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Results: The most common locations of PIP were at the margin of both lower lobes and associated with local pleural thickening and adhesion. The density of nodule in which CT attenuation value was 15~60 HU (26.9±13.5HU) was lower than that of PLC. Most of them were round/round-like and irregular in shape. The interior density of lesion was inhomogeneous. The presence of calcification or multiple cavitations, straight margin sign, hole sign and without hilar and mediastinal adenopathy were of great significance in the diagnosis of such kind of disease.

结果:炎性假瘤多位于两肺下叶,邻近胸膜增厚、粘连,病灶密度偏低(平扫CT值15~60HU,平均26.9±13.5HU),与周围型肺癌比较有统计学差异,其形态以圆形/类圆形和不规则形多见,病灶内密度多不均匀,可见钙化及多发空洞,边缘呈平直状、周围见毛玻璃样改变及肺门纵隔无淋巴结肿大等征象对本病的CT诊断有意义。

Microscopically, the enlarged lymph node showed effacement of the architecture, atypical spindle-shaped and epithelioid cells diffusedly proliferated.

镜检:淋巴结基本结构几乎完全被破坏,异型的梭形和上皮样细胞弥漫增生。

Results Diagnosis of sebaceous carcinoma demanded immunohistochemistry, and rare parotid sebaceous carcinoma was still distinguished with clear cell carcinoma, grume epidermis carcinoma and acinic cell carcinoma in pathology. By Follow-up of the all patients over 5 years, survival rate for 5 years was 71.4%(20/28), primary focus recurrence in 10 cases, in which, neck lymph node metastasis was discovered in 3 cases, and one was performed operation once again. Four cases lost communication; 2cases died of distant metastasis; 2cases died of other diseases.

结果 皮脂腺癌确诊需要免疫组化检测,而罕见的腮腺皮脂腺癌还需和透明细胞癌、黏液表皮样癌和腺泡细胞癌鉴别,全组病例5年以上随访,5年生存率可达71.4%(20/28),5年内原发灶复发10例,其中,3例伴有区域淋巴结转移而再次手术,4例失访;2例死于远处转移;2例死于其他疾病。

The rates of LNM in adenocarcinoma, mucoid carcinoma, signet-ring cell carcinoma were

隆起型肿瘤的淋巴结转移率为30.9%,溃疡型为39.7%,浸润型为42.1%,胶样型为42.9%。

Debris necrosis of lymph node is not the specific changes of KD. In the tuberculosis of lymph node,① debris necrosis is obvious, but it tends to be caseous nercrosis;② histiocytes, macrophages and foam cells are hyperplasia in the necrotic area or lymph sinus, moreover, epithelioid cells can be found and they tend to be form granuloma;③ numbers of neutrophils infiltrate in the necrotic area;④ the etiologic assay of acid fast bacterium tuberculosis bacterium is positive;⑤ typical clinical manifestation is insufficient.

淋巴结碎屑性坏死并非KD特有病变,诊断KD需先除外有明显碎屑性坏死的淋巴结结核病,后者主要表现:①碎屑性坏死虽明显,但趋于干酪样坏死;②坏死区内或同时在淋巴窦内,组织细胞、巨噬细胞和泡沫细胞增生,并演变为上皮样细胞和趋于肉芽肿形成;③坏死灶内、外可有数量不等的中性粒细胞浸润;④抗酸杆菌/结核杆菌病原学检测阳性;⑤缺乏KD的典型临床过程。

Thyroid carcinomas have the characteristic CT findings: fine granular microcalcifications, cystic formation with intracystic obvious enhanced papillarylike nodules, peninsular tubercles around the tumour and no complete ring around the tumour.

颈部出现淋巴结转移40例(63.5%),其中增强后明显强化22例,密度接近于正常甲状腺组织,10例转移淋巴结有囊性变伴囊壁明显强化的乳头状结节,7例淋巴结最大短径。8 cm,7例乳头状癌的颈部转移淋巴结内有颗粒样钙化(5例为细颗粒状钙化,2例为混合性钙化)。

Results Sonographic manifestations of Lymphadenitis of cat scratch disease were lymphoglandula of hyper echogenicity or thick membrane and were revealed with clear boundary,multiple little lymphoglandulae around it were look like secondary planet,and be true of lymphadenitis color vessels change.

结果猫抓性淋巴结炎的超声表现:边界清楚,有强而厚的包膜回声,周围可见多个小淋巴结呈卫星样分布,且符合淋巴结炎的血流变化。

Tuberculous lesions were identified in 27 cattle (47.4%; n = 57) with the evidence on gross and/or microscopic examination in 1 or more sites. The most frequently affected site was retropharyngeal lymph node, followed by mediastinal lymph node, hilar lymph node, and mesenteric lymph node.

结果显示,所收集的结核菌素检测阳性牛中,有 27 头(47.4%; n = 57)在肉眼或/及显微检查下发现有结核样病灶,其中最常出现病变的位置为咽背淋巴结,其次依序为纵膈淋巴结、肺门淋巴结和肠系膜淋巴结。

The following steps were taken:(1) design of a grading system model;(2) determination of proportions of histologic grades by naked-eye evaluation and by digital measurement;(3) evaluation of metastasis according to proportions of grades;(4) determination of the influence of site of grade 3 in nodal metastasis;(5) design of a Gleason-like scoring system; and (6) statistical evaluation.

接着,我们进行了以下步骤:(1)设计好我们的分级系统;(2)肉眼和计算机软件分别评估确定各级组织学图像所占比例;(3)根据各级组织学图像所占比例来评估淋巴结转移情况;(4)得出3级组织学图像在瘤组织不同区域对淋巴结转移的影响;(5)设计出Gleason样的评分分级系统;(6)统计分析。

Patients developed head cervical lymph node swelling. The lymph node biopsy revealed a background of reactive lymphadenopathy and necrosis in some cases and apoptosis, nuclear debris in all cases, loss of lymph node structure, proliferation of lymphocytes and various types histiocytes with phagocytosis, no infiltration of neutrophils. Three histological types: proliferative, necrotizing and xanthomatous were classified.

形态特征为在活跃的反应性增生淋巴结病变的背景下,出现不同程度的凝固性坏死,淋巴细胞凋亡及核碎片几乎见于所有病例,伴有多种形态的组织细胞增生,吞噬现象明显,无中性杜白细胞浸润,组织学上可分为3型:增生型,坏死型及黄色瘤样型。

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