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Adenocarcinoma is the most common type, followed by sarcomas such as fiborsarcoma and chondrosarcoma.

腺癌是最常见的种类,其次是肉瘤,例如纤维肉瘤和软骨肉瘤。

Usual or conventional chondrosarcoma may be histologically graded as 1 to 3, with grade 1 lesions having the best prognosis .

软骨肉瘤是胸骨最常见的恶性肿瘤,通常见于30~40岁,普通软骨肉瘤病理学上可分为1~3级,1级预后最好。

There were 36 males and 40 females,with the average age of 47.7 years.36 patients presented with sciatica and perineal numbness,11 patients had painless mass and the other 20 were identified due to other causes.Among 67 benign neurogenic tumors,54 were originated from S1-S3 nerves,3 from S4-S5 nerves and 11 from the presacral space without caudal involvement.Giant cell tumor was found in 60 patients,which included 24 males and 36 females,with an average age of 32 years.Upper sacrum(S1-S2) was involved firstly.There were 56 patients(average,37.7 years) diagnosed as other primary benign bone tumors,which included 24 cases of teratomas,epidermoid cyst or dermoid cyst.Other malignant tumors,including chondrosarcoma (17),Ewing′s sarcoma/PNET(14),multiple myeloma(12),lymphoma(6) and osteosarcoma(6) were found in 64 patients.

其中脊索瘤95例,男62例,女33例,平均年龄55.7岁,骶尾区疼痛是主要症状(82例),半数以上患者伴有坐骨神经痛,肿瘤多先累及低位骶骨(S3~S5);神经源性肿瘤76例,男36例,女40例,平均年龄47.7岁,神经纤维瘤43例,神经鞘瘤24例,恶性神经鞘瘤9例,主诉多为坐骨神经痛、会阴部麻木(36例)和无痛性包块(11例),20例患者为查体或其他原因检查时发现,67例骶骨良性神经源性肿瘤起源于S3以上神经者54例,起源于S3以下神经者3例,发生于骶前未累及骶管者10例;骨巨细胞瘤60例,男24例,女36例,平均年龄32岁,腰骶尾部不适(37例)、坐骨神经痛(21例)是主要的临床表现,肿瘤多先累及上位骶骨(S1~S2);骶骨其他原发良性肿瘤及瘤样病变56例,包括畸胎瘤、皮样囊肿、表皮样囊肿共24例;其他原发恶性肿瘤64例,包括软骨肉瘤17例,尤文肉瘤14例,多发性骨髓瘤12例,成骨肉瘤6例等。

Our findings demonstrate that in conjunction with clinical and radiographic findings, immunohistochemical evaluation with a panel of D2-40, EMA, brachyury, and GFAP is most useful in distinguishing chordoid meningioma from chordoid glioma, skeletal myxoid chondrosarcoma, extraskeletal myxoid chondrosarcoma, chordoma, low-grade chondrosarcoma, and enchondroma. A lack of strong, diffuse S100 reactivity may also be useful in excluding chordoid meningioma.

我们的结果表明,结合临床和影像学资料,D2-40、EMA、brachyury和GFAP这样一个免疫标记组合就能很好地鉴别脊索样脑膜瘤和脊索样胶质瘤、骨的黏液样软骨肉瘤、骨外的黏液样软骨肉瘤、脊索瘤、低级别软骨肉瘤、内生性软骨瘤。S100染色不强烈、不弥漫也有助于排除脊索样脑膜瘤的诊断。

EMA was the most effective antibody for differentiating chordoid meningioma from skeletal myxoid chondrosarcoma, low-grade chondrosarcoma, and enchondroma, whereas D2-40 was the most effective antibody for differentiating chordoid meningioma from extraskeletal myxoid chondrosarcoma and chordoma.

EMA是鉴别脊索样脑膜瘤和骨的黏液样软骨肉瘤、低级别软骨肉瘤、内生性软骨瘤最有效的抗体,而D2-40则是鉴别脊索样脑膜瘤和骨外黏液样软骨肉瘤、脊索瘤最有效的抗体。

The malignant tumors included osteogenic osteosarcoma,metastasis tumor(six patients,two with pathologic fractures),chondrosarcoma,malignant fibrous histiocytoma (three patients,one with pathologic fracture),fibrosarcoma,and solitary myeloma.all patients received limb savage procedure with custom knee prosthesis including sevnteen cases of hinge joint and twentyone cases of posterior stability joints.

回顾分析我院接受定制型人工关节置换进行保肢治疗的股骨远端肿瘤患者38 例,其中良性肿瘤9 例,分别是骨巨细胞瘤7例(复发性骨巨细胞瘤5 例,骨折2例),骨巨细胞瘤合并动脉瘤样骨囊肿1 例,骨母细胞瘤1 例;恶性肿瘤29 例,分别是成骨性骨肉瘤16 例,转移性肿瘤6例(骨折2例),软骨肉瘤2 例,恶性纤维组织细胞瘤3例(骨折1例),纤维肉瘤1 例,局灶性骨髓瘤1 例。

Therefore, our data show that in cases when clear cell chondrosarcoma and chondroblastoma pose a diagnostic challenge, the presence of type II collagen in the extracellular tumour matrix significantly supports the diagnosis of clear cell chondrosarcoma and aids in distinguishing it from chondroblastoma.

我们的数据表明,在诊断透明细胞软骨肉瘤和成软骨细胞瘤受阻时,细胞外肿瘤基质中II型胶原的存在对于诊断透明细胞软骨肉瘤相当有帮助,并有助于和成软骨细胞瘤间的鉴别。

Both cyclin D1 and cdk4 were present in 1/ 8 (12.5%) osteochondroma of the jaws.

结果 软骨肉瘤cyclin D1和cdk4阳性表达率分别为70%(14/ 20)和65%(13/20),二者的阳性表达存在正相关(rs= 0.526, P 0.05);而它们在骨软骨瘤的阳性表达率均为12.5%(1/ 8),在软骨瘤无表达,与软骨肉瘤相比有显著性差异(P 0.05)。

No matter what kinds of sarcomatous elements are found in a retroperitoneal dedifferentiated liposarcoma, its clinical behavior is not the same as high grade fibrosarcomas, leiomyosarcomas, osteosarcomas, chondrosarcomas, rhabdomyosarcomas, or MPNST.

无论在腹膜后去分化型脂肪肉瘤中发现何种类型的其他肉瘤成分,它的临床行为都与高级别纤维肉瘤、平滑肌肉瘤、骨肉瘤、软骨肉瘤、或恶性外周神经鞘膜瘤不同。

Very rarely, features of high grade osteosarcoma, leiomyosarcoma, chondrosarcoma, rhabdomyosarcoma and malignant peripheral nerve sheath tumor are found.

罕见的情况下可以找见高级别骨肉瘤、平滑肌肉瘤、软骨肉瘤、横纹肌肉瘤和恶性外周神经鞘膜瘤的特征。

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然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

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