病理学经典图片集(胰腺)PPT.pptVIP

病理学经典图片集 Classical Photograph Of Pathology作室 共和国二十一世纪第五个生日即将到来的时刻，精心制作了这个图片集，其中涉及了大量精美的、高质量的图片，并附带了大量而且详尽的文字说明。值五一劳动节之际，把它献给祖国，也献给奋战在医疗一线的战友。2005.05.15 Chronic Pancreatitis 第一部分 Chronic pancreatitis is characterized by patchy fibrous replacement of whole lobules or parts of lobules, focal fat necrosis in different stages, and chronic inflammation.? Grossly, depending on the degree of injury, the gland may have a normal outline, lobular pattern, and color but be slightly firm, or it may be smaller than normal, bosselated, rock-hard, and display foci of fat necrosis, calcification, or fully developed calculi. Gross:? This chronically inflamed pancreas is small and scarred.? The dilated pancreatic duct contains a stone (arrow). Gross:? These are cross sections taken through the head of the pancreas in chronic pancreatitis.? The sections of pancreas which you have in your class sets were taken in a similar fashion.? Notice that the dense white fibrous scarring has almost totally obliterated the lobular architecture of the pancreas. This is a low magnification picture of the HE slide of chronic pancreatitis in your class set. This particular patient had an obstructive type of pancreatitis due to carcinoma of the head of the pancreas. The lobular architecture of the pancreas is accentuated by the broad bands of interstitial fibrosis. The fibrous scarring of the pancreas is highlighted with the Trichrome stain. The fibrous septa appear as blue bands surrounding the residual pancreatic lobules, which stain red. Shows the dense interstitial fibrosis surrounding two pancreatic lobules. Note there is also an increase in intralobular fibrous tissue and there is chronic inflammation. The exocrine portion of the gland is most severely affected. There is almost total atrophy and fibrous replacement of pancreatic acini with relative preservation of the pancreatic ducts and islets of Langerhans (arrows). The intralobular pancreatic ducts are irregularly shaped and