日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505　Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections　Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 29(1): 91-94 (2018)
doi:10.24775/jjsti.29.1.91

原著原著

女性尖圭コンジローマ感染症における感染部位と子宮頸部異形成の割合Ratio of condyloma acuminatum lesion sites in female genitals and its association with cervical intraepithelial neoplasia occurrence

金森 千春1，金森 崇修2Chiharu Kanamori1, Takanobu Kanamori2

1 医療法人晋晃会ちはるクリニックChiharu clinic

2 東梅田かなもりクリニックHigashiumeda Kanamori clinic

受付日：2018年3月19日Received: March 19, 2018
受理日：2018年9月10日Accepted: September 10, 2018
発行日：2018年9月30日Published: September 30, 2018
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当クリニックを2017年6月～8月に受診した94人の女性尖圭コンジローマ患者（平均年齢　32.0歳；17～52歳）における感染部位（疣贅の発生部位）は、外陰、肛門周囲が96.8%、腟内、子宮頸部が95.7%、肛門内が29.8%、尿道が17.0%であった。子宮頸部スメア異常は36.2%に見られ、子宮頸部異形成の発生割合は、CIN1以上が23.4%、CIN2以上が4.3%、CIN3以上が2.1%であり、女性尖圭コンジローマの診察の際には外陰部以外の病変を念頭におき視診を行い、さらに子宮頸がんの合併を視野にいれた診察の必要性が示唆された。

Female Japanese patients presenting with condyloma acuminatum at our clinic during June 2017 and August 2017 were analyzed. There were 94 eligible patients, with a mean age of 32.0 (15–72) years. The condyloma-affected sites were categorized as anogenital (96.8%), vaginal and cervical (95.7%), or of the intra-anal canal (27.9%) and ureter (17.0%). Overall, 36.2% patients showed abnormal cervical cytology. The prevalence of cervical intraepithelial neoplasia (CIN) was 23.4%. CIN3 was observed in 2.1%, and CIN2 was also observed in 2.1% patients. These results suggest the necessity of intra-anal and ureter examination because CIN were frequently detected in genital condyloma acuminatum patients.

Key words: condyloma acuminatum; anal lesion; ureter lesion; CIN

© 2018 一般社団法人日本性感染症学会© 2018 Japanese Society for Sexually Transmitted Infections

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