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颞叶脑组织

chinalark 离线

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楼主 发表于 2010-09-25 23:31|举报|关注(0)
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姓    名: ××× 性别: 年龄:  68
标本名称:  颞叶出血灶周围脑组织
简要病史:  左侧颞叶多次出血,临床取部分周围脑组织送检
肉眼检查:  灰红不整形脑组织一块,大小约1x1x0.5cm
  • 颞叶脑组织图1
    图1
  • 颞叶脑组织图2
    图2
  • 颞叶脑组织图3
    图3
  • 颞叶脑组织图4
    图4
  • 颞叶脑组织图5
    图5
  • 颞叶脑组织图6
    图6
  • 颞叶脑组织图7
    图7
  • 颞叶脑组织图8
    图8
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mjma 离线

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1 楼    发表于2010-09-29 22:27:00举报|引用
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These cells in brain parenchyma surrounding hemorrhage have atypical nuclei that makes me suspect an infiltrating astrocytoma. Is there any history of brain tumor before hemorrhage? Please see if more and better quality photos can be obtained and uploaded. GFAP, p53 and MIB-1 immunostains would help. Also do pay attention to small blood vessels in cortex and see if there is any features of cerebral amyloid angiopathy. Recurrent intracerebral hemorrhage in elderly should always raise this possibility.
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聞道有先後,術業有專攻

xclbljys 离线

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2 楼    发表于2010-10-09 23:34:00举报|引用
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 学习了诊断思路!
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江湖 离线

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3 楼    发表于2010-10-11 12:56:00举报|引用
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以下是引用mjma在2010-9-29 22:27:00的发言:

These cells in brain parenchyma surrounding hemorrhage have atypical nuclei that makes me suspect an infiltrating astrocytoma. Is there any history of brain tumor before hemorrhage? Please see if more and better quality photos can be obtained and uploaded. GFAP, p53 and MIB-1 immunostains would help. Also do pay attention to small blood vessels in cortex and see if there is any features of cerebral amyloid angiopathy. Recurrent intracerebral hemorrhage in elderly should always raise this possibility.

 

Thank you for making a penetrating analysis

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懒羊羊 离线

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4 楼    发表于2010-10-12 18:37:00举报|引用
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以下是引用mjma在2010-9-29 22:27:00的发言:

These cells in brain parenchyma surrounding hemorrhage have atypical nuclei that makes me suspect an infiltrating astrocytoma. Is there any history of brain tumor before hemorrhage? Please see if more and better quality photos can be obtained and uploaded. GFAP, p53 and MIB-1 immunostains would help. Also do pay attention to small blood vessels in cortex and see if there is any features of cerebral amyloid angiopathy. Recurrent intracerebral hemorrhage in elderly should always raise this possibility.

围绕出血灶周围的这些细胞的细胞核具有非典型性使我怀疑这是一例浸润性星形细胞瘤。在出血前是否有脑肿瘤的病史?请仔细查看一些比较好的图片,并上传。免疫组化染GFAP, p53 和 MIB-1可能会有帮助。同时也多多注意脑组织中的小血管,看是否存在小血管壁的淀粉样变性。在老年人反复的脑内出血可能会出现这些可能性。
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zjb0325 离线

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5 楼    发表于2011-03-17 19:58:00举报|引用
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 期待
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jianshu322 离线

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6 楼    发表于2011-04-26 16:50:00举报|引用
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 学习
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