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1
参考中文标题:
改变欧洲的编辑。
PMID及链接:
17569042 http://www.syyxw.com/Archive/Detail/17569042
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2
参考中文标题:
双膦酸盐。 [评论] [10参]
PMID及链接:
17340165 http://www.syyxw.com/Archive/Detail/17340165
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3
参考中文标题:
磁共振成像的后角落的膝盖。 [审查] [ 84参]
PMID及链接:
17334760 http://www.syyxw.com/Archive/Detail/17334760
摘 要:
The posterolateral corner (PLC) is a complex functional unit, consisting of several structures, which is responsible for posterolateral stabilization. The PLC is not consistently defined in the literature. However, most descriptions include the popliteal tendon (PT), the lateral collateral ligament (LCL), the popliteofibular ligament (PFL) and the posterolateral capsule, which is reinforced by the arcuate ligament (AL) and the fabellofibular ligament (FFL). Knowledge of PLC anatomy, including its variations, and understanding of the biomechanics is important for correct diagnosis of PLC injuries. An overlooked PLC injury can result in chronic instability, chronic pain, and, eventually, in secondary osteoarthritis. Damage to the PLC also has an adverse effect on the outcome of cruciate ligament repair. Isolated lesions of the PLC are rare. PLC lesions are typically associated with injuries of the cruciate ligaments, the menisci, bone and soft tissue. In the acute phase, clinical findings can be difficult to interpret due to pain and swelling. Magnetic resonance (MR) imaging potentially demonstrates the entire spectrum of PLC injuries and associated lesions of the knee, including those that may be overlooked during clinical examination or arthroscopy. [References: 84]
参考中文摘要:
后外侧角( PLC )的是一个复杂的功能单位,由几个机构,负责后方稳定。临立会没有一贯界定的文献。然而,大多数说明包括腘肌腱(铂) ,外侧副韧带(柜) ,在腘腓韧带(腘腓韧带)和后外侧胶囊,这是加强了弓状韧带(阿盟)和fabellofibular韧带( FFL ) 。 PLC的解剖知识,包括其变化,并了解是非常重要的生物力学正确诊断的PLC受伤。一种被忽视PLC的损伤可能会导致长期不稳定,慢性疼痛,并最终在中学骨关节炎。损害公司也有不利影响的结果十字韧带修复。孤立病灶的PLC是罕见的。 PLC的病变通常与受伤的十字韧带,半月板,骨与软组织。在急性期,临床表现可能很难解释,由于疼痛和肿胀。磁共振(先生)成像可能表明了整个系列的PLC的伤害和相关病变的膝盖,包括那些可能被忽略在临床检验或关节镜检查。 [参考文献: 84 ]
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4
参考中文标题:
半月板韧带:模式的眼泪和pseudotears使用的半月板标本和临床资料。
PMID及链接:
17483944 http://www.syyxw.com/Archive/Detail/17483944
摘 要:
PURPOSE: The purpose of the study was to determine the different types of pseudotears of the posterior horn of the lateral meniscus caused by the nearby meniscofemoral ligaments (MFLs), and to correlate the presence of these ligaments with patterns of meniscal tear. DESIGN: Retrospective clinical study with patients and prospective observatory study with cadaveric material. PATIENTS: Magnetic resonance imaging studies of the knee in 49 patients who had subsequent arthroscopy of the knee performed over a 1-year period at a single institution were reviewed by two readers in consensus for the presence and morphology of the MFLs of Humphry (LH) and Wrisberg (LW). Ten cadaveric knee specimens were used for MRI, anatomic, and histologic study. RESULTS: The LH was present in 55% of patients, the LW in 94%, and both were present in 44.9%. The thickness of the LH and LW ranged from 1-3 mm (mean 1.9, SD 0.61), and from 1-3.8 mm (mean 1.8, SD 0.65) respectively (p > 0.05). A pseudotear in the posterior horn of the lateral meniscus was present in 63% of patients. In 13% the pseudotear was vertically oriented, and in 87% the pseudotear had an anterosuperior to posteroinferior orientation, ranging from 37 to 87 degrees . There was no association between the presence of one or both MFLs and the occurrence of medial or lateral meniscal tears (p > 0.05). CONCLUSION: Meniscofemoral ligaments are frequent anatomical structures that are found in the majority of knees with MRI. They commonly cause a pseudotear of the posterior horn of the lateral meniscus that can be simple, double, or complex in appearance, with vertical or anterosuperior to posteroinferior orientation.
参考中文摘要:
目的:研究的目的是要确定不同类型的pseudotears的后角的外侧半月板所造成附近的半月板韧带( MFLs ) ,以及相关联的存在,这些韧带与半月板撕裂的模式。设计:回顾与患者的临床研究和未来的观测研究,尸体材料。患者:磁共振成像的研究,在49例膝关节谁了以后关节镜膝关节进行了1年期间在一个单一的机构审查了两个读者的共识的存在和形态MFLs的汉弗莱(黄体生成素)和Wrisberg (长波) 。 10尸体膝关节标本,用于磁共振成像,解剖学和组织学研究。结果:黄体生成素存在于55 %的患者中,长波的94 % ,均在44.9 % 。厚度的LH和选修1-3毫米不等(平均1.9的SD 0.61 ) ,从1-3.8毫米(平均1.8的SD 0.65 ) ( P均“ 0.05 ) 。阿pseudotear在后角的外侧半月板存在于63 %的患者。在13 %的pseudotear是垂直方向,并在87 %的pseudotear了anterosuperior以posteroinferior方向,范围从37至87度。没有协会的存在之间的一个或两个MFLs和发生的内侧或外侧半月板的眼泪( p “ 0.05 ) 。结论:半月板韧带经常解剖结构,发现在大多数的膝盖与MRI 。他们通常导致pseudotear的后角的外侧半月板,可简单,双击,或复杂的外观,与垂直或anterosuperior以posteroinferior方向。
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5
参考中文标题:
磁共振成像的糜烂在指间关节骨性关节炎:关节炎是所有糜烂? 。
PMID及链接:
17497149 http://www.syyxw.com/Archive/Detail/17497149
摘 要:
OBJECTIVE: Erosive osteoarthritis is usually considered as an inflammatory subset of osteoarthritis (OA). However, an inflammatory component is now recognised in all subsets of OA, so this subgroup of erosive or inflammatory OA is more difficult to conceptualise. The aim of this study was to compare routine CR and MRI to investigate erosion numbers and morphology to determine whether hand OA in general is a more erosive disease than previously recognised. DESIGN AND METHODS: Fifteen patients with clinical (OA) of the small joints of the hand underwent MRI of one of the affected proximal interphalangeal (PIP) or distal interphalangeal (DIP) joints. Conventional radiographs (CR) of the hand were also obtained. The MR images were reviewed by two observers for the presence of central and marginal erosions. The site and morphology of any erosions was recorded. CR images of the same hand joint were scored independently for central and marginal erosions by the same observers. RESULTS: There was 100% agreement between the observers for scoring erosions on CR. Agreement for the MRI scores was also excellent (kappa = 0.84). MRI detected 37 erosions, of which only 9 were seen on CR. The increase in sensitivity using MRI was much greater for marginal erosions (1 detected on CR, 19 on MRI) than for central erosions (8 on CR, 18 on MRI). Using MRI 80% of joints examined showed 1 or more erosions compared with 40% using CR. If only marginal erosions were considered 80% of joints were still considered erosive by MRI criteria, but only 1 showed evidence of erosion on CR. Morphologically central erosions appeared to represent areas of subchondral collapse and pressure atrophy. In contrast, marginal erosions resembled those seen in inflammatory arthritides. CONCLUSION: Erosions, and particularly marginal erosions typical of those seen in inflammatory arthritis, are a more common feature of small joint OA than conventional radiographs have previously indicated.
参考中文摘要:
目的:糜烂性关节炎通常是被视为是一种炎症的子骨关节炎( OA ) 。然而,现在是炎症部分确认所有的子集办公,因此这个小组糜烂或炎症办公更难构思。本研究的目的是比较常规CR和MRI检查,调查侵蚀数量和形态,以确定是否手办公自动化一般是一个更糜烂患者比以前公认的。设计和方法: 15例临床(办公自动化)的小关节的手接受MRI检查的一个影响近侧指间(画中画)或远侧指间(部)接头。常规X线片( CR )和手也获得。磁共振图像进行了审查两个观察员在场的中央和边缘糜烂。该网站和形态的任何糜烂的记录。 CR影像同一手关节得到独立的中央和边缘糜烂由同一观察员。结果: 100 %之间的协议观察员得分不力的责任。协定的MRI分数也优( Kappa值= 0.84 ) 。 MRI检查发现37糜烂,其中只有9人看到责任。增加的敏感性使用MRI是更大的边际糜烂( 1检测公约, 19的MRI )比中央糜烂( 8富, 18岁的MRI ) 。用80 %的MRI检查显示关节1个或多个糜烂的40 %的人使用责任。如果只被视为边缘糜烂的80 %仍然被视为关节糜烂的MRI标准,但只有1证据表明侵蚀责任。中央糜烂形态似乎代表领域的软骨崩溃和压力萎缩。与此相反,边际糜烂类似于看到炎症arthritides 。结论:糜烂,尤其是典型的边缘糜烂所见炎症性关节炎,是一种较常见的功能,小关节骨关节炎,比传统X光片已如前所述。
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6
参考中文标题:
成像pseudoneoplastic群众与移植。
PMID及链接:
17415562 http://www.syyxw.com/Archive/Detail/17415562
摘 要:
OBJECTIVE: The objective of this study is to describe the imaging features of non-neoplastic masses suspected of being tumor recurrences adjacent to allografts. The allografts were utilized for the treatment of various musculoskeletal tumors. MATERIALS AND METHODS: We reviewed the medical records and imaging studies of 56 patients who were suspected of having recurrent tumors following surgical resection and allograft replacement treatment for a variety of musculoskeletal neoplasms. The imaging modalities included radiographs, CT, and MRI. RESULTS: There were 47 cases of recurrent tumors. All tumor recurrences were in the soft tissues of the surgical bed (41 patients), or in the native bone adjacent to the host/allograft junction (6 patients). None of the recurrences originated in the allografts. Nine patients suspected of having recurrences were discovered to have non-neoplastic masses. Five of these were very closely related to the allograft, wrapping around parts of the allograft, and the other 4 were in the surgical bed, 2 of which were abscesses and two were seromas. CONCLUSION: Most masses arising in the vicinity of allografts implanted following resection of musculoskeletal tumors represent recurrent neoplasms. A minority are reactive processes or abscesses or fluid collections. These "pseudoneoplasms," specifically those closely related to the allografts, have specific imaging characteristics that help distinguish them from recurrent tumors.
参考中文摘要:
目的:本研究的目的是描述的影像学特征的非肿瘤群众怀疑是肿瘤复发毗邻移植。在移植被用于治疗各种骨骼肌肉系统肿瘤。材料与方法:我们审查的医疗记录和影像学56例谁被怀疑有复发的肿瘤后手术切除和移植替代治疗各种肌肉骨骼肿瘤。成像方式包括X光片, CT和MRI检查。结果:有47例复发肿瘤。所有肿瘤的复发是在软组织外科床( 41例) ,或在本地骨毗邻主机/移植交界( 6例) 。无复发起源于移植。 9例怀疑有复发被发现有非肿瘤群众。其中5个是非常密切相关的移植,包裹周围部分的移植,以及其他4人在手术床上,其中2人脓肿,两人seromas 。结论:大多数群众中引起附近移植后植入骨骼肌肉系统肿瘤切除代表经常性肿瘤。少数是反应过程或脓肿或液体集合。这些“ pseudoneoplasms ” ,特别是密切相关的移植,有具体的影像学特征,以帮助区分他们复发的肿瘤。
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7
参考中文标题:
普遍存在的腰椎小关节水肿患者的腰痛。
PMID及链接:
17410353 http://www.syyxw.com/Archive/Detail/17410353
摘 要:
OBJECTIVE: The objective was to assess the prevalence of lumbar facet joint edema in patients with low back pain. MATERIALS AND METHODS: Lumbar spine MR examinations (1.5 T) of 145 consecutive patients (87 women, 58 men; mean age 52.8, range 17-94 years) were retrospectively evaluated with regard to the presence of facet joint edema. The MR protocol included sagittal short-tau inversion recovery (STIR), T1- and T2-weighted as well as transverse T2-weighted images. In 9 patients follow-up MR examinations were performed and results were compared with pain. The agreement between the change in intensity of facet joint edema and the change in intensity of pain was assessed using kappa statistics and Kendall's tau coefficient. RESULTS: In 21 of the 145 patients (14%) edema was found at the facet joints: in 52.4% at L4/5, in 19.0% at L5/S1, in 14.3% at L4/5 and L5/S1, in 9.5% at L3/4 and L4/5, and in 4.8% at L3/4. The agreement between the change in pain score and intensity of edema within the follow-up group was "almost perfect" (kappa = 0.81). Kendall's tau coefficient was 0.91, indicating high agreement. CONCLUSION: Sagittal STIR images detect facet joint edema in 14% of patients with low back pain. This fact may be useful for planning treatment including facet joint injections.
参考中文摘要:
目标:目标是评估的流行腰椎小关节水肿患者的腰痛。材料与方法:腰椎磁共振检查( 1.5 t )的145例患者( 87名妇女, 58人,平均年龄52.8 ,范围17-94岁)进行回顾性评价方面,存在小关节水肿。协议包括的MR矢状短期反转恢复(搅拌) , T1的和T2加权以及横向T2加权图像。 9例后续磁共振检查和结果进行了比较痛苦。之间达成的协议的变化强度小关节水肿和强度的变化,疼痛评估采用Kappa值统计和Kendall的头系数。结果:在21日的145例( 14 % )水肿,发现在小关节:在52.4 % ,收于腰4 / 5 ,在19.0 % ,收于L5/S1 ,在14.3 % ,收于腰4 / 5和L5/S1 ,在9.5 % ,收于三级/ 4和腰4 / 5 ,并在4.8 % ,三级/ 4 。之间达成的协议改变疼痛评分和强度水肿的后续行动组“近乎完美” ( Kappa值= 0.81 ) 。肯德尔的头系数为0.91 ,这表明高协议。结论:矢状搅拌图像检测关节水肿14 %的病人腰痛。这一事实可能是有益的规划治疗包括关节注射。
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8
参考中文标题:
X线胸后凸措施在骨质疏松症:柯布和椎心角度。
PMID及链接:
17437103 http://www.syyxw.com/Archive/Detail/17437103
摘 要:
OBJECTIVE: Several measures can quantify thoracic kyphosis from radiographs, yet their suitability for people with osteoporosis remains uncertain. The aim of this study was to examine the validity and reliability of the vertebral centroid and Cobb angles in people with osteoporosis. DESIGN AND PATIENTS: Lateral radiographs of the thoracic spine were captured in 31 elderly women with osteoporosis. Thoracic kyphosis was measured globally (T1-T12) and regionally (T4-T9) using Cobb and vertebral centroid angles. Multisegmental curvature was also measured by fitting polynomial functions to the thoracic curvature profile. Canonical and Pearson correlations were used to examine correspondence; agreement between measures was examined with linear regression. RESULTS: Moderate to high intra- and inter-rater reliability was achieved (SEM = 0.9-4.0 degrees ). Concurrent validity of the simple measures was established against multisegmental curvature (r = 0.88-0.98). Strong association was observed between the Cobb and centroid angles globally (r = 0.84) and regionally (r = 0.83). Correspondence between measures was moderate for the Cobb method r = 0.72), yet stronger for the centroid method (r = 0.80). The Cobb angle was 20% greater for regional measures due to the influence of endplate tilt. CONCLUSIONS: Regional Cobb and centroid angles are valid and reliable measures of thoracic kyphosis in people with osteoporosis. However, the Cobb angle is biased by endplate tilt, suggesting that the centroid angle is more appropriate for this population.
参考中文摘要:
目的:一些措施可以量化胸椎后凸畸形从X光片,但他们是否适合骨质疏松症的人仍然不明朗。本研究的目的是审查的有效性和可靠性椎心和柯布角度与骨质疏松症的人。设计与患者:侧线的胸椎31日被抓获的老年妇女骨质疏松症。胸椎后凸畸形是衡量全球( T1的T12 )和区域(甲状腺素,第九)使用柯布和椎心角度。 Multisegmental曲率也是衡量拟合多项式职能胸曲率的个人资料。规范和Pearson相关被用来审查信函;协议的措施进行了检查与线性回归。结果:中等至高内部和信度方面取得了(扫描电镜= 0.9-4.0度) 。同时效度的简单措施,建立对multisegmental曲率(注册商标= 0.88-0.98 ) 。强关联与会者之间的柯布和心角度全球(注册商标= 0.84 )和区域(注册商标= 0.83 ) 。之间的对应关系的措施是温和的柯布R法= 0.72 ) ,但更强大的心的方法(注册商标= 0.80 ) 。的Cobb角为20 %更大的区域措施由于影响终板倾斜。结论:区域柯布和心角度有效和可靠的措施胸后凸畸形的人,骨质疏松症。然而, Cobb角是有偏见的终板倾斜,表明心角更适合这一人群。
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9
参考中文标题:
甲角化棘皮:超声和磁共振成像结果。
PMID及链接:
17380331 http://www.syyxw.com/Archive/Detail/17380331
摘 要:
Subungual keratoacanthoma is a rare, squamoproliferative neoplasm arising at the nail bed. It may cause erosion of the underlying bone. We report a case of subungual keratoacanthoma of the right thumb in a 63-year-old man. Radiographs showed cortical erosion of the distal phalanx of the right thumb. Ultrasonography showed a mixed echoic tumor. On magnetic resonance imaging (MRI), the tumor showed intermediate signal intensity on T1-weighted images and mixed intermediate and high signal intensity on T2-weighted images with peripheral thin rim enhancement.
参考中文摘要:
甲角质棘皮瘤是一种罕见的, squamoproliferative肿瘤引起的甲床。它有可能造成水土流失的根本骨。我们报告一例甲角化棘皮的右手拇指的63岁男子。 X光片显示皮质侵蚀末节断指的右手拇指。超声检查显示,混合回声肿瘤。对磁共振成像( MRI ) ,中间的肿瘤信号强度在T1加权像和混合中间产品和高信号T2加权图像与周边薄环增强。
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10
参考中文标题:
缺席颈椎椎弓根:一病例报告在中世纪骨架。
PMID及链接:
17589798 http://www.syyxw.com/Archive/Detail/17589798
摘 要:
This paper presents a first dry-bone study of the anatomy of an absent cervical spine pedicle and briefly reviews the literature involving this anomaly. The case study is of the absence of the right cervical spine pedicle at C6 in a mediaeval skeleton from England. Key features of the anomaly, including, in addition to the absent pedicle, dysplasia of the ipsilateral transverse process, dorsal displacement of the articular pillar, and reversal of the ipsilateral facet articulation with the supra-adjacent vertebra, are illustrated. Compromise of cervical spine stability is demonstrated. Literature review revealed 69 cases of absent cervical spine pedicle; all were unilateral, and there was no side or gender preference. The current case is a first description of an absent cervical spine pedicle in an archaeological skeleton. It indicates the presence of the anomaly in a European population more than 600 years before the first clinical description. Absent cervical spine pedicle appears to be a rare variant today; the paucity of archaeological cases shows that this was also the case in the past.
参考中文摘要:
本文提出了第一个干骨研究解剖28.32颈椎椎弓根和简要回顾文献涉及这种不正常现象。案例研究是没有权利在颈椎椎弓根的C6在中世纪骨架来自英格兰。关键功能异常,其中包括,除缺席椎弓根,不良同侧横突背面流离失所关节支柱,扭转同侧面衔接与超相邻椎骨,说明。妥协颈椎稳定表现。文献回顾显示缺席69例颈椎椎弓根;都是单方面的,没有任何一方或性别偏好。目前的情况是第一次说明28.32颈椎椎弓根在考古骨架。这表明存在的不正常现象在欧洲的人口超过600年前的第一次临床描述。缺席颈椎椎弓根似乎是一种罕见的变异今天;缺乏考古情况表明,这也是过去的情况。
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11
参考中文标题:
后脱位的二头肌长头肌腱:病例报告及文献复习。
PMID及链接:
17380330 http://www.syyxw.com/Archive/Detail/17380330
摘 要:
Posterior or lateral dislocation of the long head of biceps is a rare complication of shoulder dislocation that can result in inability to relocate the humerus. The diagnosis should be suspected when certain radiographic features are present at the initial presentation. Other imaging modalities can aid diagnosis when clinical management is unsuccessful or protracted. We present a case of surgically proven posterior dislocation of the biceps tendon with conventional radiographic, computed tomography and magnetic resonance imaging assessment. The literature on this subject is reviewed, and imaging features associated with the diagnosis are described.
参考中文摘要:
后部或侧脱位二头肌长头是一种罕见的并发症,肩脱位可能导致无法搬迁肱骨。诊断时,应怀疑某些影像功能出席了初步介绍。其他成像方式可以帮助诊断时临床管理是不成功的或长期的。我们提出一个案件后脱位手术证明的二头肌肌腱与传统X光,电脑断层扫描和磁共振成像评估。文献中关于这一问题的审查,及影像学特征与诊断方法。
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参考中文标题:
异常的长头肱二头肌肌腱:临床意义,磁共振arthrographic结果,与关节镜相关性2例。
PMID及链接:
17380328 http://www.syyxw.com/Archive/Detail/17380328
摘 要:
Two patients with clinically relevant anomalies of the long head of the biceps brachii tendon (LHBT) are presented with MR arthrography and surgical correlation. Such variations in the LHBT can mimic tears of the tendon itself or the adjacent superior labrum both on MR arthrography and at surgery. MR arthrographic features are recognizable and allow for correct prospective diagnosis, possibly averting unnecessary surgery. Although further study is needed, patients with these anomalies may be at increased risk for developing shoulder instability.
参考中文摘要:
2例临床有关的异常长头肱二头肌肌腱( LHBT )介绍与MR关节造影及手术的相关性。这种变化可以模仿LHBT眼泪肌腱本身或邻近的两个问题上盂唇MR关节造影和手术。问arthrographic功能识别,并允许未来的正确诊断,有可能避免不必要的手术。进一步研究,但目前需要的病人,这些异常可能是风险增加对发展中国家承担不稳定。
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参考中文标题:
阿骨原发性平滑肌肉瘤含有pseudoepithelial网状分子。
PMID及链接:
17483943 http://www.syyxw.com/Archive/Detail/17483943
摘 要:
A rare but distinctive variant of smooth muscle tumours that occurs almost exclusively in the uterus is characterised by the presence of plexiform tumourlets, which are composed of clumps and cords of tumour cells that form a discrete pseudoepithelial component. We report on a case of a primary leiomyosarcoma of the proximal humerus, which, in addition to characteristic histological and immunophenotypic features of leiomyosarcoma, contained plexiform tumourlets. Tumour cells in the plexiform component focally expressed muscle/smooth muscle actin, calponin and cytokeratin. Spindle-shaped and epithelioid smooth muscle tumour cells also expressed the above antigens. This is the first report of a plexiform smooth muscle tumour arising in bone. This case is remarkable, not only for being only the second reported case of a malignant plexiform smooth muscle tumour, but also for being one of very few examples of this type of tumour arising outside the uterus; it also is unique in having arisen in a male patient. This variant of primary leiomyosarcoma needs to be distinguished from other bone tumours containing epithelial elements, notably metastatic carcinoma.
参考中文摘要:
一种罕见但独特的变种平滑肌肿瘤几乎完全发生在子宫的特点是存在的网状tumourlets ,这是由团和电线的肿瘤细胞,形成了一个离散pseudoepithelial部分。我们报告一例原发性平滑肌肉瘤肱骨近端,其中,除组织学特征和免疫表型特征的平滑肌肉瘤,载丛tumourlets 。肿瘤细胞中的网状部分局部肌肉表示/平滑肌肌动蛋白,调宁蛋白和细胞角蛋白。梭形和上皮样平滑肌肿瘤细胞还表示,上述抗原。这是第一次报告的丛状平滑肌瘤引起的骨。这起案件是显着的,不仅是对历史上第二个被报告的案件的恶性网状平滑肌瘤,而且是一种极少数例子,这种类型的肿瘤引起子宫外,还具有独特的出现在了男性病人。这种变异的原发性平滑肌肉瘤需要有别于其他骨肿瘤含有上皮要素,尤其是转移癌。
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