有结节

Abstract］ objective to study the pathological features and histopathological type and differential diagnosis of hepatic focal nodular hyperplasia.methods the clinicopathological characteristics of 40 cases of fnh were studied.all were evaluted by use of paraffin embedded sections and he staining before light microcope observation.results there were 28 females and 12 males fnh patients whose age were from 16 to 62 years（median 41.3）,all alpha-fetoprotein was negative and had no hepatitis history.25 cases were classic type showed characteristic central stellate fibrotic scar,composed of fibrous connestive tissue and tortuous blood vessels.8 cases were telangiectic type,the left were mixed type and adenomatoid type.conclusion fnh is a reactive proliferation of hepatic cells to local blood vessel anomalies,it is not realy a tumor.its differential diagnosis includes hepatic adenomatous hyperplasia nodule,hepatic anaplasia nodular hyperplasia,fibrolamellar hepatocellular carcinoma and hepatocellular adenoma.

目的 探讨肝局灶性结节性增生的病理形态特点、组织分型及鉴别诊断。方法分析40例肝局灶性结节性增生的临床资料，并采用石蜡包埋he染色光镜下观察其组织学特点。结果 40例肝局灶性结节性增生患者中，女28例，男12例，年龄18~62岁，平均年龄41.3岁，所有病例术前均无肝炎病史，甲胎蛋白阴性，组织学上25例为经典型，有特征性的中央纤维瘢痕，由纤维结缔组织及扭曲血管组成。8例为毛细血管扩张型，其余为混合型及腺瘤样增生型。结论肝结节性增生是一种肝细胞对局部血管的异常反应性增生，并非真性肿瘤，主要与肝腺瘤样增生性结节、肝间变性结节状增生、肝纤维板层癌及肝细胞腺瘤鉴别。

Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例，所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶，其中4例为两对母子关系，并见两位母亲合并有肾脏错构瘤，；②神经纤维瘤病1例，MRI表现为椎管异常，胸腰段脊柱侧弯，椎体后缘呈明显的切凹改变；伴有双肾发育不良，CT示肾内多个高密度影，背部皮肤多量脂肪堆积，③脑颜面血管瘤综合征6例， CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化，部分延伸致侧脑室内，增强后见病灶内有扭曲的条状和结节状明显强化的血管影；④小脑血管瘤病4例，影像学表现为小脑内大囊、小结节样占位性病变。

The rate of pleural effusion to diagnose is 88.9% under thoracoscopy:tuberculous pleurisy displays mainly pleura hairy nubble and diffuse white millet nubs and pleural thickeningthe trabe-form conglutination can been found; and metastatic tumor of pleura shows gray tuberculum impar and inequality of size nodosities with diffused pleural congestive and edema in the CPA and disphragmatic muscle.

结核性胸膜炎主要表现为胸膜多发结节，部分病灶出现弥漫性白色粟粒样结节和胸膜增厚，可见条索状粘连；而转移性胸膜肿瘤主要表现在肋膈角、横膈处的灰白色单结节和大小不等的多结节；非特性慢性炎症性胸膜炎主要为胸膜充血水肿，胸膜增厚纤维增生或粘连，少见有单个或多个结节增生。

The rate of pleural effusion to diagnose is 88.9% under thoracoscopy:tuberculous pleurisy displays mainly pleura hairy nubble and diffuse white millet nubs and pleural thickening,the trabe-form conglutination can been found; and metastatic tumor of pleura shows gray tuberculum impar and inequality of size nodosities with diffused pleural congestive and edema in the CPA and disphragmatic muscle.

结核性胸膜炎主要表现为胸膜多发结节，部分病灶出现弥漫性白色粟粒样结节和胸膜增厚，可见条索状粘连；而转移性胸膜肿瘤主要表现在肋膈角、横膈处的灰白色单结节和大小不等的多结节；非特性慢性炎症性胸膜炎主要为胸膜充血水肿，胸膜增厚纤维增生或粘连，少见有单个或多个结节增生。

The suspicion of cancer is increased by the following factors:(1) age (young patients are more susceptible);(2) sex, if the patient is a man (more women have thyroid cancer by a ratio of 2:1, but women have more thyroid disease by a ratio of about 8:1; thus, a man with a nodule should be regarded with greater suspicion);(3) a solitary nodule (multinodular lesions are usually benign unless there is a dominant cold nodule by thyroid scan);(4) a cold nodule on thyroid isotopic scanning (hot nodules are seldom cancerous);(5) a history of radiation exposure to the head, neck, or chest, especially in infancy and childhood (eg, for an enlarged thymus or enlarged tonsils, acne, or lymphoma);(6) radiographic evidence of fine, stippled psammomatous calcification or dense, homogeneous calcification;(7) recent or rapid enlargement; and (8) stony-hard consistency.

下列因素可增加癌的可疑性：(1)年龄；(2)性别，如果病人为男性(女性与男性的甲状腺癌比为2：1，但女性更多的是得甲状腺病，约为8：1，因此，男性有甲状腺结节时应考虑癌的可能性更大)；(3)孤立小结(多结节病变一般为良性，除非甲状腺扫描时呈明显的冷结节)；(4)甲状腺同位素扫描时发现冷结节；(5)有过头、颈、胸放射接触史，尤其是婴儿和儿童期(例如，因胸腺增大或扁桃体肿大、痤疮或淋巴瘤等)；(6)X线片见细、斑点状、沙粒样钙化或致密、匀质钙化；(7)最近增大或快速增大；(8)质地石头样坚硬。

In malignant room skin tumour early phase can see something without the aid of instruments in regular or opaque dirty tier or wall have a lot of white or the gray pellet and form festival or the lamina on tier of pleurae Piece with the development of tumour change thickly long and change thickly long full pleura surface tubercle the tumour tubercle stretches room skin to all sides postpone continuing becoming movie cyst lungs uses the person The cellar is getting smaller as shrinking more and makes to be put into much trouble inclining a chest wall subside.

在恶性间皮瘤早期，肉眼可见在正常或不透明的脏层或壁层胸膜上有众多白色或灰色颗粒和结节或薄板块，随着肿瘤的发展，胸膜表面愈来愈变厚，长满结节，间皮瘤结节向四方伸延，连续成片，包囊肺脏使其窖越缩。。。在恶性间皮瘤早期，肉眼可见在正常或不透明的脏层或壁层胸膜上有众多白色或灰色颗粒和结节或薄板块，随着肿瘤的发展，胸膜表面愈来愈变厚，长满结节，间皮瘤结节向四方伸延，连续成片，包囊肺脏使其窖越缩越小

Results: Within the 34 cases, 2 cases with nodular goitre primarily located at thoracic inlet, while goitres elongated from cervical thyroid to thoracic inlet in 32 cases. Total 63 nodules were found in 34 patients with nodular goitres. Among them, 42 nodules elongated from cervical thyroid to thoracic inlet in 32 patients.

结果：原发于胸腔入口区结节性甲状腺肿2例，颈部结节性甲状腺肿经胸腔入口延伸于胸内32例。34例中，共检出病变结节63个，单个结节8例（25％），2个以上多发结节26例（75％）。63个结节中，有42个结节向下延伸进入胸腔，其中右侧20个，左侧22个。

After thyroid artery embolization, the size and vascularity of thyroids werereduced while the thyroid echo was increased. The thyroid arteries were narrowedwithout any blood flow at the embolized site.

结果：术前腺体增大为弥漫性、均质或是非均质低回声，部分有结节，腺体内血管多而粗；术后腺体缩小，回声增强，血管变细而小。

His fingers have nodules. I think his doctors misdiagnosed him.

他的手指有结节可能他的医生诊断错了

All men have a lumpy tubular structure on the back of the testicle called the epididymis and a small firm tube which passes from the testicle into the groin called the vas deferens.

所有男性有结节管状结构对后面的睾丸，称为附睾和一个小公司管，其中通过从睾丸进入腹股沟所谓的输精管。

It has been put forward that there exists single Ball point and double Ball points on the symmetrical connecting-rod curves of equilateral mechanisms.

从鲍尔点的形成原理出发，分析对称连杆曲线上鲍尔点的产生条件，提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

The factory affiliated to the Group primarily manufactures multiple-purpose pincers, baking kits, knives, scissors, kitchenware, gardening tools and beauty care kits as well as other hardware tools, the annual production value of which reaches US$ 30 million dollars.

集团所属工厂主要生产多用钳、烤具、刀具、剪刀、厨具、花园工具、美容套等五金产品，年生产总值3000万美元，产品价廉物美、选料上乘、质量保证，深受国内外客户的青睐