消化系统学习资料：消化管疾病（系统整合）02-02.pptVIP

Infiltrating Colloid Histology Gastrointestinal Tract Gastrointestinal Tract 结肠癌TNM分期 Primary Tumor (T)TX – primary tumor cannot be assessedT0 – no evidence of primary tumorTis – carcinoma in situ: intraepithelial or invasion of lamina propriaT1 – tumor invades submucosaT2 – tumor invades muscularis propriaT3 – tumor invades through muscularis propria into subserosa or into nonperitonealized pericolic or perirectal tissuesT4 – tumor directly invades other organs or structures and/or perforates visceral peritoneum Regional Lymph Nodes (N)NX – regional lymph nodes cannot be assessedN0 – no regional lymph node metastasisN1 – metastasis in one to three regional lymph nodesN2 – metastasis in four or more regional lymph nodes Distant Metastases (M)MX – distant metastasis cannot be assessedM0 – no distant metastasisM1 – distant metastasis 结肠癌的分期 /CMS/CMS_Page.aspx?CurrentUDV=59CMS_Page_ID=EEA2CD91-3276-4123-BEEB-BAF1984D20C7 Small and large intestine Diarrheal diseases Inflammatory bowel disease Tumors of the large intestine Appendix Acute appendicitis Gastrointestinal Tract Large intestine Diarrheal diseases Inflammatory bowel disease Tumors of the large intestine Appendix Acute appendicitis Gastrointestinal Tract CASE A 53-year-old woman comes to her physician for a routine health maintenance examination. The only abnormal finding is a stool specimen that contains occult blood. Colonoscopy shows a 1.5-cm, solitary, rounded, erythematous polyp on a 0.5-cm stalk at the splenic flexure. The polyp is removed; its histologic appearance is shown in the figure at low (A) and high (B) magnifications. When the physician discusses these findings with the patient, which of the following statements is most appropriate? (A) You have inherited one defective copy of the APC gene (B) Other family members probably have colonic polyps (C) Many more polyps will appear within the next few years (D) There is a high probability that you will dev