食管鳞癌的p53蛋白表达及DNA倍体

食管鳞癌的ｐ５３蛋白表达及ＤＮＡ倍体回允中郭钤新张国良曾俊群一、材料和方法１．标本：１１０例食管鳞癌常规石蜡包埋组织（高分化３３例，中分化５９例，低分化１８例）来自北京医科大学人民医院（８４例，１９８６～１９９０年间）和美国辛辛那提大学医学中心（２６...     

INTRAVENOUS LEIOMYOMATOSIS OF THE UTERUS WITH EARLY PREGNANCY

Intravenous leiomyomatosis is a rare uterineneoplasm, histologically characterized by nodularmasses of benign smooth muscle growing withinthe uterine and pelvic veins. The entity has ty-pical gross and microscopic features. A case of intravenous leiomyomatosisassociated with uterine leiomyoma, adenomyosisand early pregnancy was reported. The condi-tion was recognized during surgery for uterinefibroids. This is, to our knowledge, the thirdcase of intravenOUs leiomyomatosis associatedwith pregnancy so far reported.     

LONG-TERM RESULTS IN SURGICAL TREATMENT OF CROHN''S DISEASE

55 patients (24 were male and 31 female; age range 12-'75 years) with Crohn's disease were treated surgically. The lesions were single in 32 (58.2%) and multiple in 23 (41.8To). The distribu- tion was: the small intestine, 26 patients (48.2'70); the colon 20 (35.7%); and both 9 (16.170). Most patients were opera.te{l upon fo;r a.cute abdo- minal pain, intestinal obstruction, abdominal mass and intestinal bleeding. Five patients (9.1%) died during ho.spitalizatioin, 49 were followed up for 0.5 t0 32 years;. Clinical cure was obtained in 22 (54.6To) of the resection group and in 4 (30.7%) of the nonresection group. Indications for surgical treatment are described and com- plications discussed.     

腹膜的异位蜕膜反应(附l例报告)

产妇,25岁,孕1产0,于1984年9月25日以宫内孕40周,骨盆狭窄,经过试产,因继发宫缩无力,产程进展不好,而行宫下段剖宫产,术中发现右侧子宫角附近的浆膜面上有多数绿豆大小结节,病理镜检见典型的蜕膜反应。细胞多角形呈镶嵌式排列,有清楚的细胞界限。胞核小,胞浆宽广红染。讨论:正常妊娠时子宫内膜间质的蜕膜反应已为众所周知,而此例证实为位于子宫角处浆膜面的蜕膜改变,这些异位的蜕膜均与胚胎发生有关。因此妊娠     

在临床工作中可能遇到的一些问题及对策

,仔猪口服兽用抗痢灵 0 .5 g,合计 2 7头 ;第 3组吃过初乳 ,仔猪口服兽用抗痢灵1 g,合计 2 9头 ;第 4组为对照组 ,仔猪未服兽用抗痢灵 ,合计 35头。各参试组楚。④忽视例行应问的职业史 ,营养史及月经生育史。⑤与主诉有关的既往治疗情况不明 ,忽略了诱因。1 2　体检技术差　①     

结肠腺癌伴有异位性骨化一例

结肠腺癌伴有异位性骨化一例回允中，郭钤新患者女性，６６岁。因间断性腹痛、腹胀、呕吐及体重下降３个月于１９８２年ｌｌ月５日入院。入院检查除大便潜血阳性及轻度贫血外无异常。钡剂灌肠Ｘ线检查发现升结肠近肝曲处有一长４ｃｍ狭窄区，部分肠管粘膜破坏，诊断为“升...     

非功能性甲状旁腺囊肿三例报告

例1,女性,37岁,住院号199856,病理号S-49772。因右颈部肿物进行性肿大1年而于1987年7月2日入院。查右颈部稍隆起,右甲状腺下极可触及一4×2.5cm肿物,表面光滑,界限清楚,似为囊性,无压痛,随吞咽动作上下活动。颈部浅表淋巴结不大。血钙2.33mmol/L、磷1.03mmol/L、T_3 2.7nmol/L、T_4 88nmol/L。ATMA、ATGA及NAN均阴性。临床诊断:颈部囊肿,甲状腺肿物可能性大。X线检查显示颈段气管受压,向左侧移位,~(99m)锝甲状腺γ闪烁扫描显影清晰,甲状腺位置正常,右叶外下方相当于颈部肿块的位置可见一4×3cm放射性缺损区,左叶放     

NONSPECIFIC THYROIDITIS

A clinical and pathological study was made on 53 cases of nonspecific thyroiditis operated on from 1962 through 1982. These included 36 Hashi. moto's disease, 7 Riedel's disease and 10 giant cell thyroiditis. There was no operative mortality or serious complication. With Hashimoto's disease, postoperative hypothyroidism occurred in 23 patients (63.9%) and the degree of lymphocytic infiltration of the thyroid appeared to be a more important factor relating to the occurrence of postoperative hypothyroidism rather than the amount of thyroid tissue resected. In mild Iymphocytic infiltration hypothyroidism did not appear when resection was limited to less than 50%. Therefore, intraoperative frozen section biopsy is beneficial not only for diagnosis but also for the choice of a proper opera- tive procedure. An association of Hashimoto's disease with hyperthyroidism was found in 10 cases. There were 3 clinical types of such association: Symptoms of hyperthyroidism preceded thyroiditis; thyroiditis occurred first and then the symptoms of hyperthyroidism; and both disorders occurred simul- taneously. As thyroiditis is generally considered an autoimmune disease, whether these three clinical types are different stages of the autoimmune reaction needs further investigation.     

富有脂质的乳腺癌

富有脂质的乳腺癌(Lipid-rich carc-inoma of the bleast)自1974年Ramos 等报告以来,已逐渐引起临床及病理工作者的重视,国内亦有病例报告。历史回顾Aboumrad等1963年报告一例伴乳头Paget's病的59岁女性乳腺癌病人,组织学检查发现乳腺肿瘤细胞胞浆丰富,且有空泡,冰冻切片特殊染色显示肿瘤细胞胞浆内含有大量脂质。由于肿瘤细胞胞浆内脂质丰富,分布均匀,