CAJ | 학술논문

目的：探讨输卵管妊娠与早期水泡状胎块的鉴别诊断。方法对32例输卵管妊娠病理标本进行回顾性分析，观察绒毛的镜下改变，并复习相关文献。结果32例输卵管妊娠标本中，25例部分绒毛有水肿，10例有中央池形成，7例个别绒毛呈扇贝状，5例绒毛间隙成片滋养细胞轻度异型，2例种植部位滋养细胞轻度异型，2例个别绒毛滋养细胞环绕绒毛花边样增生。结论输卵管妊娠的病理表现主要为绒毛水肿、绒毛中央池形成、扇贝状绒毛、个别绒毛滋养细胞环绕绒毛花边样增生、滋养细胞异型。病理诊断应与水泡状胎块进行鉴别。
목적：탐토수란관임신여조기수포상태괴적감별진단。방법대32례수란관임신병리표본진행회고성분석，관찰융모적경하개변，병복습상관문헌。결과32례수란관임신표본중，25례부분융모유수종，10례유중앙지형성，7례개별융모정선패상，5례융모간극성편자양세포경도이형，2례충식부위자양세포경도이형，2례개별융모자양세포배요융모화변양증생。결론수란관임신적병리표현주요위융모수종、융모중앙지형성、선패상융모、개별융모자양세포배요융모화변양증생、자양세포이형。병리진단응여수포상태괴진행감별。
Objective To investigate the pathology method of early hydatidiform mole (HM) in tubal preg-nancy.Methods Specimens of 32 cases of tubal pregnancy were gotten for re-reading and obseving the changes of microscope, and the related literature were reviewed .Results In the 32 cases, 25 cases showed edema of partial vil-li, 10 cases showed central pool forming , 7 cases showed individual villus with the form of scallops , 5 cases showed schistose trophoblast cells with mild atypia in intervillous space , 2 cases showed trophoblast cells with mild atypia at planting site, 2 cases showed individual villus trophoblast cells wrapping villus lacy hyperplasia of trophoblast cells . Conclusion Tubal pregnancy could showed edema of villi , central pool formation, scallop-like villus, individual vil-lus wrapping villus lacy hyperplasia of trophoblast cells , trophoblast cells atypia , and just through light microscopic morphology alone it could easily be misdiagnosed as hydatidiform mole .To avoid the misdiagnosis , it should be nec-cessary to found other method of differential diagnosis on the basis of light microscopic observation .