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1、婦科名詞解釋1. 宮頸原位癌( intraepithelial carcinoma 或 carcinoma in situ ) Carcinoma in situ (CIS) of the cervix is terms used to describe the completely haphazard 雜( 亂 無章的)replacement of the stratified (分層的)epithelium (上皮)by abnormal cells showing the characteristic loss of polarit nuclear atypism(非典型)and cha
2、nges in nuclear cytoplasmic細胞漿的)ratio of neoplastic(新生的)cells. The abno rmal cells do not pen etrate the baseme nt membra nee膜).The process limited to the epithelium.2. 宮頸原位癌累及腺體 (carcinoma in situ with glandular involvement) . In intraepithelial carcinoma. these tumors frequently extend up into the
3、 cervical canal and replace the columnar cells lining the cervical glands, put the basement membra ne of the gla nds remai ns in tact (完整的)and uninv aded, The terms “ carcinoma in situ with glandular in volvement”is used to describe this condition.3. 宮 頸 早 期 浸 潤 癌 (early invasive carcinoma) 或 鏡 下 浸
4、潤 癌 (microinvasive carcinoma)Microinv asive carc inoma of the cervix is established only by histologic (組織學) study, since there is no grossly肉 眼地)visible or obvious malig nant tumor in the cervix. In some cases the lesion (損傷)is largely carcinoma in situ, butpenetration of the basement membrane by a
5、 small cluster of cells or spray of cells for a depth of less than 5mm below the basement membrane may occur. There is no evide nee of lymphatic (淋巴管)or blood vessel inv asi on and con flue nee 融 合)of the spray-like arran geme nt of can cer cells.4. 宮頸浸潤癌 (invasive carcinoma of cervix) Invasive carc
6、inoma of the cervix is defined as penetration of the basement membrane by camcer cells with or without blood vessel or lymphatic invasion. The depth of penetration is usually greater than 5mm below the basement membrane.5. 肌壁間肌瘤(intramural myoma )或 (interstitial myoma) The myoma lies within the uter
7、ine wall and surrounded by myometrium(子宮肌層).It comprises approximately 70% of all uterine myoma.6. 漿膜下肌瘤( subserous myoma 或 subperitoneal myoma) The myoma lies just at the serosa漿膜的)surface of the uterus and bulges隆起)outward from the myometrium.7. 子宮頸上皮內瘤變 (Cervical intraepithelial neoplasia,CIN) A
8、general term for the growth of abnormal cells on the surface of the cervix. Numbers from 1 to 3 may be used to describe how much of the cervix contains abnormal cells.8. 繼發(fā)閉經( secondary amenorrhea )Secondary amenorrhea in the absence ofmenses far 6 months in a woman in whom. normal menstrucation has
9、 been established or for 3 normal intervals in a woman will oligomenorrhea.9. 不孕癥 (infertility )A couple is said to be infertile if pregnancy does not result after 2 years of normal sexal activity without coutraceptives.10. 闊韌帶肌瘤 (intraligamentous myoma)The tumor that grow laterallybetween the leave
10、s of the broad ligament(闊韌帶)are called intraligamentous myoma.11.粘膜下肌瘤 (submucous myoma) The myoma lies beneath the endometrium (子宮內膜)and protrudes (伸出)in to the uteri ne cavity.12. 肌瘤紅色變性 (red degeneration) This type of degeneration occurs during pregnancy. Thrombosis (血栓形成)renous (靜脈的)congestion (
11、淤血)and interstitial (間質的) hemorrhag(e 出血) are responsible for the color of a myoma undergoing red degeneration. The process is usually accomparied by extreme pain.13. 腹膜粘液瘤(myxoma peritonei)In mucinous cystadenoma(粘液性囊腺瘤) a rare complication which sometimes develops if rupture of the cyst, the epith
12、elium (上皮)cells may seed onto the peritoneum (腹膜)and produce a pseudomyxoma peritonei腹膜假粘液瘤).The shape resembles the metastasi轉 移) of ovarian carcinoma.14. 皮樣囊腫(dermoid cyst) The mature teratoma畸胎瘤),which belongs to benign (良性的)ovarian tumor, is also called dermoid cyst.15. 梅格斯綜合征(Meig sSyndrome) Ov
13、arian fibromas (卵巢纖維瘤)in conjunction with ascites(腹水)and light hydrothorax (胸腔積水) constitute the Meig sSyndrome. The right pleural effusion (胸 r 膜滲漏)results from the permeation (滲透)of serous fruid (漿液的)through the diaphragmation (隔 膜的)lymphatics (淋巴管).16. 庫肯勃氏瘤 (krukenberg s tumoTr)he term krukenber
14、g tusmor should be reserved for those metastatic (轉移的)ovarian tumors with the characteristic histologic picture of mucin-laden, singnet-ring cells infiltrating ( 滲 入 ) a hyperplastic(增生的)ovarian stroma(基質)of spindle-shapped(梭形的)cells. It is ususlly from carcinoma of the stomach. They are usually bil
15、atera(l 雙側的) of moderate size, and curiously the normal shape of the ovary is retained.17. 葡萄胎(hydatidiform mole) Trophoblastic cells (滋養(yǎng)細胞)have different degree of proliferation (增生)。There is significant cystic degeneration (變性、 退化)of villous (絨毛的)stroma. Various size of vesiculae(水泡)are formed. Co
16、nnected with small pedicle (蒂的) and looks like a cluster of grapes, so it is called hydatidiform mole.18. 侵蝕性葡萄胎( invasive mole )Trophoblastic cells proliferate more market than the cell of hydatidiform mole, the villous stroma also form grape-like vesiculae due to cystic degeneration of stroma. It
17、s invasive ability is strong andcan invade into the myometrium(肌層)and metastasiz(轉移)to remote places.19. 功血(dysf un cti onal uteri ne bleedi ng ,DUB) Dysfun cti onaluteri nebleeding may be defined as occurence of irregular and excessive uterine bleeding, patients hare no organic disorders. Uterine b
18、leeding is caused by dysfunction of hypothalamus-pituitary-ovarian axis(下丘腦一主體一卵巢軸).20. 卵巢早衰 (premature ovarian failure ) Amenorrhea(閉經)occurs before the age of forty.21.Sheehan綜合征(sheehan s syndrome)This syndrome is due to atrophy (萎縮)of the anterior lobe of the pituitary gland,caused by ischemi(缺血
19、的)necrosis (壞死)followed severe postpartum hemorrhage (產后出血) or shock. Amenorrhea occurs with atrophy of genitalia (生殖器),Sterility (不育),loss of libido (性欲)and often the feature of hypothyroidism (甲狀腺機能減退)such as loss of hair, dry wrinkled skin,apathy and constantly feeling cold.22. Asherman 綜合征 (Ashe
20、rman s Syndrome)The syndrome refer to amenorrhea that follows distruction or elimination of the endometrium(子宮肌層).It is usually the result of overzealous curettage舌U 除術)postpartum or for therapeutic 治療性的)abortion. The result is intrauterine scarification, which may be seen as a pattern of multiple synechiae on hysterography.23. 子宮內膜異位癥 (end
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