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Pathological differences between\nisolated or single-organ NV and systemic necrotizing vasculitides have been rarely evaluated. Thus, this\nstudy aimed to determine the clinicopathological characteristics of NV of the uterine cervix and evaluate\nwhether affected vessels are pathologically different from those in classic polyarteritis nodosa. We selected\n405 cases of conization that were operated from 2003 to 2017 in our hospital, and follow-up data until 2018\nwas obtained for patients with vasculitis. NV was evaluated with sections stained by hematoxylin and eosin,\nelastica van Gieson, phosphotungstic acid-hematoxylin, and immunohistochemistry. Histological specimens\nof systemic necrotizing vasculitides were unavailable. NV and lymphocytic vasculitis (LV) of the uterine\ncervix were found in, respectively, six (1.5%) and 26 (6.4%) of the 405 cases; no granulomatous vasculitis was\nobserved. All cases with vasculitis were asymptomatic and uneventful during the follow-up period, which\nsuggested that the vasculitis of the uterine cervix in our study was single-organ vasculitis. Lymphocytes\nwere the main inflammatory infiltrates in NV and LV, and neutrophilic infiltrate was inconspicuous. All NV\ncases showed subintimal localization of fibrinoid necrosis, which did not involve the media. The NV cases in\nour study differ from the typical NV in classic polyarteritis nodosa. 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Is the pathological feature of necrotizing vasculitis isolated in the uterine cervix different from that of classic polyarteritis nodosa? A single institutional study
https://redcross.repo.nii.ac.jp/records/18008
https://redcross.repo.nii.ac.jp/records/18008b676c8d9-b29e-4907-8f7c-920082b753f0
名前 / ファイル | ライセンス | アクション |
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高知赤十字病院医学雑誌Vol.25-23 (1.6 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-04-15 | |||||
タイトル | ||||||
タイトル | Is the pathological feature of necrotizing vasculitis isolated in the uterine cervix different from that of classic polyarteritis nodosa? A single institutional study | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Is the pathological feature of necrotizing vasculitis isolated in the uterine cervix different from that of classic polyarteritis nodosa? A single institutional study | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | necrotizing vasculitis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | uterine cervix | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | isolated vasculitis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | single-organ vasculitis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | polyarteritis nodosa | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | necrotizing vasculitis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | uterine cervix | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | isolated vasculitis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | single-organ vasculitis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | polyarteritis nodosa | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Yorita, kenji
× Yorita, kenji× Hirano, Koki× Kai, Yuka× Tanaka, Yu× Takahashi, Yohei× Arii, Kaoru |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Necrotizing vasculitis (NV), which could be observed in systemic necrotizing vasculitides such as classic polyarteritis nodosa, is characterized by fibrinoid necrosis, which typically involves the media. Among the gynecologic organs, the uterine cervix is the most frequent site of vasculitis; NV of the uterine cervix is usually asymptomatic and unrelated to systemic vasculitis. Pathological differences between isolated or single-organ NV and systemic necrotizing vasculitides have been rarely evaluated. Thus, this study aimed to determine the clinicopathological characteristics of NV of the uterine cervix and evaluate whether affected vessels are pathologically different from those in classic polyarteritis nodosa. We selected 405 cases of conization that were operated from 2003 to 2017 in our hospital, and follow-up data until 2018 was obtained for patients with vasculitis. NV was evaluated with sections stained by hematoxylin and eosin, elastica van Gieson, phosphotungstic acid-hematoxylin, and immunohistochemistry. Histological specimens of systemic necrotizing vasculitides were unavailable. NV and lymphocytic vasculitis (LV) of the uterine cervix were found in, respectively, six (1.5%) and 26 (6.4%) of the 405 cases; no granulomatous vasculitis was observed. All cases with vasculitis were asymptomatic and uneventful during the follow-up period, which suggested that the vasculitis of the uterine cervix in our study was single-organ vasculitis. Lymphocytes were the main inflammatory infiltrates in NV and LV, and neutrophilic infiltrate was inconspicuous. All NV cases showed subintimal localization of fibrinoid necrosis, which did not involve the media. The NV cases in our study differ from the typical NV in classic polyarteritis nodosa. |
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書誌情報 |
高知赤十字病院医学雑誌 en : Medical Journal of Japanese Red Cross Kochi Hospital 巻 25, 号 1, p. 11-18, 発行日 2022-04-15 |
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出版者 | ||||||
出版者 | 高知赤十字病院 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0919-7427 | |||||
権利 | ||||||
権利情報 | 高知赤十字病院 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |