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- B1503颈动脉鞘肿物
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| 姓 名： | ××× | 性别： | 女 | 年龄： | 60 |
| 标本名称： | |||||
| 简要病史： | 发现肿物3年 | ||||
| 肉眼检查： | 3*3*2.5CM实性 包膜完整 切面黄白红 质中 | ||||
标签：颈部 神经鞘瘤
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×参考诊断
神经鞘瘤
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I think this is a schwannoma or neurilemmoma. Although a cluster of large mature ganglion cells is seen, these mature neurons appear entrapped ganglion cells and not part of the neoplasm. I say this because ot two reasons - (1) they are found in one cluster area and not scattered throughout the neoplasm, and (2) at least some large neurons are surrounded by satellite cells. Therefore I do not favor this being a ganglioneuroma. The clinical difference between these two overlapping entities is minimal - they behave very similarly.
聞道有先後,術業有專攻
| 以下是引用mjma在2009-6-14 9:14:00的发言： I think this is a schwannoma or neurilemmoma. Although a cluster of large mature ganglion cells is seen, these mature neurons appear entrapped ganglion cells and not part of the neoplasm. I say this because ot two reasons - (1) they are found in one cluster area and not scattered throughout the neoplasm, and (2) at least some large neurons are surrounded by satellite cells. Therefore I do not favor this being a ganglioneuroma. The clinical difference between these two overlapping entities is minimal - they behave very similarly. |
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