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.
简介:回顾总结我院近15年收治术后急性阑尾炎5例病例资料,并由病理证实,现作如下报告,旨在提高对术后急性阑尾炎的认识。临床资料:男3例,女2例。年龄23~67岁,平均为50.3岁。首发病手术为胃大部切除术1例,肺癌手术1例,神经外科手术1例,剖腹产手术2例。出现临床症状为首次术后6-18天,平均8.7天。主要表现腹痛、发热、恶心、呕吐和腹泻等,右下腹麦氏点压痛反跳痛明显;血白细胞计数大多增高和中性粒细胞偏高。治疗方法与结果:术前诊断急性阑尾炎3例,肠粘连1例,肠间脓肿1例。行阑尾切除术3例,剖腥探查术2例。4例经病检诊断为:急性单纯性阑尾炎2例,化浓性阑尾炎1例,坏疽性阑尾炎1例。术后恢复顺利,痊愈