2024-03-29T15:51:50Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015719
2022-10-31T07:43:14Z
1642838163960:1642838198944:1642838233003:1642838236087
1642838403551:1642838412624
[症例報告]絨毛癌および不全流産の細胞診における問題点の検討
Problems in Cytological Examination Concerning the Differential Diagnosis of Choriocarcinoma and Status of Post-incomplete Abortion
豊田, 善成
松井, 克明
外間, 政哲
宮里, 達也
佐久本, 薫
仲地, 広順
東, 政弘
武藤, 良弘
Toyoda, Zensei
Ohshiro, Choko
Tamanaha, Hideo
Matsui, Katsuaki
Hokama, Seitetsu
Miyasato, Tatsuya
Sakumoto, Kaoru
Higashi, Masahiro
Nakachi, Hiromasa
Muto, Yoshihiro
open access
琉球医学会
cytology
choriocarcinoma
The results of cytological examinations of two choriocarcinomas and one material of incomplete abortion are discussed about the points of differential diagnosis of these diseases. The specimens for the cytological examinations were obtained by scraping from the cut surfaces of the surgically removed materials. The smears revealed many number of abnormal cells which are distributed as scattered single cell or gathering. The abnormal cells had large and thick cytoplasm and hyperchromatic nuclei which were lobulated or multinucleated and they were diagnosed as atypical trophoblasts. In the background, there were necrotic materials and abundant red blood cells. These findings of the cytological examinations were diagnostic for choriocarcinoma. On the other hand, another smears obtained from the materials of uterine curettages also revealed hyperchromatic cells resembled to those found in choriocarcinoma. Then the patient was suspected a choriocarcinoma at first based on the results of cytological examination. However, the later histological examination of the resected uterus did not show any malignancies and the case was finalmy diagnosed as incomplete abortion. This experience lead us to the conclusion that the establishment of definite diagnosis of choriocarcinoma or abortion is difficult by a cytological examination amone.
論文
琉球大学医学部
Faculty of Medicine, University of the Ryukyus
1984
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015719
https://u-ryukyu.repo.nii.ac.jp/records/2015719
0289-1530
AN10027430
琉球大学医学会雑誌 : 医学部紀要 = Ryukyu medical journal
7
4
209
215
https://u-ryukyu.repo.nii.ac.jp/record/2015719/files/v7p209.pdf