本科泌尿系统疾病2016.ppt

* 多边形或立方形，可形成小球或小管样结构 * * * * * * 肿瘤可以是单发也可以为多发。单发者常呈乳头状或息肉状，有蒂与膀胱粘膜相连，常为分化好的类型。 分化差的，常呈扁平状突起，宽基，无蒂，向深层浸润。 * In the bladder removed surgically, and opened here can be seen a large urothelial carcinoma. * * * 0级分化虽好，但容易多次复发，且细胞分化程度逐渐降低，甚至呈现浸润生长，发展成为癌。所以视膀胱移行细胞乳头状瘤为低度恶性。 * 5-6层，似正常尿路上皮。 * 层次增多，但极性正常，细胞核轻度增大，核分裂可见，但局限于基底层。与尿路上皮乳头状瘤的区别在于后者的上皮层次增多。PUNLMPs are characterized by a homogenous monotonous appearance, normal to slightly enlarged nuclei and inconspicuous nucleoli. Mitotic figures are uncommon and, when present, are confined to the basal layer. The major distinction between PUNLMP and ur