囊腺瘤

The five most common benign lesions were dermoid cyst and epidermoid cyst, cavernous hemangioma, lymphangioma, pleomorphic adenoma, orbital inflammation. The five most common malignant lesions were lymphoma, lacrimal adenoid cystic carcinoma, rhabdomyosarcoma, melanoma, sebaceous gland carcinoma.

位于良性病变前5位的分别是皮样囊肿及表皮样囊肿、海绵状血管瘤、淋巴管瘤、泪腺混合瘤、慢性炎症和炎性假瘤；位于恶性肿瘤前5位的分别是淋巴瘤、泪腺囊腺癌、横纹肌肉瘤、黑色素瘤、皮脂腺腺癌。

A core needle biopsy misdiagnosed PASH in 13 cases out of 28 cases and vacuum-assisted biopsy correctly identified PASH in all 3 cases.

4细胞性纤维腺瘤和囊肉瘤：PASH缺乏真正的间叶细胞过生长的现象，其细胞缺乏多形性，无核分裂象，也没有纤维腺瘤或囊肉瘤的上皮成分的生长类型。

Results With the expression in normal salivary gland as a standard, low C-erbB-2 mRNA expression was seen in adenolymphoma, basal cell adenoma. However, various degrees of over-expression of C-erbB-2 oncogene mRNA were detected in pleomorphic adenoma, mucoepidermoid carcinoma,acinic cell carcinoma ,adenoid cystic carcinoma ,papillary cystic carcinoma,and myoethelial cell carcinoma.

结果 正常涎腺和涎腺肿瘤中发现不同程度C-erbB-2mRNA的表达，以正常涎腺组织的表达水平为基准，在腺淋巴瘤、基底细胞腺瘤呈现低表达、无表达或与正常涎腺组织表达水平相似，多形性腺瘤、粘液表皮样癌、腺泡细胞癌、腺样囊性癌、乳头状囊腺癌和肌上皮癌则呈现不同程度的过表达。

Results The tumors were divided into three types according to the CT findings. Type I: regular, homogeneous density and well-defined,there were 30 patients, included benign mixed tumor(n=29) and adenolymphomas(n=1); Type II:irregular, heterogeneous dentsity, poordefined, there were 15 patients, included benign mixed tumor(n=7), malignant mixed tumor (n=2),adenolymphomas(n=3), hemagioma(n=2),mucoepidermoid carcinoma(n=1). Type III: irregular and could not definded, there were 7 patients, included malignant mixed tumor(n=2), mucoepidermoid carcinoma(n=2), adenoid cystic carcinoma(n=1), malignant lymphoma(n=1), acinic cell carcinoma(n=1). Conclusion CT have important values in location and qualitative analyses of parotid gland.

结果 肿瘤按CT表现分三类：52例患者中，I类30例，形态规则呈类圆形，密度均匀，边缘清楚，除1例腺淋巴瘤外，29例均为良性混合瘤；II类15例，形态不规则，呈分叶状，密度欠均，边界较清或模糊，其中7例良性混合瘤，2例恶性混合瘤，3例腺淋巴瘤，2例血管瘤，1例黏液表皮样癌；III类7例，形态不规则，边缘无法确定，其中恶性混合瘤2例，黏液表皮样癌2例，囊腺癌1例，恶性淋巴瘤1例，腺泡细胞癌1例。

The available operation range in clivus and anterior cranial base by transsphenoidal opproach was also observed during the operation under the help of neuronavigational pointer. Forty-one patients underwent sublabial, transseptal, transsphenoidal approach to the pituitary region guided by Surgical Microscope Navigation was studied. The piriform aperture was 27. 2mm±3. 1 , the origin of inferior nasal concha 30mm±4. 1, the origin of middle nasal concha 27. 9mm±4. 3. These data are important for transsphenoidal approach, because the piriform aperture and the origin of both inferior and middle nasal conchas restricted the opening width of the Hardy specula. If any distance of these bony structures was much less than the mean one, may cause inadequate opening of the specula blade and resulting dissatisfied operative field. Microadenomas or cystic tumors perhaps can be operated even in a narrow exposure, but large or giant solid adenomas may need a proper evaluation including changing the operative approach or performing a bilateral submucous inferior conchotomy or posterior ethmoidectomy firstly.

手术中还利用CT导航系统观察棒研究了经口—鼻蝶窦入路在斜坡区和前颅底能够达到的实际有效操作范围，为扩大经蝶窦入路手术在斜坡区和前颅底的应用奠定基础，在国内外尚未见同类报道。41例垂体瘤患者梨状孔平均宽度27.2mm±3.1，下鼻甲根部附着处间距30mm±4.1，中鼻甲根部附着处间距27.9mm±4.3，这是经口—鼻蝶窦入路手术中，对Hardy双瓣鼻窥器张开限制的主要骨性结构，若患者这些径线值明显小于平均值，则可能因为鼻窥器打开不充分而影响手术暴露，当然对于垂体微腺瘤和以囊变为主的垂体瘤可能影响不大，但对于大和巨大垂体瘤必须要有充分的准备，包括评估是否改用其他入路，或先行鼻甲切除再行经蝶手术。

Benign SO showed itself to be solid,cystiform or cystiform-solid.They were typically filled with gelatinoid and light green-yellow fluid.

其中，7例良性，大体呈囊性、实性、囊实性，囊内为黄褐色胶样物和淡黄绿色液体；组织学类型有单纯型、腺瘤型、囊性变型。

Benign SO showed itself to be solid,cystiform or cystiform-solid.They were typically filled with gelatinoid and light green-yellow fluid.

其中，7例良性，体呈囊性、实性、囊实性，囊内为黄褐色胶样物和淡黄绿色液体；组织学类型有单纯型、腺瘤型、囊性变型。

The attenuation values at unenhanced and enhanced CT of the tumor were also recorded. Results The 32 cases adrenal neoplasms included 9 cases with aldosterone-producing adenoma, 5 hydrocortisone-producing adenomas, 1non-functional adenoma, 5 cortical hyperplasies,4 pheochromocytomas,2 adenocarcinomas, 3 metastases, 1 fibroneuroma, 1 ganglioneuroma and 1 myelolipomas. Conclusion The characteristics on CT images are associated with the pathological feature in adrenal neoplasms.

结果 醛固酮腺瘤9例，体积较小且密度低，增强后轻度增强；皮质醇腺瘤5例，瘤体较大，边界清，密度略低于正常肾上腺组织；无功腺瘤1例；结节增生5例，为等或稍低密度影，增强后强化较明显；嗜铬细胞瘤4例，体积较大，密度不均，可见多个囊变坏死区；皮质腺癌2例，肿块形态不规则，边缘模糊，密度不均匀，易发生大片坏死及点状钙化；转移瘤3例；神经纤维瘤、神经节瘤及髓性脂肪瘤各1例。

These two kind of diseases have their own characteristics in clinical and imaginal representation.but misdiagnosis is still happened.

乳腺纤维腺瘤与乳腺叶状囊肉瘤在临床和影像学表现方面都有其特征性，但临床上仍常出现误诊的情况，我们于2002年4月收治1例发病于妊娠哺乳期的28岁右乳巨大肿块女性病人，术前根据临床表现及影像学检查的结果考虑右乳叶状囊肉瘤的诊断，而术后的病理报告为乳腺纤维腺瘤。

These two kind of diseases have their own characteristics in clinical and imaginal representation.but misdiagnosis is still happened.We misdiagnosis one huge breast mase of 28 years old female in April,2002,whose diease come on during pregnancy and lactation.

乳腺纤维腺瘤与乳腺叶状囊肉瘤在临床和影像学表现方面都有其特征性，但临床上仍常出现误诊的情况，我们于2002年4月收治1例发病于妊娠哺乳期的28岁右乳巨大肿块女性病人，术前根据临床表现及影像学检查的结果考虑右乳叶状囊肉瘤的诊断，而术后的病理报告为乳腺纤维腺瘤。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。