简介:患者女,15岁,主因"右侧眼球突出伴视力下降5年"入院。颅底CT平扫:右侧额骨及右侧前颅窝底骨质膨胀性扩大、变薄,伴骨分隔,病变呈不规则低密度,CT值约16HU,边界清楚,累及筛窦、右侧额窦及蝶窦,其内可见多发斑片状高密度,右侧眼眶受压变形,上壁及内壁骨质变薄,右侧眼外肌、视神经及眼球受压向下移位(图1)。
简介:临床资料患者,女,74岁。主因左侧大腿内侧近腹股沟处皮肤肿物30年,于2014年4月1日就诊。30年前患者发现左侧大腿内侧近腹股沟处一蚕豆大小皮肤肿物,无自觉症状,肿物逐渐增大至鸡蛋大小,未诊治。既往体健,否认家族成员有类似疾病史。体格检查:患者一般情况良好,心、肺、腹检查未见异常,全身浅表淋巴结无增大,其他系统检查无异常。皮肤科检查:左侧大腿近腹股沟处可见一个鸡蛋大小的皮赘样肿物,肤色,表面光滑,呈脑回状,质地柔软,无压痛,基底部有蒂(图1)。采用高能量超脉冲CO2激光沿肿物蒂部近基底处切除并行组织病理检查。组织病理示:真皮中上层胶原束间可见大量的成熟脂肪细胞(图2)。诊断:浅表脂肪瘤样痣。患者术后创面愈合良好。
简介:摘要患者女,44岁。因“发现右乳肿块3 d”入院。查体:双乳对称,双乳头无凹陷,无乳头溢液,右乳外上象限可及1个直径约3 cm的肿块,质中,活动,界清,无压痛,双腋下未及肿大淋巴结。乳腺彩超提示:右乳可见1 个大小约21 mm× 7 mm 的低回声结节,边界清楚,内回声欠均匀(图1)。行右乳肿块切除术。术后病理检查示:(右乳)乳腺肌样错构瘤(图2)。免疫组织化学检查示:CK-,Vimentin+,MSA+,Actin+,Desmin+,ER+,PR+,S-100-,CD34-,Ki-67(+约1%)。术后随访11个月,未见复发与远处转移。
简介:Tostudytheclinicalpathologicalcharacteristicsanddifferentiationdiagnosisofthechondroidparachordomafromprimarytumorsormetastatictoulna,femurandradius.MethodsThreecasesofprimarychondroidparachordomaoftheulma,femurandradiuswerestudiedbyhistopathologicalobservationandimmunohistochemicalstainingandbypathologicalconsultation.ResultsThehistologicalfeaturesoftumorwerecomposedoftwothechordomaceilssubtotalandthechondrosareomaceilsofsmall-portio.Thetumorwasarrangedvaryinsizesoflobularandbrinkoflobularwereseplumsmallgirderofchondroid,orthetissuefiber.Thetumorcellsweredistributedsheet,trabeculawithorisland-likeintheintralobular,andthetumorceilswerevaryinsizeandthekaryonheterotypicwerenopatentandthecytoplasmofrichshowslargevacuole.Thechondroidosarcomasintra-lobularwereviewedceilsbothnucleusanduninuclearofchondrolacunaeandthestromawerehyalingcartilagewithorblennoidinthemesenchyma,andthatpictureoftypicalchondrosarcoma.EMA,CK,Vimentin,S-100protein,NSEwithimmunohistochemicalmethod(ABC)stainingwerepositiveandDesmin,CD34negativeinthealloftumorcells.Thechondroidparachodomawasdiagnosedinthepathologicalread-section-conferenceandconsulation.ConclusionPrimaryulna,femurandradiuschondroidparachordomaisarareinrateofneoplasmandisdiagnoseddiflqculdy.Immunohistochemicalmethodwouldbehelpfultodiagnosis.