腋窝淋巴结结核临床病理分析与探讨(1)
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【摘要】 目的 探讨腋窝淋巴结结核的临床病理及淋巴循环途径,以引起对这个特殊部位结核病变的重新认识,减少漏诊和误诊的发生。方法 对8例腋窝淋巴结结核患者活检标本,常规福尔马林固定,石蜡包埋切片,HE染色,显微镜观察分析。结果 干酪坏死型3例,增殖型4例,粘连混合型1例。结论 在结核杆菌耐药的今天,腋窝淋巴结结核病核已成为常见的结核病变,在临床上不能随意臆断为转移癌或淋巴肉瘤或其他普通性炎症,应认真了解和剖析腋窝淋巴的循环途径,提高对腋窝淋巴结结核病变诊断的正确性。
【关键词】淋巴结结核;腋窝;病理
【Abstract】 Objective To explore the clinical pathology and lymph circulation pathway in order to recognize the tuberculosis in such special part and to avoid the occurance of missed diagnosis and mis-diagnosis. MethodsBiopsy specimen, regular formalin-fixed, paraffin-embedded, HE stain and microscopy observance were carried out in 8 patients with armpit tubercular lymphadenitis. Results3 patients had Cheese necrotic type, 4 proliferative type and 1 adherent and mixed type. ConclusionsIn recent years, armpit tubercular lymphadenitis has become the common tuberculosis. We should not assume it as transfer cancer, or lymphosarcoma, or other common inflammation ......
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