增加无关。
58—81), had hysteroscopic examination with office hysteroscope and saline solution as mean of distention before definitive surgical treatment for a MMMT of the uterus. All patients were in menopause and 5 patients (41,7%) were nulliparous. Hysteroscopic findings were correlated with pathologic features following surgery. Results: Hysteroscopy was feasible in all patients. The tumor in the uterine cavity presented as a polypoid lesion with cerebroid aspect, necrotic-degenerative areas and irregular and dilated vessels in six patients. In 3 patients the tumor appeared as a true peduncolated lesion and in one case as a submucous myoma with hypervascularized and necrotic-degenerative areas. In one case the uterine cavity seemed regular and in another it was not evaluable due to a cawliflower lesion on the cervix. 5 patients had extention of the tumor to the cervical canal. Involvement of the cervical canal was based on detection of hypertrofic papillary projections or hypervascularized polypoid microlesions with greyish, friable areas. Cervical involvement was confirmed in all cases after pathologic examination of the uterus. Positive peritoneal cytologywas found in 3 patients (25%), all of them had advanced stage disease (one stage III and two stage IV B). Conclusion: Hysteroscopy is useful in staging of MMMT of the uterus and is not associated with an increase of positive peritoneal cytology.