肌神经瘤

Objective To investigate the clinical and electrophysiological characteristics of myasthenia gravis with thymoma .

目的探讨重症肌无力伴胸腺瘤的临床和神经电生理特点。

Objective To study intraoperative protection of facial nerve in acoustic neuroma surgery, and evaluate postoperative prognosis of its function by electromyography monitoring.

目的 探讨肌电图在听神经瘤切除手术中对面神经的保护作用及术后对面神经功能预后的评价。

The transverse cervical artery which crosses the anterior scalene muscle covers the part of the tumor and lies superficially.

而臂丛神经鞘瘤位于颈动脉分叉水平以下，紧贴前斜角肌后或后外方，颈横动脉横跨前斜角肌表面向肿瘤未被肌肉覆盖部分的浅面走行。

A total of 150 mesenchymal neoplasms of the GI tract, abdominal cavity, and retroperitoneum were retrieved from consult and surgical pathology archives, including 54 GISTs (8 KIT-negative; 13 desmin-positive), 17 GI leiomyosarcomas, 11 GI mural leiomyomas, 13 leiomyomas of the muscularis mucosae, 12 gastric schwannomas, 15 inflammatory myofibroblastic tumors, 9 cases of mesenteric desmoid fibromatosis, 10 dedifferentiated liposarcomas, and 9 malignant peripheral nerve sheath tumors.

我们从会诊病例及活检病例中找出150例间叶性肿瘤（来自胃肠道、腹腔和后腹膜），其中包括54例GISTs（8例KIT阴性、13例desmin阳性）、17例GI道平滑肌肉瘤、11例GI道肌壁间平滑肌瘤、13例GI道粘膜肌层平滑肌瘤、12例胃的神经鞘瘤、15例炎性肌纤维母细胞瘤、9例肠系膜韧带样纤维瘤、10例去分化型脂肪肉瘤和9例恶性外周神经鞘膜瘤。

We evaluated 350 tumors: 136 ES, including 64 conventional ES, 64 proximal-type ES, and 8 with hybrid features of conventional and proximal-type ES; 54 metastatic carcinomas (22 from lung, 6 breast, 6 stomach, 5 colorectum, 5 kidney, 5 prostate, 5 pancreas); 12 metastatic testicular embryonal carcinomas; 20 metastatic melanomas; 20 epithelioid mesotheliomas; 20 epithelioid angiosarcomas; 10 epithelioid hemangioendotheliomas; 24 epithelioid malignant peripheral nerve sheath tumors; 22 myoepithelial carcinomas of soft tissue; 7 anaplastic large cell lymphomas; 5 histiocytic sarcomas; and 10 control MRT of infancy (4 brain, 3 liver, 2 soft tissue, 1 kidney).

我们总共研究了350例肿瘤：136例ES，其中包括64例寻常型ES、64例近端型ES和8例混有前两型特征的混合型ES；54例转移癌（22例来自肺、6例来自乳腺、6例来自胃、5例来自结直肠、5例来着肾、5例来着前列腺、5例来着胰腺）；12例转移性睾丸胚胎性癌；20例转移性黑色素瘤；20例上皮样间皮瘤；20例上皮样血管肉瘤；10例上皮样血管内皮瘤；24例上皮样恶性外周神经鞘膜瘤；22例软组织的肌上皮癌；7例间变性大细胞淋巴瘤；5例组织细胞肉瘤；10例作为对照的婴幼儿MRT（4例位于脑、3例位于肝、2例位于软组织、1例位于肾）。

EMG may neurogenic or myopathic changcs. 3 patients had a improved clinic presentation after the parathyroid surgery.

肌电图和肌活检结果可表现为肌源性或神经源性。3例患者采用手术治疗，切除甲状旁腺腺瘤后肌无力症状有所改善。

But our study suggested that the innervation of knee joint had two layer groups : the superficial layer group and the profunda layer group.

浅层为皮神经，部分干较粗，容易形成皮神经瘤；深层可以分为伸膝肌支膝关节支组成的髌上区组，隐神经分支组成的内侧及髌下区组，腓总神经关节支组成的后外侧区组，月国丛神经组成的月国区组4组。4组神经在关节囊外分布有重叠交叉，但区域明确。

Morphologically similar lesions from 26 patients (mean age, 62 y; range, 46 to 88 y; male/female ratio, 10/16) were retrieved from surgical pathology and consult files. Clinical and endoscopic data were obtained, and immunohistochemistry for S-100 protein, glial fibrillary acidic protein, neurofilament protein, epithelial membrane antigen, claudin-1, CD34, smooth muscle actin, and KIT was performed. The findings were compared with those in mucosal biopsies of 5 submucosal neurofibromas from NF1 patients.

我们从外科病理和档案库里调取了26例病变形态相似的病例（患者平均年龄62岁，范围：46至88岁，男女比例：10/16），得到了他们的临床及内窥镜资料，并给它们都做了S-100蛋白、胶质纤维酸性蛋白、神经丝蛋白、上皮膜抗原、闭合蛋白-1（claudin-1）、CD34、平滑肌肌动蛋白和KIT的免疫组化，所得的结果都与5例NF1患者粘膜下神经纤维瘤的粘膜活检的结果相比较。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。