管状瘤

Most congenital lesions such as thyroglossal duct cyst, branchial cleft cyst, cystic hygroma, dermoid cyst, lipoma and laryngocele were found in the midline or paramedian with or without rim enhancement.

大多数先天性病变位於中间或是中线旁，合并有或无边缘加强，例如：甲状舌管囊肿、鳃裂囊肿、囊性水肿，皮样囊肿、脂肪瘤和喉气囊。

Results HRCT findings of 45 cases of chronic otitis media with cholesteatoma included abnormal soft-tissue mass shadows in tympanic cavity of middle ear,sclerotic mastoid were observed in most cases, and bone changes including enlargment of the tympanic cavity with sclerotic border, the dislocation and destruction of the ossicles.The sigmoid sinus plate,tympanic tegmen, semicircular canal and facial nerve canal were destroyed in severe cases.

结果 胆脂瘤型慢性中耳炎患者HRCT表现：①45例均见中耳腔内团块状软组织影；②40例为硬化型乳突（88.9%）；③骨质改变包括中耳腔扩大和周缘骨质硬化、听小骨的移位、破坏、乳突骨质的破坏，严重者可伴有乙状窦壁、鼓室盖、面神经管及半规管的破坏。

There were no bone erosion in the 3 ears with simple type otitis media, and the 19 ears with cholesteatoma showed: abnormal soft-tissue and bony erosion in the tympanic cavity and antrum; dislocation and disruption of the ossicular chain; and showed disruption of sigmoid sinus plate, tegmen tympani, semicircular canal and facial nerve canal in severe cases.

胆脂瘤型中耳炎SCT-3DI示：鼓室、鼓窦内软组织影和骨质破坏，听骨链移位和破坏，严重者破坏鼓室盖、面神经管、外半规管和乙状窦板等，与手术中所见基本相符。

Results Spiral CT findings of cholesteatomtous tympanitis included: soft tissue mass in the tympanium, tympanal sinus and mastoid,destruction of the bone including ossicles chain,secutum,facial nerve canal,semricirular canal,sigmoid sinus plate, tegmenttympanic.

结果：胆脂瘤型中耳炎的螺旋CT表现为鼓室、鼓窦及乳突区软组织肿块，常伴有骨质破坏，其中包括听小骨、盾板、面神经管、半规管、乙状窦及鼓室盖骨质破坏。

Cavernoma should be considered when a solid suprasellar mass has hemorrhage (mimicking cystic- adamantinomatous craniopharingioma).

当一个实性的鞍上肿块（？类似于囊实性颅咽管瘤）有出血时要考虑到海绵状血管瘤。

What was observed under a light microscope included: tumor cells were mulberry and micropapillary shaped or were of glandule tubular arrangement; there was obvious interspace between cancer nest and neighboring areas; micropapillary was empty of fiber blood vessel axes, with micropapillae floating freely in spongy spaces and separated by fibrous septa.

光镜下特征性表现为肿瘤细胞呈桑椹状、微乳头状或小腺管样排列，癌巢与周围间质形成明显的空隙，微乳头缺乏纤维血管轴心，每个微乳头细胞团和周边的纤维组织均存在无细胞的间隙样结构；瘤细胞CerbB-2、CgA和EMA。

Some cell dropped into the cavity and became free. Thrombosis or part organization could be seen. The internal elastic layer became thin, disappear or broken. In internal and middle layer existed fibroblasts, fibrocytes and collagen. Some of the wall indicated hyaline change, soomth muscle cell decreased greatly. The massive inflammatory cells invaded the middle and external layer. There were many foam cells in the capsule tissue. Cytoplasm was filled with fatty tissue and cholesterol. some cavities were full of thrombosis. Some thrombosis was fibrosis, the bottom was organization. The surface of the thrombosis existed red blood cell and librae.(2)Elatic fibrila staining: the internal elastic menbrane almost completely disappeared, the intact internal elastic menbran could be seen in the new small vessels.

动脉瘤管壁厚薄明显不均，全层或局部区域显著变薄向外膨出，内皮细胞空泡变性或坏死脱落，部分内皮细胞剥离并突入管腔成游离状，可见血栓形成及部分血栓机化；内弹力板变薄、消失或突然中断；在内膜及中膜部位主要为纤维母细胞、纤维细胞和大片胶原；部分动脉瘤壁呈均质状玻璃样变，平滑肌细胞明显减少；中膜和外膜可见大量的炎性细胞浸润；瘤壁组织有纤维母细胞、纤维细胞、大片胶原成分及较多泡沫细胞，胞浆内充满脂类物质及胆固醇结晶；部分动脉瘤腔内充满血栓，有的血拴已经纤维化，血栓基部机化，血栓表面有红细胞和纤维素。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。