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婴幼儿血管瘤临床病理观察与分析

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目的:探讨婴幼儿血管瘤的病理演变过程。方法对75例婴幼儿血管瘤的标本进行HE染色,观察各阶段瘤体的病理特点。结果瘤体内均可见小叶结构,出生后1-6月,瘤体内以实性细胞团为主,逐渐出现血管样腔隙;7-12个月实性细胞团减小或消失,大量血管腔隙形成;1-3岁瘤体结构疏松,大量成熟血管形成,并出现消退现象;4-5岁血管数量明显减少,但管腔变大,消退现象更明显;5岁后瘤体被纤维脂肪所取代,消退完成。结论以往的临床分期与病理学改变不完全相符,提出以幼稚区、分化区、成熟区,消退区描述其病理形态特征,并进行相应的临床分期。
Clinicopathological observation and analysis of infantile hemangioma
Objective To observe the pathologic procedure of infantile hemangioma. Methods Seventy-five cases of infantile hemangioma were included in our study.HE stain was used to observe their pathologic structure. Results Tumors were seen lobulated structure. During the first 1-6 months, the main structure is solid cell mass, and show the lacune as blood vessel; 7-12 months, solid cell mass grow down or disappear, replaced with a large number of lacune;1-3 years old, the structure become loose, ripe blood vessel form,and show phenomenon of fadeaway; 4-5 years old, blood vessel grow downwards, but the area of blood vesse greaten, the phenomenon of fadeaway is evident; After 5years old, take the place of fiber and fat. Conclusion Clinical stage do not correspond the pathologic procedure. Recom- mend to use new mode as zone of immature, cell differentiation, mature and fadeaway.

Infantile hemangiomaClinicopathologicalAnalysis

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江西省赣州市赣县人民医院病理科

婴幼儿血管瘤 临床病理 分析

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(20)
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