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呼吸道乳头状瘤癌变1例及文献复习
引用本文:左震华,赵铁梅,管希周,邵汇琳. 呼吸道乳头状瘤癌变1例及文献复习[J]. 临床肺科杂志, 2011, 16(4): 569-571
作者姓名:左震华  赵铁梅  管希周  邵汇琳
作者单位:1. 解放军总医院,呼吸科,北京,100853
2. 解放军总医院,病理科,北京,100853
摘    要:目的探讨呼吸道乳头状瘤癌变的病因,临床特点、病理及病理生理机制等。方法结合收治1例患者的临床资料及近10年国内外已发表有较完整临床资料的患者,就其病因、临床特点及病理表现进行综合分析。结果人乳头状瘤病毒(HPV)感染为呼吸道乳头状瘤主要病因,其中HPV-16,18密切相关。该疾病具有生长快、多发性及易复发等临床特点,少数发生癌变,即鳞状细胞癌。已发现p53、Rb蛋白p21、EGFR-STAT3等多种蛋白基因与恶变相关。结论呼吸道乳头状瘤病因、临床表现及病理生理等均有一定特点,癌变者为少数,确诊有赖于病理,基因检测也有助于诊断。

关 键 词:人乳头状瘤病毒  乳头状瘤  癌变

The review of literature with a case of juvenile laryngeal papilloma(JLP)
ZOU Zhen-hua,ZHAO Tie-mei,GUAN Xi-zhou,SHAO Hui-lin. The review of literature with a case of juvenile laryngeal papilloma(JLP)[J]. Journal of Clinical Pulmonary Medicine, 2011, 16(4): 569-571
Authors:ZOU Zhen-hua  ZHAO Tie-mei  GUAN Xi-zhou  SHAO Hui-lin
Affiliation:The General Hospital of the People′s Liberation Army Pneumology Department,Beijing100853,China
Abstract:Objective To investigate the reason,clinical,of juvenile laryngeal papilloma(JLP).Methods1 case of JLP in PLA General Hospital was retrospectively analyzed and the literature published in the last ten years were reviewed.ResultsSquamous cell carcinoma arise from extensive respiratory papilomatosis.Human papilloma virus is associated with respiratory papillomatosis,and HPV-16,18-associated JLP malignant transformation.ConclusionsThe clinical,pathophysiology of JLP is characteristic.The diagnosis depends on p...
Keywords:Human papilloma virus  Papillary epithelioma  Malignant transformation  
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