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腺囊瘤

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Result: Found 32 cases of bursa type hyperplasia, 16 cases of adenoma type hyperplasia, 6 cases of non-typical hyperplasia and 6 cases of canceration.

结果:阴道超声检查发现囊腺型增生32例,腺瘤样型增生16例,非典型增生6例,癌变6例。

One case with homonying serosity cystadenoma was recurred in one year after operation.The others had not recurred and no peritoneum myxoma occurred.

术后随访46例,0.5~5年。1例术后1年复发,为同侧卵巢浆液性囊腺瘤,余者均无复发及腹膜粘液瘤发生。

Results: Malignant transformation of MCT amounted to 1.4% of all MCT. Of the 11 cases, 7(7/11) were squamous cell carcinoma, 3(3/11) adenocarcinoma, and 1 (1/11) malignant struma ovarii.

结果:卵巢成熟囊性畸胎瘤恶变占良性畸胎瘤的1.4%,其中鳞癌变7例(7/11),腺癌变3例(3/11),卵巢甲状腺肿恶变1例(1/11)。5年平均生存率80%,Ⅰ期为100%,Ⅱ~Ⅲ期为0。

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。

Here we report a 70-year-old woman with multiple, simple hepatic cysts, one of which was biliary cystadenoma.

在此我们报导一位有多发性单纯肝囊泡的七十岁女性,其中的一颗最后诊断为肝内胆管囊腺瘤。

Here is a benign serous cystadenoma that demonstrates multiloculation .

这是一个多囊性的良性卵巢浆液性囊腺瘤。

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。

Results In four cases, one was lipochoristoma of the acoustic nerve, two were low-grade papillary adenocarcinoma of endolymphatic sac origin, and another one was juxtaoral organ of Chievitz presenting clinically as a tumor mass.

结果 1例为听神经脂肪瘤样迷离瘤,2例为内耳内淋巴囊来源的低级别乳头状腺癌,1例为类似肿瘤病变的Chievitz口旁器官。

Methods The expression of EMMPRIN and MVD were examined in 28 cases of pleomorphic adenoma, 25 cases of mucoepidermoid carcinoma, 33 cases of adenoid cystic carcinoma as well as 9 cases of normal salivary glands as comparison control by immunochemistry SP method.

用SP免疫组织化学法检测9例正常涎腺组织,28例多形性腺瘤,25例黏液表皮样癌,33例腺样囊性癌中EMMPRIN的表达和MVD值。

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