骨关节病理诊断和研究任重而道远
摘要
骨关节病理是外科病理诊断中一大难题,这不仅因为这类疾病相对少见,而且因为其种类繁多,在形态学上相互重叠,有些良性病变可以呈“恶性”表现,而有些恶性肿瘤可呈“良性”表现。此外,大量非肿瘤性瘤样病变、代谢性、创伤性、炎性和发育不良性骨病以及系统性疾病中骨的改变都可与骨关节肿瘤混淆,造成病理鉴别诊断的困难。目前国内尚无骨关节病理专科医师培养制度,很多病理医师,即便长期从事病理诊断的高年资医师,对骨关节疾病的病理诊断常感觉困难。
出处
《中华病理学杂志》
CAS
CSCD
北大核心
2009年第5期289-291,共3页
Chinese Journal of Pathology
参考文献13
-
1邓浩萍,薛现中,李光伟.糖尿病Charcot足[J].国际内分泌代谢杂志,2007,27(3):184-186. 被引量:3
-
2Wold LE, Unni KK, Sim FH, et al. Atlas of orthopedic pathology. 3rd ed. Philadelphia: Elservier pulication, 2008 : 93- 98, 105-110.
-
3蒋智铭,张惠箴,陈洁晴,刘亮.手足骨肿瘤和瘤样病变154例临床病理分析[J].中华病理学杂志,2003,32(5):417-421. 被引量:23
-
4Bullough PG. Sternberg's diagnostic surgical pathology. 4th ed. Philadephia :~ Lippincott Williams & Wilkins, 2004 : 245-264.
-
5蒋智铭,张惠箴,郑莉.骨原发性纤维组织细胞增生性病变的病理鉴别诊断[J].临床与实验病理学杂志,2008,24(3):266-268. 被引量:2
-
6聂秀,邓仲端,杨秀萍,孙晖,官阳,贺骏,潘华雄.软组织磷酸盐尿性间叶肿瘤的临床病理分析[J].临床与实验病理学杂志,2007,23(5):557-561. 被引量:15
-
7Honsei N, Ikuta T, Kawana K, et al. Participation of nuclear localization signal 2 in the 3'-ETS domain of FLI1 in nuclear translocation of various chimeric EWS-FLI1 oncoproteins in Ewing tumor. Int J Oncol,2006,29(3) : 689-693.
-
8Bridge RS, Rajaram V, Dehner LP, et al. Molecular diagnosis of Ewing sarcoma/primitive neuroeetodermal tumor in routinely processed tissue : a comparison of two FISH strategies and RT-PCR in malignant round cell tumors. Mod Pathol,2006, 19(1) :1-8.
-
9Wunder JS, Eppert K, Burrow SR, et al. Co-amplification and overexpression of CDK4, SAS and MDM2 occurs frequently in human parosteal osteosarcomas. Oncogene, 1999, 18 (3) : 783- 788.
-
10Kumar R, Rekhi B, Shirazi N, et al. Spectrum of cytomorphological features, including literature review, of an extraskeletal myxoid chondrosarcoma with t ( 9 ; 22 ) ( q22 ; q12 ) ( TEC/EWS ) results in one case. Diagn Cytopathol,2008, 36(12) :868-875.
二级参考文献53
-
1Ostrowski ML,Spjut HJ. Lesions of the bones of the hands and feet. Am J Surg Pathol,1997,21:676-690.
-
2Unni KK. Dahlin′s bone tumors.5 th ed. Philadelphia: Cippincott-kaven, 1996.11-45.
-
3Meneses MF,Unni KK,Swee RG. Bizarre parosteal osteochondromatous proliferation of bone (Nora′s lesion).Am J Surg Pathol,1993,17:691-697.
-
4Dupree WB, Enzinger FM. Fibro-osseous pseudotumor of the digits.Cancer, 1986,58:2103-2109.
-
5Fletcher CD, Unni KK, Mertens F. WHO classification of tumours: pathology and genetics of tumours of soft tissue and bone. Lyon:IARC Press,2002.233-251.
-
6Oh-Park M, Dove C, Sheshier S, et al. Charcot neuroarthropathy in the era of HAART. Lancet,2006,367:274.
-
7Sommer TC, Lee TH. Charcot foot: the diagnosis dilemma. Am Fam Physician, 2001,64:1591 - 1598.
-
8Simon SR, Tejwani SG, Wilson DL, et al. Arthrodesis as an early alternative to non-operative management of Charcot arthropathy of the diabetic foot.J Bone Joint Surg Am,2000,82:939-950.
-
9Chantelau E, Onvlee GJ. Diabetic Charcot foot: farewell to the neumtrophic theory. Horm Metab Res, 2006,38 : 361-367.
-
10Piaggesi A,Marcocci C,Golia F,et al.Markers for Charcot's neurogenic csteo-arthropathy in diabetic patients.Diabetes,2000,49 (Suppl 1):A32.
共引文献39
-
1蒋智铭,张惠箴,谭云山,汤如勇,刘惠敏,卢韶华,束末娟,曾炳芳,杨世埙,陈洁晴,黄瑾.不典型部位软骨母细胞瘤[J].中华病理学杂志,2004,33(6):503-507. 被引量:34
-
2王军义.甲下骨疣的诊断与治疗(附27例报告)[J].山东医药,2006,46(27):76-76. 被引量:1
-
3钟华,叶庆佾,杨希川,钟白玉.皮肤软组织增生伴软骨样化生1例[J].临床皮肤科杂志,2007,36(1):42-42.
-
4蒋智铭,张惠箴.软骨肉瘤的鉴别诊断和特殊组织学类型[J].临床与实验病理学杂志,2007,23(5):517-519. 被引量:23
-
5陆志华,姚伟武,瞿楠,杨世埙.跟骨病变的影像学诊断[J].临床放射学杂志,2007,26(11):1126-1129. 被引量:6
-
6施琳,蒋智铭,张惠箴,周隽.甲下外生性骨疣的临床病理特征[J].临床与实验病理学杂志,2008,24(3):323-326. 被引量:22
-
7肖建宇,王淑丽,叶兆祥,贾楠.跟骨和距骨良性囊样病变影像学表现[J].临床放射学杂志,2008,27(7):922-925. 被引量:6
-
8王冬梅,丁建平,朱止元,张泽坤,李玉清,张伟,史云恒.跟骨病变的影像学表现[J].实用放射学杂志,2009,25(11):1615-1619. 被引量:2
-
9王桂宁,张家雄,陈茵茵.距骨和跟骨良性肿瘤或肿瘤样病变的影像分析[J].海南医学,2010,21(14):62-64.
-
10马孝,付敏.甲下半透明增生物——甲下外生骨疣[J].临床皮肤科杂志,2010,39(12):791-792.
-
1杜忠民.骨巨细胞瘤临床病理学研究进展[J].临床与实验病理学杂志,1991,7(2):151-154. 被引量:4
-
2徐宜宜,胡庆宏,陈茂华,裴来寿.骨关节肿瘤血清唾液酸的变化[J].中国肿瘤临床,1997,24(9):700-701.
-
3沈靖南,韩士英,董纲,李佛保,黄承达,丘钜世.膝部骨关节肿瘤及瘤样病变607例分析[J].中华骨科杂志,1995,15(12):814-817. 被引量:12
-
4董平,郑国,谢永辉.非典型内生软骨瘤1例[J].现代中西医结合杂志,2004,13(12):1635-1636.
-
5沈靖南,韩士英,黄承达,丘鉅世.膝部骨关节肿瘤及瘤样病变547例统计分析[J].广东医学,1994,15(5):304-305.
-
6郑鹤,王浩凯.胃镜活检与外科病理诊断胃癌的比较[J].中国社区医师,2015,31(9):101-102. 被引量:3
-
7徐庆中.颅内肿瘤的病理鉴别诊断[J].诊断病理学杂志,1997,4(2):67-70. 被引量:1
-
8王鲁平,丁华野,徐庆中.分化好的星形细胞瘤和脑局限型非瘤病变的病理鉴别诊断[J].临床与实验病理学杂志,1999,15(3):239-241.
-
9芦秀香.免疫组化技术在病理鉴别诊断中的应用[J].河南大学学报(医学科学版),2003,22(3):66-66. 被引量:3
-
10张继增.转移肿瘤的病理鉴别诊断[J].中国肿瘤临床,1993,20(10):791-794.