宫颈蓝痣的临床病理分析

Clinicopathologic Analysison Endocervical Blue Nevus

目的探讨宫颈蓝痣的临床病理特点。方法收集2009年—2014年病理诊断为蓝痣的病例29例,从中筛选出皮肤以外的蓝痣10例,进行光镜观察。结果 10例皮肤外蓝痣均位于宫颈管下段,呈黑褐色斑块状,界限较清,粘膜光滑,未见明显凸起。光镜:宫颈管粘膜下间质浅层可见较多痣细胞散在及灶状分布,胞浆内充满棕褐色粗颗粒。结论蓝痣是一种罕见的良性的黑色素增生性病变,皮肤以外的病例大部分发生在宫颈。

Objective The purpose of this study is to explore the clinical and pathological features of the blue nevus of the uterine cervix. Methods Collected 29 casesof bluenevuspathological diagnosed from2009 to2014, 10 casesof extracutaneousbluenevuswere screened out. Results 10 cases of extracutaneous blue nevi are located in the lower section of cervical canal, dark brown plaque, was clear boundaries, mucosal smooth, noobviousbulge. Light microscopy： In cervical mucousinterstitial shallow, wecan seemorenevuscells scattered and spotty distribution, full brown coarse particles in the cytoplasm. Conclusion Blue nevus is a rare benign proliferative lesionsof melanin, themajority of extracutaneouscasesoccurred in thecervix.