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外阴上皮内瘤变

Vulvar intraepithelial neoplasia:a case report

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【作者】 徐顺明费晓春谭娟王登山周贤琼

【Author】 XU Shun-ming,FEI Xiao-chun,TAN Juan,WANG Deng-shan,ZHOU Xian-qiong (Department of Dermatology,People’s Hospital of Pudong New Developed Area,Shanghai 201200,China)

【机构】 上海市浦东新区人民医院皮肤科

【摘要】 报告1例以红色疣状斑块为主要表现的外阴上皮内瘤变。患者女,79岁。外阴部出现疣状斑块0.5年。皮肤科检查见两侧大阴唇内侧下部各见约6cm×4cm和4cm×3cm的红色疣状斑块,会阴联合处同时受累。右侧大阴唇内侧皮损组织病理检查:表皮近全层间变,细胞核深染,可见核分裂象。免疫组化染色结果示Ki-67及p53阳性,人乳头瘤病毒(HPV)检测阴性。诊断:外阴上皮内瘤变(分化型)。

【Abstract】 A case of vulvar intraepithelial neoplasia is reported.A 79-year-old female presented with lesions in the vulvar for half a year.Physical examination found two red verruciform plaques at the inner side of both labia majora,in a size of 6 cm×4 cm or 4 cm×3 cm,with the involvement of her posterior labial commissure.Histopathology of skin lesions showed anaplasia in the all layers of dermis,with hyperchromatic nuclei and mitotic figures.Immunohistoehemical study showed positive staining for Ki-67 and p53,and negative staining for HPV.The patient was diagnosed as vulvar intraepithelial neoplasia (differentiated type).

【关键词】 内瘤变外阴上皮
【Key words】 neoplasiavulvar intraepithelial
  • 【文献出处】 临床皮肤科杂志 ,Journal of Clinical Dermatology , 编辑部邮箱 ,2009年10期
  • 【分类号】R730.261
  • 【被引频次】1
  • 【下载频次】32
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