<link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/css/video-js.min.css?v=1"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/base.css?v=5"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/index.css?v=35"><link rel="stylesheet" href="https://ysz-web.yxj.org.cn/live/dist/static/base/index.css?ysz_v=2.0"><script src="https://studioyszimg.yxj.org.cn/js/dsbridge.js?v=13" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/dsBridge/main.js?v=26" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/base/fun.js?ysz_v=3" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/js/nativeToWeb.js?v=1" type="text/javascript"></script><div id="ysz-header" style="margin:0;overflow:hidden;"><h1 style="font-size:24px;line-height:1.8;color:#333333;word-wrap:break-word;">病理精彩病例天天看|5.18</h1><h2 style="font-size:16px;color:#999999;word-wrap:break-word;"><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">2022-05-18</em><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">原创:病理札记</em></h2></div><div class="rich_media_content " id="js_content" style="margin: 0px; padding: 0px; outline: 0px; overflow: hidden; color: rgb(34, 34, 34); overflow-wrap: break-word; text-align: justify; position: relative; z-index: 0; visibility: visible;"><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">916-女性,36岁,血尿。膀胱印戒细胞腺癌。成分。<br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB74386CBB4A077A3477.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB743AA044021B7A7760.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB743CE876B34578CAB4.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB743FC49CC775CE2724.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">917-29岁男性,左上眉内侧肿块。你的诊断是什么?</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><p style="text-align: justify;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7442106B1413A9B162.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p style="text-align: justify;"><br/></p></section><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">-软骨样汗管瘤。皮肤混合瘤(重演唾液腺多形性腺瘤)。真皮或皮下脂肪中的局限性结节。纤维粘液样小叶被纤维带分开。</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">上皮细胞和基质细胞的双相群体<br/>上皮成分:具有2个细胞层的分支管状结构。基质成分:软骨、纤维/透明、粘液<br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB74435BB65165ECC147.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB74463B62FA30D5739A.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB74493FD78216FA5C9D.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">918-一张高倍照片。颈部的淋巴结里是什么?</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB744B40AD5D3CEAD929.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">这是颈部转移性甲状腺髓样癌。<br/></span></p><p style="text-align: justify;"><br/><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">919-结直肠腺瘤有一个黏膜内低分化腺癌。病变分期为Tis。大多数病人没有表现出淋巴结扩散,但有一部分会。可能存在未被发现的粘膜下成分,或通过粘膜肌层的淋巴通路。</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB744CD5F1D66FA11FCE.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB744EC3CC3D7F542E30.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB745500974E7D4B5ED2.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7457B95DDF2073066C.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">920-精索中的神经周/神经内Leydig细胞是常见的发现。不应与侵袭性恶性肿瘤相混淆。<br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7459E8B9521D1B4840.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB745C42563C311B5330.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">Leydig细胞也可以被视为异位?精索内与神经和血管密切相关的病灶。图像来自远离睾丸的精索神经周和神经内受累的病例。</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB745EC73C565CA4A052.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7460F9A25C017FDC6D.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB74630368236EB2A177.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB746507D0D36FDE2B8C.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">921-支气管粘膜显示假复层纤毛柱状上皮。</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7466BBAFA85AFC9DBF.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">气道上皮细胞</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">纤毛细胞:分布于支气管和细支气管;</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">黏液(杯状)细胞:分布于支气管和近端细支气管;</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">基底细胞:短小,胞浆少;沿基底膜主要分布于支气管,较少分布于细支气管;能分化为其他细胞的未分化细胞;</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">神经内分泌细胞(Kulchitsky细胞):短小,胞浆含细小嗜伊红色神经分泌颗粒,位于基部;主要分布于支气管,较少分布于细支气管;4-6个神经内分泌细胞常在气道分叉处聚集,形成神经上皮小体;</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">刷细胞:柱状、游离面有短小微绒毛;分布于整个气道,数量很少;</span></p><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">922-阴囊卡波西肉瘤(HHV-8 IHC显示)。溃疡,红紫色,结节状阴囊肿块(HIV+)。</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7467F020AE6ECE73F9.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB746A3100F251997A06.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><p style="text-align: center;"><img data-src="https://mmbiz.qpic.cn/mmbiz_png/QEpj4PbgTT90qEnC4ID6kxvEKicoptySLdoZkFfNib8LF1E7JibvSicmUQWmoSQtco9ZCMNCzvxgRokDCad3mBgf1w/640?wx_fmt=png" class="" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB746C0793800992C4B3.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; box-sizing: border-box ; overflow-wrap: break-word ; width: 198px ; visibility: visible ;"/></p></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">923-成人型卵巢粒层细胞瘤(SCST)具有核沟的均匀细胞的扩散生长。网织纤维染色显示细胞群周围的纤维染色,而不是单个细胞周围的纤维染色。鉴别诊断:纤维卵泡膜细胞瘤。免疫组化:CR,Inhibin,FOXL2 +,EMA-</span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB746D4FA5485BA835F7.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB746F907CF61FCECE8B.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB7471EF87B401A7B7E0.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section><p><br/></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;">924-小叶癌总是让人紧张。这个病例有几个典型的神经周侵犯病灶,但这是第一次遇到环周小体侵犯。如果你只有这个...你还会叫它PNI吗?<br/></span></p><p style="text-align: justify;"><span style="line-height: 28px; color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><section><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://studioyszimg.yxj.org.cn/AC14B1620180CB747460D0842B11773A.jpg" alt="图片" style="margin: 0px; padding: 0px; outline: 0px; vertical-align: bottom; box-sizing: border-box ; overflow-wrap: break-word ; width: 677px ; visibility: visible ;"/></section></section></div><!--auditorInfo-->

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