骨肿瘤及肿瘤样病变的组织病理学及超微结构。

C Povýsil
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摘要

本专著总结了基于1000多个原发性肿瘤和400个骨肿瘤样病变的临床病理分析、组织学和组织酶检查的最重要数据和经验。它们的诊断是基于世界卫生组织对骨肿瘤的分类,这似乎是最好的,以满足诊断实践的需要。然而,在我们收集的病例中也发生了不符合世卫组织诊断方案的病例。其中包括最近才被证明存在的病变,或仍在讨论的病变,如骨膜骨肉瘤、透明细胞和去分化软骨肉瘤、恶性纤维组织细胞瘤、所谓的副ororoma、吸收性巨细胞肉芽肿、手和脚管状骨的反应性骨膜炎,以及令人联想到骨水泥纤维瘤的胫骨病变。对大多数类型的骨肿瘤和肿瘤样病变进行了电镜检查(203例),在这里给出了相当程度的结果。一方面,电子显微镜有助于某些病例的诊断,另一方面,它在解决某些病变的组织发生问题方面被证明是极其重要的。
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Histopathology and ultrastructure of tumours and tumour-like lesions of bone.

The monograph summarizes the most important data and experience based on the clinicopathological analysis, histological and histoenzymatic examinations of more than 1000 primary tumours and 400 tumour-like lesions of bones. The diagnosis of them has been based on the WHO classification of bone tumours which appeared to be the best in meeting the needs of diagnostic practice. However, in our collection of cases also occurred such cases which did not fit into the WHO diagnostic scheme. They included lesions the separate existence of which could be proved only recently or has remained the matter of discussion, such as periosteal osteosarcoma, clear-cell and dedifferentiated chondrosarcoma, malignant fibrous histiocytoma, the so-called parachordoma, resorptive giant-cell granuloma, reactive periostitis of tubular bones of hands and feet, and the tibial lesion reminiscent of cementifying fibroma. In the majority of types of the tumours and tumour-like lesions of bones electron microscopical examination was carried out (203 cases), the results of which are presented here in a considerable extent. On the one hand, electron microscopy facilitated the diagnosis in some cases, and, on the other hand, it proved as extremely important in solving the problems of histogenesis of some of the lesions.

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