ENDOMETRIAL CARCINOMA AND ITS PRECANCEROUS LESIONS RELATED WITH GLANDULAR CYSTIC HYPERPLASIA
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概要
- 論文の詳細を見る
文献的にみてGCHとADHあるいはGCHとATHとの共存例について研究した報告は少ない.今回,GCHに合併して認められたADH,ATHおよびECAについて病理形態学的に検討し,GCH及びこれら前癌性病変が癌発生過程の上で如何なる意義を有するかについても考究した.得られた成績は以下の如くである.1.184例のGCH及びこれと関連する疾患のうち,純粋なGCHは112例(60.9%),GCHにADHを伴うものが56例(30.4%),GCHにATHを伴うものが11例(6.0%)にみられた.更にGCHを足場として発生したと考えられるECAが5例(2.7%)に認められた.2.GCHはECAのremote precursorとなりうることが示唆された.即ちGCHからADH,更にATHの過程を経てECAへ進展したと思われる症例の頻度は上述の如く,段階的に減少し,かつ各々の間に移行像が認められた.3.GCH及び一部のADHでは腺上皮及び間質細胞の両者が増生し,しばしばsecretory changeの像を認めた.一方,ATHでは一般に間質の増生が低下し,腺上皮の増生が主体となり,腺上皮や間質細胞におけるsecretory changeも不著明化した.この事実はこれら前癌性病変がECAへ発展し易い状況であることを示すものである.
- 社団法人日本産科婦人科学会の論文
- 1983-05-01
著者
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Fukuta Toru
Department Of Obstetrics And Gynecology Shinshu University School Of Medicine
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Fukuta Toru
Department Of Obstetrics & Gynecology Shinshu University School Of Medicine
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FUKAMATSU Yoshihito
Department of Obstetrics and Gynecology, Shinshu University School of Medicine
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Fukamatsu Yoshihito
Department Of Obstetrics And Gynecology Shinshu University School Of Medicine
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Tsukahara Yoshiharu
Department Of Obstetrics And Gynecology Yamanashi Medical College
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Tsukahara Yoshiharu
Department Of Obstetrics And Gynecology Faculty Of Medicine Yamanashi Medical College
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Tsukahara Yoshiharu
Department Of Obstetrics & Gynecology Shinshu University School Of Medicine
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Fukuta Toru
Department Of Obstetrics Alrd Gynecology Shinshu University School Of Medicine
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塚原 嘉治
Department of Obstetrics and Gynecology, Faculty of Medicale, Shinshu University
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福田 透
Department of Obstetrics and Gynecology, Shinshu University School of Medicine
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