论文部分内容阅读
1 病例 患者女性,25岁。以发现左下腹肿物伴月经周期缩短一年为主诉,于1995年9月24日入院。妇检:右附件触及6cm×6cm大小有肿块,质中。术中见瘤表面光滑,卵巢肿瘤大小5.5cm×5cm×4cm,包膜完整,表面光滑,附输卵管一段。瘤切面呈实性为主,质坚韧,混杂局灶黄色区,灰白色区和水肿区,见数个小囊腔,0.5cm大小,内含淡黄色清液。镜检:瘤组织由密集瘤细胞区、致密区和疏松水肿区构成小叶状结构,三者互有移行。瘤细胞多样化,圆形,多角形,梭形、胞浆嗜酸性或透明、空泡样,类脂质染色阳性,PAS阴性,瘤细胞周围常被嗜银纤维围绕。核圆形,肾形,染色质细均,核仁明显,可见双核,少数分裂像。致密区为富含的胶原
1 case patient female, 25 years old. To find the left lower quadrant tumor with menstrual cycle shortened by one year, chief complaint, in September 24, 1995 admission. Women’s examination: the right attachment touches 6cm 6cm size lumps, quality. See intraoperative tumor surface smooth, ovarian tumor size 5.5cm × 5cm × 4cm, complete capsule, the surface is smooth, with a fallopian tube. Tumor section was solid-based, qualitative tough, mixed focal yellow area, gray area and edema area, see several small cysts, 0.5cm size, containing a light yellow serum. Microscopic examination: Tumor tissue from the dense tumor cell area, dense area and loose edema constitute lobular structure, the three mutual migration. Tumor cells are diverse, round, polygonal, fusiform, eosinophilic cytoplasm or transparent, vacuolar, lipid-like staining positive, PAS negative, around the tumor cells often surrounded by silver-silver fibers. Nuclear round, kidney-shaped, chromatin fine, obvious nucleoli, visible dual-core, a few split like. Dense area is rich in collagen