2011肿瘤总论的.ppt

第五章 肿 瘤 (tumor, neoplasm) 蚌埠医学院病理教研室 ;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;肿瘤=肿块？;不同程度地失去分化成熟的能力 瘤细胞具有异常的形态、代谢和功能。;肿瘤性增生与非肿瘤性增生的区别： 符合机体需要，与机体协调； 细胞增殖有一定的限度，原因去除后不再增生； 细胞呈多克隆增生； 增生的细胞能够分化成熟。;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;3. 形状 多种多样，位于表面的有乳头状、菜花状、绒毛状、 蕈状、息肉状、溃疡状；位于深部组织的有结节状、分叶状、浸润性结节、和囊状等形状。;5.质地 取决于组织起源、肿瘤的实质和间质的比例，如骨、软骨起源的肿瘤质硬，脂肪组织起源的肿瘤质软，肿瘤实质多质软，间质多质硬。;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;2.肿瘤的间质（mesenchyma ，stroma） 主要由结缔组织和血管组成，有时可有淋巴管，可含多少不等淋巴细胞和单核细胞浸润。起着支持和营养肿瘤实质作用。 可有淋巴细胞、浆细胞和单核细胞浸润， 与机体的免疫反应有关。 间质中有成纤维细胞和肌成纤维细胞，此细胞增生、收缩和胶原纤维形成,可包绕肿瘤细胞，对肿瘤的生长和扩散有限制作用。 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;良性肿瘤细胞异型性小，恶性肿瘤细胞异型性大 异型性大—分化程度低—高度恶性 异型性小—分化程度高—低度恶性 ;肿瘤的细胞异型性;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;良性肿瘤细胞的异型性不明显，但可有结构的 异型性如子宫平滑肌瘤。 恶性肿瘤的细胞形态和组织结构异型性均明显，;Evaluation only. Created with Aspose.Slides for .