平滑肌肉瘤诊断要点讲课版.pptVIP

* FIGURE 16.23: Gross appearances of LMS of vena cava. (A,B) Tumor with intraluminal involvement. (C) Example with prominent extraluminal mass showing a pale off-white cut surface and a weak trabecular pattern. (D)Tumor of upper segment of vena cava extending into the right side of heart. * FIGURE 16.24: Vascular LMS arising from a vein wall. (A,B) Low magnification shows tumor in the vein lumen.(C,D) High magnification shows features typical of LMS with variable nuclear pleomorphism. 良性转移性平滑肌瘤 静脉内平滑肌瘤病播散至肺？ 肺原发性多灶性平滑肌瘤？ 转移性高分化平滑肌肉瘤？ 部分平滑肌肿瘤生物学行为与形态学特征不平行 少数形态学良性，但生物学行为恶性的平滑肌肿瘤如何界定？