PITYROSPORUM FOLLICULITIS CLINICAL AND PATHOLOGIC REPORT OF SEVEN CASES

Seven cases of pityrosporum folliculitis are re- ported. The typical lesions were pruritic erythema- tous follicular papules and follicular pustules, 2 to 4 mm in diameter,located mainly on the upper trunk. Histopathologic sections showed PAS positive spherical to oval single budding yeast cells in dilated follicles. The follicular wall was ruptured in 1 sample, follicular epithelia were disrupted and yeast ceIJs were seen in the sebaceous glands in 2 samples, and there was cellular infiltration in the sebaceous glands and around the dermic capillaries in all Samples.     

ORBITAL CHEMODECTOMA CLINICAL AND PATHOLOGIC ANALYSIS OF 2 CASES

Two cases of low-gra.de malignant orbital chemodectoma successfully treated by exentera- tion are reported. The clinical and pathologic characteristics, possible originating sites and treatment of choice are discussed.     

绝经后阴道出血1135例临床与病理分析

目的：探讨绝经后阴道出血的原因。方法：对1135例绝经后出血妇女进行了临床与病理分析。结果：功能性病变所致绝经后出血占34．3％，良性病变占43．4％，恶性病变占22．3％；在恶性病变中，宫体瘤占54．3％，宫颈癌占31．9％，卵巢癌占12．2％；≤60岁者，良性病变占多数；＞70岁者，恶性病变占多数；B超检测子宫内膜厚度≤4mm时，97.0％内膜属生理性改变。结论：年龄越大，出血时间越长，恶性病变的发生率越高；当B超检测子宫内膜厚度≤4mm时，可免除部分诊刮术。     

SCLEROTIC FASCIITIS A CLINICAL AND PATHOLOGIC ANALYSIS OF 21 CASES

This paper reports 21 cases of eosinophilic fas- ciitis and emphasizes that localized inflammatory and sclerotic changes in the deep tissues characte rize this disease. We propose the name sclerotic fas- ciitis for this condition to reflect its specific patho- logic changes. This disease is an especially deeply situated type of scleroderma, somewhat similar to localized scleroderma. The ultrastructural study of myofibroblasts in this condition indicates that it may be closely related to proliferation of collagen fibers in the fascia. Patients were treated with traditional medicinal herbs in accordance with the traditionaJ Chinese medical principle of stimulating blood circulation to end blood stasis. Therapeutic results were satisfactory.     

PATHOLOGIC CLASSIFICATION OF MEIBOMIAN GLAND CARCINOMAS {OF EYELIDS CLINICAL AND PATHOLOGIC STIUDY OF 156 CASES

A series of 156 cases of meibomirm gland carcinomas are studied pathologically with 100 cases followed up. This represents the Iargest series of original cases so far reported in the literature availahle to us. This' tumor is ap- parcntly one of the most mabgnant trimors of the eyelids as ewdenced both by lymphatic spread and hlood-horne metastasis, resulting in a high mortality rate of 41%. The histologic structure of the tumor is ex- tremely variable. It may simulate squamous cell carcinoma, basal cell carcinoma, adenocar- cinoma or spindle cell carcinamu.s. Therefore in dealing with the large numher of cases in our ophthalmic clinic, we have evolved a tenta- tive pathologic classification of thfs tumor into 5 different types: the diftereatiated, squamous cell, basaI cell, adcnold and spindle cell. According to the follow-up data of 100 cases, the pathalogic classification appears to have some bcaring UPOn its clinical manifesta- tions, the differentiated type heing the least maiignane, while tbe basal cell and squamous cell types are the most malignant. Cases of the adenoled type and spindle cell type are too few to warrant any COPclusions concerning their clinical manifestations.     

NEUROLOGIC AND PSYCHIATRIC MANIFESTATIONS IN HYPOPARATHYROIDISM CLINICAL ANALYSIS OF 71 CASES

71 cases of hypoparathyroidism are reported. Of these, 36 were idiopathic hypoparathyroidism, 11 pseudohypoparathyroidism and 24 post-thyroi- dectomy hypoparathyroidism. Tetany (90To), con- vulsions (50.7%), extrapyramidal symptom (llTo) and mental changes (16.9'/o) including irritability, anxiety, fear, depression, hallucina.tion and con- fusion were noted.     

17例结节病临床,X线及CT的特点

报告17例经病理证实胸内结节病,部分病例伴皮肤、眼、骨、消化系统等受累。临床表现随受累脏器而异,本组均有连续胸部X线片,主要以两侧肺门淋巴结增大为突出特征。10例胸部CT扫描优于胸部平片,显示出纵隔内不同部位淋巴结肿大、肺内小的结节病变及轻度胸膜肥厚,少量胸腔积液。     

隐源性急性肾衰竭80例临床和肾活检病理研究

目的探讨隐源性急性肾衰竭的临床表现和肾活检病理改变，揭示其病因、影响因素及转归预后，提高急性肾衰竭诊治水平。方法对80例急性肾实质性疾病所致的急性肾衰竭进行临床分析，并作肾活检进行病理研究，同时给予治疗。结果临床诊断原发性肾病综合征28例，狼疮性肾炎12例，急性肾炎综合征15例，慢性肾炎12例，紫癜性肾炎5例，药物性肾病4例，妊娠期肾病2例，血管炎2例。系膜增殖性肾炎19例，狼疮性肾炎16例，新月体肾炎10例，急性间质一小管病变7例，膜、增生性肾炎5例，膜性肾病2例，IgA肾炎6例，紫癜性肾炎7例，硬化性或增生硬化性肾炎7例，微小病变性肾病1例。治愈21例，缓解或部分缓解49例，无效5例，死亡5例。结论隐源性急性肾衰竭以肾小球病变占绝大多数，病理表现为肾小球损害且多合并肾间质一小管损害，激素疗法与透析联合治疗可使多数肾功能衰竭得到恢复，尽早肾活检明确病理诊断可显著提高治愈率。     

子宫腺肌病37例临床病理分析

对子宫腺肌病３７例临床及病理资料进行了总结分析。结果表明：子宫腺肌病占同期子宫切除手术比率１６％；好发年龄为４０～５０岁高龄生育期妇女；可并发子宫肌瘤、宫内膜增生过长等与卵巢功能紊乱有关的妇科疾病。该病临床表现无明显特征性，易误诊，临床与病理诊断符合率仅３０％。故子宫切除后送病理检查，镜下发现子宫肌层内有宫内膜组织是诊断该病最可靠的方法。     

64例青老年人胃癌的临床病理对比分析

对青老年人胃癌进行了临床病理对比,男女之比为1:3,最小年龄为14岁(女性)。老年组男女之比为1.7:1,以男性为多。青老年胃癌皆由对症状认识不足,而漏诊、误诊,多数就诊时已属中、晚期胃癌。因此治愈率不高。组织学上青年人胃癌低分化腺癌和未分化癌占62.5％;老年人以高分化腺癌和低分化腺癌占65.6％.     

原发性甲状腺恶性淋巴瘤5例临床病理分析

目的 总结原发性甲状腺恶性淋巴瘤的诊断和治疗.方法 通过对5例原发性甲状腺恶性淋巴瘤的回顾性分析,总结其临床病理特点及诊疗体会.结果 原发性甲状腺恶性淋巴瘤属罕见肿瘤,多种综合治疗方法可提高疗效.结论 术中病理提示为恶性淋巴瘤,应避免行甲状腺癌联合根治术,行肿瘤切除或姑息切除后配合放、化疗,可达到较好疗效.     

LUNG CANCER IN YOUNG ADULTS PATHOLOGIC, ROENTGENOLOGIC AND CLINICAL ANALYSIS OF 30 CASES

Lung cancer cases among young adults are often neglected and misdiagnosed. This paper analyzes 30 young adult cases of lung cancer. Its pathologic, roentgenologic and clinical problems are discussed.     

狼疮性肝损害的临床和免疫学特点(附32例临床分析)

目的：研究系统性红斑狼疮（ＳＬＥ）性肝损害的发生率,临床表现及免疫学特点,方法：对符合ＳＬＥ诊断的５２０例病人的肝损害进行回顾性调查分析。结果：５２０例病人中狼疮性肝损害者有３２例（６．１％）,其中７５％病人无肝损害的临床症状,主要表现为轻、中度的转氨酶升高,４例出现黄疸;狼疮性肝损者血清抗核糖体Ｐ蛋白抗体（抗Ｒｉｂ－Ｐ）阳性率显著高于无肝损者,而ＡＮＡ、抗Ｓｍ抗体、抗ｄｓＤＮＡ抗体等自身抗体阳性     

流行性出血热107例眼部表现临床观察

对流行性出血热107例的眼部表现做了观察,有眼部表现者96例(89.7％),自觉症状者79例(73.8％),外眼改变者92例(86.7％),眼底改变者68例(63.6％)。认为观察眼部改变对早期诊断、判断病情进展及预后有重要的临床意义。     

尿毒症性肺水肿30例临床—胸片综合分析

对30例尿毒症性肺水肿患者的临床表现及124份胸片进行综合分析,按肺水肿的发展及其程度分为三期。Ⅰ、Ⅱ期胸片表现有助于较早期肺水肿的诊断,透析疗法效果显著。并探讨各期肺水肿的病理基础与临床表现的关系。     

囊虫性脑内小脓肿(附110例分析)

CT证实的110例脑内小脓肿,以儿童多见,以癫痫为首要和主要症状。脓肿均位于幕上,以顶叶最多占57.2％,其中7例经手术、病理证实为囊虫感染。经抗生素、类固醇及抗囊虫药物治疗效果良好。证实脑内小脓肿多为囊虫感染所致。     

乳腺浸润性微乳头状癌临床病理分析

目的:观察分析乳腺浸润性微乳头状癌(IMPC)的临床病理特征、诊断及鉴别诊断。方法:从300余例乳腺癌中筛选出符合IMPC(单纯型)形态学标准的病例5例,用光学显微镜观察其石蜡切片和免疫组织化学标记,并分析研究。结果:5例IMPC无特殊临床症状、体征、肉眼观察及术中冷冻镜下特征;石蜡切片光镜下特征为:缺乏纤维血管轴心的微乳头或腺泡状细胞簇在纤细网状或胶原纤维性间质分隔形成的透明间隙中浸润;IMPC微乳头边缘EMA(+),肿瘤CD31(-),表明微乳头缺乏纤维血管轴心;E-cad主要表达于肿瘤细胞间连接面的细胞膜,而微乳头朝向间质面的细胞膜则表达减弱或消失。结论:IMPC只能通过组织形态借助免疫组化诊断;IMPC的高淋巴管侵袭和高淋巴结转移要引起病理医师高度重视。     

子宫静脉内平滑肌瘤病临床病理观察

本文报告了3例子宫静脉内平滑肌瘤病,系子宫平滑肌瘤的一罕见类型,临床经过良性。病理特征为平滑肌组织呈蠕虫样伸入子宫或盆腔静脉内,瘤细胞分化良好,核分裂象少或无,瘤组织富于厚壁小血管。诊断时应与淋巴管内间质肌病、子宫平滑肌肉瘤、腹膜播散性平滑肌瘤病及良性转移性平滑肌瘤鉴别。