The Lu bone tumor only shares 0.8~1.8% in the bone lump, mostly can cause a partial lump and diagnose to mainly shoot a slice of check with X line and have already dissolved a bone and ossification 2 type.Can is divided into 3 types according to the pathological changes property:
(A)the hair Lu bone tumor less saw and included at first:①The positive has:Bone lump, cartilage lump, afferent lump, the plank last skin kind inside the Zhang and skin kind lump, the plank Zhang meninges lump, positive big and small afterbirth lump and fiber lump etc..②Malignant have:Ossification tumor, cartilage tumor, fiber tumor, ridge Suo lump and malignant big and small afterbirth lump etc..
(Two)have positive ① after the hair Lu bone tumor:Meninges lump, the neck vein ball lump etc..②Malignant:Transfer a cancer, the nerve female cell lump, Ewing tumor, marrow lump, leukemia, lymphoid lump, the nose swallows cancer and vice- paranasal sinus part erosion tumor etc..
(Three)the Lu bone tumor kind the pathological changes(type tumor) have already loved the Yi red sex proud flesh swollen, yellow lump, Lu bone fiber structure bad disease, the abnormal bone blazes, Lu bone cirrhosis, the vice- paranasal sinus glues sac swollen, "aneurysm" kind bone the bag is swollen, the soft meninges bag is swollen, the bone bag inside the plank Zhang is swollen, Lu periosteum blood Dou, infant Lu bone the skin quality is fatty thick, the Lu plank inside the bone increases thick and stone bone disease etc..
Each kind of above-mentioned pathological changes has of have already introduced respectively in the pathological changes inside the Lu, no longer repeat here, clinical more familiar is described in the following:
1.The Lu bone bone lump this disease was a Lu bone to deliver sex tumor at first in more familiar of 1 kind, had 34% around, it is thus clear that at any age, but much saw by adult of youth, have no obvious sex difference.Can take place is any part at the Lu bone, the most familiar is a sum bone, time is crest, back part of skull, and paranasal sinus...etc..
The pathology can is divided into an airtight quality bone lump and loose quality bone lump.The former much sees, and then calls ivory-like in shape bone lump, much the occurrence is at the outside plank and outwardly present circular to swell up, diameter from count the mm go to number cm etc. not, minority's originating can go into to the Tu inside the Lu inside the plank.The tumor is strong and tough and fine, the base is wide and fixed.Grow in the vice- paranasal sinus can present a cent leaf's form, often have Xia Di and Dou wall connect with each other, can block vice- paranasal sinus openings, for form vice- paranasal sinus to glue one of the sac swollen reasons.The microscope check lump organizes to constitute for airtight quality bone organization, have no Harvard surname tube system, the bone small beam increases thick.Loose quality bone type the bone lump less sees, growth a little bit quickly, the physical volume is bigger and originate plank Zhang, the quality is more loose, mirror bottom it is thus clear that lump organization for loose the quality bone constitute and imply more fiber organization and sometimes as well have the fat the marrow or red marrow.
This lump grows slowness, Be swollen up to skin of head bottom, have no ache more and other unwell, often for by chance discover.To Tu inside the Lu go into or go into toward the Tus such as eye socket, nasal cavity or pair paranasal sinus etc. can cause to correspond part to oppress symptom, like symptoms, such as headache and Tu eye, sight obstacle, stuffed-up nose...etc..The bone lump inside the Shai Dou can erode hard meninges and the Lu bottom creation brain ridge liquid nose to leak and be infected etc. inside spirit Lu and Lu.The diagnosis mainly depends on X line the skull shoot a slice.But sometimes need to cause with meninges lump to limit sex Lu bone to increase to living and the fiber structure bad disease make to discriminate.The meninges lump mainly involves in the Lu plank inside the bone or whole layer, the Lu slice shows afferent ditch to increase to press to increase a high disease inside breadth and Lu, and tangent slice's showing outside plank has already projected the form"bone needle" change.The Lu bone fiber structure bad disease involves in the Lu bone whole layer, the pathological changes scope is more wide, and the body other bone Kas often have a same change.
The physical volume is small the lump having no the bone of symptom don't handle.The physical volume greatly produces symptom or influence hairdressing can the surgical operation make a Lu bone after cutting off bone lump and surrounding Lu bone repair.The tumor one who limits at outside plank can only make tumor excision to reserve inside the plank.Vice- paranasal sinus bone lump creation symptom may also surgical operation cut off, sum Dou through sum go into road, the hard film cuts off tumor and lump Di after outside digging to open the sum wall inside the Dou.The Shai Dou bone lump can be gone into road to slice lump by Kuang, the companion has the brain ridge the liquid to leak, can be outside repaired a hard film by the sum hard film and through the Kuang plank cut off bone lump and lump Di.
2.The Lu bone cartilage lump is rare and originate the embryo remnants remaining cartilage cell or from become the fiber cartilage of cell conversion but become female cell.It is thus clear that at any age, but much see by 20~40-year-old adult, asexuality incidence rate difference.Be located on hard Die bone outside the meninges and back part of skull cartilage more to combine place, and can involve in medium the Lu nest bottom, saddle side, break bore neighborhood and bridge cerebellum Cape and back part of skull bottom, but don't involve slope, can support and ridge Suo the lump distinguish.The minority can visit Be left to inside the Lu, the brain convex side(sum coping).Have already been livinged to the vice- paranasal sinus and the eye socket department but Tu to go into Lu as well.It generally is single to deliver, can deliver sex more all over separately.
The tumor presents the grey color translucent and solid lump and glues with hard meninges to connect.Inside the lump body sometimes the occurrence glue a liquid to change sex but present many buildings, may also have calcify and bone to turn.The mirror check sees the tumor surface having a little amount blood vessel and gum to knot Di organization and periosteum to connect with each other at first.The lump cell is a cartilage cell, but the structure is more disorderly and present small cartilage regiment, the cell size is different, 3~5 comes together 1.There can be bag in the radicle quality changing, calcify, the bone turns a fiber and glues liquid composition.There is 1~ tumor that 2% cartilage lumps are damned to change into cartilage, the lump cell is intensive and present not typical double of pits cartilage cell, the nuclear fission mutually and much sees.
This has an attack exhibition slow-moving, Be located on saddle side can produce a sense of vision obstacle, 3, 5 Lu nerve obstacle.Break bore area have a rock point comprehensive advertise for.Back part of skull bottom produce a case 5~12 Lu nerves paralyze.The bridge cerebellum Cape area contains 5~8 Lu nerves and cerebellum symptom, but the X line shoots a slice to have no inside listen to extension, can with listen to the nerve lump discriminating.The huge cartilage lump pressed to increase Gao Zheng inside the Lu.
The skull X line shoots a slice to show Lu bottom to have dissolving of extensive sex edge anomaly bone sexually transmitted disease to change area, the edge can have already increased not smooth turn.Breaking the area can involve the wall in the Die saddle, the Die bone small wing and milk Tu department, the ex- Lu cave bottom and Kuang etc..Inside often it is thus clear that calcify spot.
The tumor oppresses creation nerve symptom can surgical operation treatment, but because the tumor scope is extensive and and is hard to thoroughly cut off, can fight for making a partial or big department tumor excision decompression, sometimes can acquire symptom to alleviate, but easily relapse.The minority are damned to change.
3.The Lu bone afferent lump is seldom seen and take up 4.9~10% of the Lu bone benign tumor around, it is thus clear that at any age, but much see by middle age, men and women's difference not Zhao.The tumor originates plank Zhang, behind outwardly involve in outside plank combine outwardly Peng Long, minority of planks inside the influence, wear through to involve in hard meninges inside the plank separately, accidentally have ill nature to change.The tumor is often a single hair, the minority as well have much hair.
Pathology:The tumor external appearance presents blue dome-like in shape, net support slice noodles to show to constitute to°from majority of bones small beam, inside is purple red blood Dou, the bone small beam watch is shallow more bulky, present with Lu plank perpendicular arrange, deep department present beehive-like in shape alignment.The mirror check can is divided into 2:①Sponge-like in shape afferent lump:More familiar, Be located on sum coping more, the of the bone small beam has abundant size not to wait blood Dou, Dou wall for inside the skin cell cover reply.②The hair thin afferent lump:Rare, the lump contains to have a more soft organization composition, can break close by organization and oppression brain organization.
This lump growth is slow-moving, the small have no symptom, the big skin of head bottom the lump swell up and press a pain Zhao not, surrounding blood vessel can Nu piece, because of tumor influence the periosteum can have a slight headache.Minority of tumor Tus go into Lu to cause to press to increase high symptom and limit sex nerve symptom inside the Lu.The X line skull shoots a slice to show the Lu bone sponge-like in shape blood vessel presents circular or oval to dissolve the bone low density breakage area, the edge is smooth to have hardening to increase to living a change, the bone small beam increases thick present emanation form of alignment, surroundings have no Xian song the blood vessel press a vestige, can by with discriminate with meninges lump.Inside plank intact or become thin, minority of breakages.The hair thin afferent type can show plank Zhang the blood vessel show Zhao increment.Make cerebral build a shadow can show a tumor neighborhood of cerebral, the artery and the skin of head blood vessel all extends in the meninges or Yu song.This disease at even slice of up difficult with ossification tumor distinct, but the tumor grows quickly, many companions contain partial ache.Parts of infant and child have anemia and may also produce plank Zhang to increase breadth, the outside plank becomes thin, the bone small beam presents emanation form to arrange and inside the plank wait to is similar to a change with the Lu bone afferent lump as usual, but anemia can the companion has whole body tube the form bone marrow chamber the Peng is big, and the focus is smaller and limit, the skin of head swells up Zhao not.
The tumor the small can try a line to put to treat, can have certain curative effect.The tumor is big or has to press to increase high symptom inside the Lu, or the Yi is bad to change to make the whole piece of excision then Lu bone repair in response to the surgical operation.The tumor deep and hard film, usually glue with hard film connect not tight, be easy to separate excision tumor.
4.Skin kind inside the plank Zhang and the top skin kind lump has an original hair Lu bone the tumor is 7.6%.The last skin cell that originates the plank embryo inside the Zhang different, accidentally because of external injury or cure source reason to transplant the skin cell into to.Clinical characteristics and pathology of this lump have already known well to see skin kind inside the Lu and the top skin kind lump no longer repeats.
The X line skull shoots a slice it is thus clear that inside the outside plank separate Peng Long to become thin and present boundary to clearly limit sex circular or oval to dissolve the bone defection and damage area, the edge bone substance has a little bit hardening to increase to living.
The surgical operation thoroughly cuts off for the principle, before the Shu in response to explicit lump whether already invade inside the Lu or connect with each other with the same kind lump in the Lu of possibility, in order to carry on more complicated surgical operation preparation.
5.Plank Zhang type the meninges lump is rare and originate the Lu bone different skin cell inside the spider's web film inside the plank Zhang destroys remaining, and then calls "different inside the Lu bone meninges lump".Be seen to sum, parietal bones more, tumor beginning rise at the plank Zhang inside, there is integrity wrapping a film, minority outwardly the plank infringe upon and can wear through Tu in under the skin of head.The meninges lump in pathology and Lu homology.The skull X line shoots a slice of plank outside Lu bone to outwardly swell up a shadow and presents to dissolve bone breakage, the edge owes orderliness, minority can the Tu go into Lu.The course of illness is longer, the partial lump in skin of head, sometimes have partial ache.The Tu goes into Lu to produce nerve symptom.Treatment can all of the surgical operation cut off, good after preparing.
6.Lu bone positive big and small afterbirth the lump and then break bone cell lump, rare, Be seen to Die bone more, Lu in cave, rock bone, back part of skull etc., the minority are seen to a Lu cover a department, sufferer with medium youth is many, asexuality difference.The tumor quality is soft, often it is thus clear that bleed, bad dead and bag change, the bag contains guts or the syrup liquid liquid.Microscope bottom it is thus clear that the lump cell presents the shuttle formation fiber cell and spreads is doing not divide of check big and small afterbirth more, check a film clearly, it is thus clear that check Ren, have no nuclear fission mutually, there is abundant blood vessel, the lump around can have a little amount new bone formation.The minority can have degree etc. not of bad change, but the distance assignor is seldom seen.The X line skull shoots a slice it is thus clear that the edge irregularly dissolves bone area, inside can present single bag or many bags deeply and only area, among them it is thus clear that the spot-like in shape survive bone small beam.The edge can have already increased not smooth turn.The CT scans to show single building or many building inflations breaks the layer outside the area(low density) as high definition complete thin layer bone hull.
The tumor the small can have no symptom, only have the Nie bone the lump to swell up and there is ache.Invade Lu can produce to press to increase high symptom and bureau cooking stove body to advertise for inside the Lu, such as medium Lu nest have trigeminal nerve to implicate to advertise for, the rock bone has damaged 7, 8 Lu nerveses to advertise for, the saddle area can have one side or two sides 2~6 Lu nerve symptom etc..
Be located on Lu coping tumor can the surgical operation thoroughly cut off, the bone defection and damage makes a Lu bone repair.Better after preparing.All of the Lu bottom tumor slices a difficulty, can partially cut off, Shu's assisting behind is cured with emanation, sometimes can get longer of survival period.Pure make tumor to pare off in addition to or give or get an electric shock bright easily relapse.
7.The plank Zhang fiber lump(fiber bone lump) is rare and originate plank Zhang, Be seen to Lu bottom more, the occasional is livinged to Lu coping.Microscope check fiber lump, it is thus clear that the bone small beam, similar to the bone fiber structure bad disease, past Leads wait(1962) to suggest to row it is in the fiber structure bad disease.The tumor can oppress Lu nerve to cause symptom.The X line skull shoots a slice it is thus clear that the eggshell kind circular bone defection and damage, the boundary is clear.The Lu bottom tumor can make parts of excision to alleviate symptom.The Lu coping tumor can all cut off.
8.The Lu bone ossification tumor less sees, can be delivered to a Lu bone at first and took 15~25 years old male as many.Suffer from there being damned 10~15% changing into this disease in the abnormal bone burning(Paget disease), as well already project a treatment behind take place this lump.Be located on Lu bottom more, the minority can be located on Lu coping.This lump is a high malignant tumor and see to contain bone substance of how much but the quality is soft hard different.The blood of lump provides abundant, can take place cooking stove issue of blood, bad dead.The lump cell appearance much changes, can be the shuttle formation fiber cell, polygon small ossification cell or big and small afterbirth etc..The cell has the bone kind the organization, the cartilage organizes or the bone small beam formation.The nuclear fission mutually and much sees.This lump grows quickly, the course of illness is short, and the head has already limited sex to swell up and there is acute pain.The bad Paget disease changes can wear through periosteum in the skin of head
Next form a huge soft organization lump.The surface can present green purple color, the blood carries to enrich, the partial temperature increases Gao, surroundings varix, on the lump can Men and pulsate or smell and miscellaneous sound.The tumor can be followed to transfer by blood and mostly go into lung.The X line skull shoots a slice to present big slice of dissolve a bone of area, inside have results to show a bone phenomenon, the boundary owes pure.The edge bone stretches to around present perpendicularity to arrange toward the tumor project a form bone sting shadow(or sunlight project light upon form) because this disease blood provides abundant, sometimes can the misdiagnosis be swollen for the aneurysm kind bone bag and need to notice to discriminate it.
This disease differs after preparing and fight for in early days extensively the excision assisted to treat by putting behind, can reduce ache, extension existence period.
9.The Lu bone cartilage tumor is rare, is much become since then by bad cartilage lump.The lump cell regards cartilage cell as principle and divide better, there are a little amount mucous tissue or quality cell composition.May also from the quality cell develop into the quality cartilage tumor, the lump cell takes quality cell as a lord, the cartilage cell presents island-like in shape scatter everywhere, divide degree worse.This disease with other grow the bone bone Mao pathological changes simultaneous with call an ollier disease.The companion one who has afferent soft organization and other dirty machines lump calls that Maffucci advertises for cluster.The cartilage tumor is seen to Lu bottom more, the course of illness is more slow, and the tumor usually has been more big and takes the partial lump and the ache as main symptom while confirming.
The X line skull shoots a slice it is thus clear that the anomaly dissolves the bone breakage area, the edge isn't pure, there are irregular bone slice and calcify.The CT scans to show many cooking stoves calcify and irregular high definition area, inside miscellaneous have low density of area, for provide the cartilage organization of blood less.
The surgical operation treatment is that the head chooses a method and fights for whole excisionses towards developing slower Lu coping tumor canning.The Lu bottom can partially cut off, the Shu assists to treat by putting behind, can get short-term symptom to alleviate.
10.The fiber tumor originates the knot Di of hard meninges, plank Zhang and Lu periosteum or skin of head to organize.The sufferer is mostly a green prime of life.The tumor is much and first located on Lu crest or Lu bottom and breaks the Lu plank outside the bone and erodes plank Zhang behind, inside plank and get into Lu, the later period can have distance to transfer.Microscope bottom it is thus clear that the tumor mainly constitutes for the growth prosperous shuttle form the fiber female cell and checks to deeply dye and split up mutually many.The course of illness is short, the clinical performance limited lump and ached for the skin of head bottom in early days.Invading the Lu can produce to press to increase Gao Zheng inside nerve symptom and Lu.The X line skull shoots a slice:The Lu plank outside the bone became thin in early days, later period Lu bone whole layer presented big slice of dissolved a bone of breakage, edge anomaly such as rat Nie-like in shape, have no calcify and new bone formation.This disease and Lu bone's transfering cancer difference is the latter often and is a hair much.The treatment regards surgical operation excision as principle, Shu behind assist is cured with emanation, but curative effect not Zhao.
11.The neck vein ball lump and then chemistry feeling body lump, don't love vice- nerve stanza of chrome lump, the occurrence organizes at the neck vein ball of vein coping inside the neck, may also occurrence swallow nerve drum at the tongue the room pay the neck vein ball organization of the knot form nerve stanza neighborhood of surroundings or neck vein bore.Can to vein Dou inside the Lu inside develop, mostly Be located on B-like in shape Dou and horizontal Dou to hand over boundary, can cause neck vein the bore carry on sex extension, the tumor is after canning invade the Lu cave and medium Lu cave.This disease growth is slow-moving, the body the small doesn't produce symptom, the big can cause several Lu nerve damage(7~12 Lu nerves), cerebellums advertising for, the later period can have to press to increase Gao Zheng inside the Lu, very the bridge cerebellum Cape tumor.After the ear and neck sometimes the audibility arrive an afferent miscellaneous sound.The parts of case tumor originates the neck vein ball organization of middle ear drum the indoor, can take place buzzing in the ears, conductibility deaf, again and again ear way issue of blood, the tumor wear through inside milk Tu or close by Nie bone incursion Lu may also cause the above-mentioned symptom.Tumor size not etc., have already wrapped a film, quality frailty, the blood is provided to enrich and there cans be issue of blood inside the lump.The mirror checks a similar and normal carotid artery body and constitutes to°from the epidermis cell(main cell) nest or Suo-like in shape structure, nest is rich at of the hair thin blood vessel quality, the blood vessel can extend to present Dou kind, the tumor hardly has been already transfered, but can to surroundings organize erosion.The skull shoots a slice to show Lu bottom, rock bone, back part of skull and milk Tu etc. the bone substance break, the Lu nest then has the bone bore the extension in the incursion, the bone plank dissolves a bone change.Making vein or vein Dou to build a shadow can check a B-like in shape Dou to block degree and tumor the scope is in the vein inside the neck.The CT scans to see the pure tumor is in the scope inside the Lu.
Cure:Project treatment effect to differ.Having the application selectivity the artery to bolt to fill can reduce blood to provide.Have already laid claim to ligation Lu to outside provide blood artery as well.(swallow to rise artery, artery outside the neck)Or ligature horizontal Dou first, vein distant place inside the neck, then cut open B-like in shape Dou and vein inside the neck to cut off tumor and is invaded of vein and vein Dou wall.
12.The Lu bone transfers a cancer to transfer Lu for swollen the body other part cancers of bone.Original hair comes from lung, mammary glands and adrenal glands more, other have etc. of prostate gland, the thyroid gland, womb and appetite way the etc. cancer swollen and malignant melanoma.Often in order to deliver sexually transmitted disease cooking stove more, beginning rise at the plank Zhang, behind gradually can wear through outside plank, the part swells up, may also wear through to involve in hard meninges inside the plank, or long go into hard meninges bottom oppress brain organization.Mostly the occurrence is at the Lu coping and may also Be located on Lu bottom the saddle carry on the back, slope and rock point etc..The earlier period can have no symptom, can touch a hemisphere-like in shape soft lump in the cranium with the tumor aggrandizement, partial ache, the patient is anemic, emaciated and has a malignant tumor history.The original hair cooking stove of having is small, can not discover.The X line skull shoots a slice to show two kinds of changes:①Dissolve a bone change:Familiar, present to deliver sex more to dissolve a bone circular deeply and only area, the minority is a list outbreak cooking stove, focus area the size is different.Diameter<5 mm often limits at inside the plank Zhang, the outside plank wears through to have part to swell up a shadow, and it is thus clear that a little amount new bone forms, the bigger focus breaks the Lu bone whole layer also can with surroundings break area fusion to present rat Nie-like in shape.This lump should with deliver sex marrow lump more and love acidity proud flesh swollen differentiation, list hair cooking stove should discriminate with impatient ostemyelitis.②The ossification transfers a cancer:The focus area density light degree increases Gao and has no deeply and only area.The tangent can show bone substance to increase to living, the edge isn't and together.Much thiser type of cancer that is seen to prostate gland transfers cooking stove.Minority present to dissolve bone and ossification mixture change, with the transfering of thyroid gland cancer, the blood provides abundant, very meninges lump.Cerebral build a shadow or live organize the check can discriminate.This disease cures to look for original hair cooking stove first, and carry on a chemotherapy according to the pathological changes property.Be taken bad cooking stove more isn't suitable for surgical operation;The list delivers bigger focus, can surgical operation cut off, Shu behind assist to put to treat by the part and the whole body and chemotherapy.
13.The nerve female cell lump child suffers from the belly nerve female cell lump to often transfer a Lu bone crest cover department, much see by sum, Zhen area, and often involve a face bone, Kuang department bone.X line slice shows to fill the air to knot stanza-like in shape dissolve a bone of change.The lump blood provides to enrich to grow into skin of head soft organization in, the tangent slice is in the strong light in the light it is thus clear that the Lu cover department increases thick and show the emanation-like in shape bone sting of Zhao.The tumor may also grows to deeply sew inside, can show a bone to sew separation.But can not invade hard meninges.The tumor involves in tooth or vice- paranasal sinus to often produce ostemyelitis.The patient has a belly lump to provide diagnosis clues.This disease prepares worse behind.To project treatment compare sensitive, but easily relapse.
The 14. Ewing tumor Lu bone Ewing tumor much for the one who transfer sex.The microscope checks:The lump cell is abundant, the appearance is consistent, afterbirth film clear, the afterbirth pit is big.Called tumor isn't easy to classify, or think both as a kind of disease with net cell.Clinical performance:The patient often tells a by fits and starts headache, the nighttime is more heavy, head can Men and lump, there is motion, patient often the companion is anemic, the white cell increases and has fever to wait symptom.X line slice sees in early days the focus was located on plank Zhang and presented small transparent area, the empress tumor aggrandizement contained bone substance breakage, the edge wasn't pure, the outside plank wore through, tumor at there is light degree under the skin periosteum reaction.This lump relapses towards projecting line comparing sensitive, but easily, 5 year, the existence leads not enough 5%, the useful emanation adds a chemotherapy, can choose the wreath Lin Mao An, 5-Fu, long the spring new Jian, mildewed vegetable etc., can prolong an existence period.
15.The marrow lump sufferer takes 40~60 years old male patient as many, originate marrow cell.Often in order to deliver sex more, in addition to Lu bone, fair Be seen to the whole body other bone Kas.The Lu bone pathological changes is seen to Lu coping more, is flat even or hemisphere form lump, have already pressed a pain.Be located on Lu bottom the tumor can cause several Lu nerves paralyzing, the eyeball is outstanding to wait.70% companions are pernicious anemia, Gao Xie Gai's disease, about half patient serum globulins increases in the Gao, urine have Ning to dissolve egg white(originally-week egg white), red cell to sink to decline a rate to increase quick and the by fits and starts have fever.Microscope next it is thus clear that in order to strach cell, 95% of lump cell also calls to strach cell lump.X line's shooting a slice to show coping has already delivered sex more, the size doesn't wait(2~10 mms) of the edge know of circular deeply and only area.The tumor was located on inside the plank Zhang in early days, behind can infringe upon the Lu bone whole layer, around have no hardening and periosteum reaction.The single hair tumor physical volume is bigger.(diameter 2~3 cms)Deliver sex more with put to treat and chemotherapy is lord, can have already alleviated ache and extension to exist period function, single hair can go surgical operation excision and assist to treat by putting and chemotherapy.
16.Lu bone the leukemia is rare.Be seen to the infant and the child suffer from a leukemia sufferer.BE more familiar than a Lu cover department, the patient is anemic and have fever, the easy misdiagnosis is ostemyelitis.The X line slice shows a Lu bone to have the edge the not tidy bone soft area and around has new bone formation.The treatment cures a leukemia by medicine and assists to project a treatment by part in the meantime.
17.The Lu bone lymphoid lump whole body lymphoid lump infringes upon vertebrate, breastbone, and pelvis...etc. more, the only minority involve in a Lu bone.The tumor breaks the outside plank outstanding skin of head bottom and there is partial ache and invades inside the Lu and often Be located on a hard film outside oppression the brain organization can produce to press to increase Gao inside cooking stove symptom in the bureau and Lu.X line slice it is thus clear that the anomaly dissolves bone area, the surroundings edge has already hardenned a phenomenon.Sometimes can appear to dissolve bone and ossification mixture change in the meantime.This disease to project treatment compare sensitive, invading hard meninges to outside share can surgical operation cut off tumor.
18.The nose swallows department and the vice- paranasal sinus cancer swollen erosion Lu bone Die Dou cancer to directly infringe upon a Die bone and it nearby bone substance, the clinical performance paralyzes symptom for the saddle area pathological changes symptom and Lu nerves.The X line slice shows to have a soft organization piece to copy inside the Die Dou, the cancer of Die Dou to Lu inside infringe upon, the Die saddle can all break, the nearby Die Dou big wing may also is infringed upon breakage.The nose swallows a cancer to mainly infringe upon Lu bottom, the X line slice shows the Lu bottom big slice of bone substance breakage and presents to dissolve a bone change, and the nose swallows in the department to have a soft organization shadow.Clinical can have stuffed-up nose etc. the nose swallow a symptom and Lu nerve obstacle.Cure:Above tumor all not ability surgical operation cut off, pathologic confirmation behind go to project a treatment.
19.Love the Yi red proud flesh swollen origin disease and yellow lump and infant the period fat cell disease(letterer-Siwe disease) threes all belong to skin cell inside the net to propagate a disease.Love the Yi red proud flesh swollen outbreak to contain not clear reason.Be seen to the child and the teenager more, the male is more than a female.The Lu coping much sees, other the bone, toe bone and rib, spinal column and brain and other internal organses may also is invaded.Much is a single hair, the size doesn't wait.The proud flesh is swollen to present palm tree of Huang or ash red, the quality soft frailty, the Lu outside can invade and periosteum, muscle, can involve in hard meninges inside the Lu.The pathology can is divided into four periods:①Propagate a period:There is a great deal of net knitting cell heap or are Suo-like in shape, afterbirth syrup abundant, check to present circular or kidney form, have a little amount syrup cell, lymphoid cell and love an acidity grain cell.Sometimes it is thus clear that check big and small afterbirth more, the radicle quality is little.②The proud flesh expects:The blood vessel is abundant in the proud flesh and in great quantities loved the Yi red cell, and it is thus clear that the single pit gobbles up cell, sometimes it is thus clear that the new bone form.
This disease often had low heat in early days, tired, the white cell increased Gao and loved the Yi red cell and list pit cell to increase in the blood elephant, the blood sank quickly, the Lu department has already limited sex to swell up and has ache and presses a pain, inside the plank broke the lump can have been already pulsated.Clinical symptom very maturation ostemyelitis.The X line skull slice shows to limit sex much hair or list hair the Lu bone whole layer break defection and damage, edge not tidy present "map-like in shape".Around have no hardening and periosteum reaction, to Lu inside infringe upon it is thus clear that the skin of head bottom has a soft organization lump shadow.The CT scans to show the button kind dead bone to advertise for for this disease characteristics.This disease is better to project treatment effect, delivering sex more can put to treat after living organization and checking a confirmation, single hair can the surgical operation assists to treat by putting after paring off in addition to.
20.The yellow lump is rare, Be seen to child under 10 years of age more, propagate a kind of disease for skin cell inside the net.The cause of disease isn't clear.The chronic delivers the Hand-Schiiller-Christian disease of sex yellow lump and then especially.The Lu bone easily implicates, besides which, other flat even bones(pelvis, shoulder bone, rib, up, descend a Han bone), vertebrate bone's waiting all can take place, and can infringe upon internal organs, chest film, lymphoid knot, skin and heart to wrap etc..
The yellow lump is the metabolism of a type of fat deposition disease, contain cholesterol deposition because of the skin cell inside the net, behind form foam cell, subsequently become proud flesh swollen, knot Di organization scar formation, the finally possible bone turns.The proud flesh is swollen to assume yellow or ash of yellow lump, quality frailty, mirror bottom it is thus clear that the skin cell inside the net that in great quantities implies a type of fat presents circular or polygon, the afterbirth body is big, the afterbirth checks solid shrink, the afterbirth syrup assumes foam-like in shape and fair see the jot love the Yi red cell, lymphoid cell, strach cell and cholesterol crystallize.
This disease course of illness is slow-moving, Lu's covering defection and damage can touch the soft lump in skin of head, and it is thus clear that pulsate.The typical model symptom is the map kind Lu bone defection and damage, the eyeball is outstanding and the urine collapse a disease(call Christian three lords advertise for), after being a swollen proud flesh eyeball inside the incursion Kuang and the bottom Qiu brain to.Other have already developed short small, second sex advertise for to develop bad, fat etc. hang the body function lowly symptom, often the companion has low heat, anemic, muscle joint aching etc..The infant easily produces complications to cause death.The X line shows a Lu cover the department have appearance irregularly drawing defection and damage, list hair or much hair, size not etc., edge clear, sharp-edged, have no hardening to take, Be seen to crest, Nie bone more, and can two sides grow in the meantime, the Lu bottom sees Die saddle more and see to cross ditch, the Die bone big and small wing, the Nie rock department, eye socket, split etc. on the Kuang.
This disease compares sensitive towards projecting line, so limits to the pathological changes proper put to treat can alleviate to develop and urge bone substance reborn.The Lu coping limits a sexually transmitted disease to change can the surgical operation cut off, Shu behind make the Lu bone repair Shu.Other can handle to the disease such as controling urine to collapse a disease, improve endocrine maladjustment etc..
21.The Lu bone fiber structure bad disease calls that the bone fiber unusually propagates a disease again, the cause of disease isn't clear.The quality that calculates for the embryo mid-term formation bone substance grows an abnormality, or is endocrine or metabolism obstacle to.The good hair is at the child and the youth, the male is more than a female.List hair or much deliver, the latter can the companion contains calm and steady skin dye, endocrine mess, the female can have sex precocious, call that Albright advertises for cluster.As well having minority can the companion have the whole body several skeletons to implicate, like vertebrate, pelvis and arms and legs skeleton etc..The Lu bone pathological changes is seen to sum bone, Die bone and Lu bottom more.The Lu plank outside the bone swells up, the surface is smooth, inside the plank assume Mao-like in shape.The pathological changes presents the ash red or grey color and contains fiber organization and bone to organize two kinds of compositions, because their comparison is different, in slicing noodles quality asymmetry, present hard rubber-like in shape, contain a sand grain the kind bone turn islet, can have small bag and issue of blood.Under the mirror see:Knot Di organization in the fiber in, there is new-born bone organizing structure, have the gum to maneuver interleave the original fiber inside the bone radicle quality.
Symptom:The pathological changes develops a little bit quickly when the beginning be taken bad, but go to become adult behind often can stop a development by oneself.Take head bone substance abnormal as a main performance, much see for the sum Kuang outside swell up above, the Kuang plank increases thick, the eyeball is outstanding and even cause a sight decrease and see nerve to atrophy.The Die saddle implicates but the physical volume narrow, produce to hang a body function decrease and see nerve to atrophy.The Lu bottom bone bore narrowness produces Lu nerve symptom.(if the trigeminal nerve pain wait)The vice- paranasal sinus is invaded to produce stuffed-up nose.The X line slice last change can is divided into 3:①The bag swollen type:Be seen to the Lu coping plank Zhang more a layer, inside there are circular or egg circular deeply and only area, the outside plank becomes thin, inside the plank often don't influence, the edge is clear also the hardening take.②Hardening type:Be seen to Lu bottom more, often for double side before, in the Lu nest bottom symmetry sex bone substance increase thick, often involve in Die bone and wing department, nerve bore etc..③Hybrid type:Seldom seen, is mainer than Lu coping, the plank Zhang increases breadth, the outside plank becomes thin and there is spot-like in shape density inside the transparent area increasing a high shadow.The bag swollen type should with skin kind of plank Zhang the lump discriminate, the latter scope is smaller.The single side hardening type should discriminate with the bone hardening that meninges lump causes, the latter bone hardens not as fine as this disease and the scope is smaller and sometimes still need to be made cerebral build shadow it is thus clear that the tumor is provided for blood to take into to discriminate.The hybrid type should discriminate with Paget disease, the latter pathological changes scope more fills the air.
This disease has no special nerve symptom don't need surgical operation.Oppressing an eyeball or seeing a nerve can the surgical operation cut off parts of pathological changes decompression to ease symptom.Influence facial appearance, being suitable for the Lu coping pathological changes of surgical operation can cut off, the Shu makes the Lu bone repair Shu behind.
22.The Lu bone abnormal bone blazes and calls a Paget disease.The cause of disease isn't clear and often have a household sexual orientation.Be seen to middle age more an adult, the male is more than a female.The pathological changes can involve in Lu crest and Lu bottom.May also involve in whole body other skeletons, much see by pelvis, bone, and spinal column...etc. particularly.About 11% is damned to become blood relationship of lump(Bird).The pathologic characteristic breaks a companion to have bone substance to increase to living a change in the meantime for the bone substance.The Lu bone dissolves a bone in the earlier period the change is obvious, the surface is rough, and the Lu plank presents to fill the air sex map kind change.Through the few months~after few years because of ossification cell the function is dissolving the bone formation bone substance inside the area, the Lu plank increases thick.The Lu bottom pathological changes easily sinks into Lu to cause Lu chamber's diminishing because of new bone softer frailty, the Lu nerve, blood vessel is pressed and press to increase Gao inside the Lu.The Lu coping pathological changes blends each other and makes the Lu plank reconstructed because of the new bone and form Lu plank to increase thick, external appearance abnormal.Mirror bottom it is thus clear that pathological changes area blood vessel abundant, the Lu bone breaks bone substance inside the area from knot the Di organization replace and have an in great quantities new bone to form later on and present anomaly alignment, become "inset type" structure.
This disease in early days in addition to often telling a headache have no symptom, because the skull increased thick but external appearance aggrandizement and dissymmetry.The Lu bottom pathological changes can produce to press to increase high symptom inside the Lu, the oppression listens to the nerve creation deaf and involve in eye socket and see a nerve to have an outstanding eyeball, reply to see, sight obstacle etc..Patient's serum alkaline phosphoric acid fat the Mao obviously increase Gao.Have whole body skeleton pathological changes can produce hunchback, body abnormal etc..The X line shot a slice of Lu coping to have in early days list hair or much the hair was slice-like in shape to dissolve a bone of change, deeply and only area scope not etc., around had no hardening to take.The whole layer bone plank can influence and implicates to compare Zhao by plank Zhang and outside plank, it is thus clear that the bone small beam.The empress can appear several calcium spots also the formation Xu-like in shape bone substance increase to living.The Lu bottom pathological changes can have hollow part, bone bore or bone crack Xi narrows or the structure isn't pure.This disease should with mixture type the Lu bone fiber structure bad disease and ossification-dissolve a bone mixture the type transfer a cancer, A-like in shape side gland function Kang enter disease completely recovered expect to discriminate.But all and rather this disease pathological changes scope is extensive, and transfer cancer and A-like in shape side gland Kang to enter a disease all don't produce Lu coping to increase thick abnormal.
This disease has no special effect therapy.General to with the nourishment medicine(like calcium, vitamin C, and D...etc.), the hormone(a little amount testicle vegetable, estrogen) synthesizes a metabolism by improvement.Avoid negative heavy prevent°from pathologic sex bone fracture.Press to increase high symptom inside the Lu, the sight serious decrease could make decompression Shu.
23.The vice- paranasal sinus glues the sac swollen vice- paranasal sinus to glue sac swollen(sum Dou and Die Dou much see), because of blocking openings to the Dou wall become thin, Dou chamber extension, the minority can oppress close by Lu bone combine Tu go into Lu inside produce nerve symptom.The Die Dou glues sac swollen can to saddle inside and go into creation sight decrease on Tu of saddle, the double Nie side is partial to blind, move a look in the eyes through paralyze, endocrine obstacle etc..The sum Dou glues sac swollen often the companion have the sum department the soft organization to swell, often invading eye socket the eye is to the single side Tu.X line slice it is thus clear that implicating vice- paranasal sinus to extend is turbid.Die Dou has the Die saddle the extension, absorb or break, Kuang up the crack extend etc..Should discriminate with tumor inside the saddle.The sum Dou glues sac swollen the Dou having a sum break, Kuang wall break, because of this disease growth slow-moving, so can have new hardening bone wall formation in the eye socket.
Treatment with the surgical operation cuts off a bag swollen for head choose, the one who have to influence inside the Lu, surgical operation keep bag liquid from overflowing into Lu, in order to prevent occurrence have no germ meningitis.There is infected person after the hair, only extend vice- paranasal sinus openings, well lead to flow.Die Dou's gluing the sac swollen adoption is gone into road by nose, the Shu is behind often symptom quickly disappear.
24."Aneurysm" kind bone bag is swollen seldom seen.Be seen to Nie bone, back part of skull and eye socket etc., cause of disease not known, the whole body is long the bone Be more to see.The pathological changes is located on plank Zhang, the surface is smooth is done not wait by the size of afferent sex chamber Xi, mutual communication, contain brown or dark green engine oil kind the liquid or guts glue dense material.The microscope bottom sees the size don't wait afferent chamber Xi, the part is overalied by the single layer flat even cell.Constitutes to°from the elasticity fiber, muscle fiber and fine fiber organization partition, inside have red cell, check big and small afterbirth more, huge bite cell and contain iron blood of Huang Su, sometimes at separate inside it is thus clear that new bone formation.This disease is seen to teenager more.The Lu coping pathological changes can have a partial lump and there is ache.The eye socket pathological changes can produce single side Tu eye.Zhen department the later period pressed to increase high symptom inside the Lu.The X line shoots a slice to show the Lu plank inside the bone and outside plank inflation to present a globosity inside having size not to wait empty bubble-like in shape structure and present typical lather kind appearance.Should discriminate with the Lu bone big and small afterbirth lump, sponge-like in shape afferent lump.The treatment should fight for surgical operation to thoroughly cut off, if all slicing the difficulty can pare off in addition to or partially cut off.Good after preparing.
25.The bone bag inside the plank Zhang is swollen seldom seen.The occurrence is many at the new born and the kid.Can cause plank Zhang because of the external injury internal bleeding to.Be seen to the sum bone plank Zhang more inside, can be single building or many buildings, there is yellow or brown liquid in the chamber, may also is guts liquid.The bag wall is a smooth 1 F thin film and present the palm tree red or grey color.Up often there is small bone Mao toward the chamber inside outstanding.The Lu plank outside the bone obviously becomes thin or defection and damage.The mirror bottom sees bag wall knot Di organization to constitute for fiber, the blood vessel is abundant.The bone defection and damage has already formed to°from the periosteum thin thin bone skin quality.Clinical it is thus clear that the partial lump contains motion, didn't press a pain, the base department fixed and have never glued with skin of head connect.The Lu is internal disease-like in shape very few, the minority one who involve in Kuang crest can have an outstanding eyeball.The X line shoots a slice it is thus clear that there are circular or egg circular in the plank Zhang deeply and only area, the surroundings edge light degree hardens, on the bone wall it is thus clear that cave convex gravamen bone Mao formation.Tangent it is thus clear that the bone plank becomes thin or defection and damage.Generally don't need to be cured, having the Tu eye the symptom can the surgical operation pares off bone defection and damage scope the big the bag is swollen, besides which, , make a Lu bone to repair Shu.
26.The Lu periosteum blood Dou originally the disease have already lacked Sun for congenital Lu bone and mostly Be located on Shi-like in shape Dou or centerline of sum department side, the last Shi-like in shape Dou inside the Lu passes defection and damage to unusually lead blood vessel and Lu outside skin quiet vein mutually transportation, the skin of head contains soft organization lump, the quality is soft, there is motion, don't press a pain, swell up to obviously aggravate while lowering the head, title empress again recover original shape.The X line slice shows the centerline department Lu bone to have the circular bone the defection and damage, the edge is smooth.Should and skin kind of Lu bone lump and love the Yi red proud flesh swollen discriminate, make cerebral build a shadow can confirm.Generally don't need to cure to treat.
Lu bone tumor and tumor kind the pathological changes all say
3.11.2009
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