病理学经典图片集.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。值六一儿童节即将到来之际，把它献给祖国，也献给奋战在医疗一线的战友。2005.05.21 Esophageal Varices 第一部分 Grossly, esophageal varices appear as tortuous, dilated, blue veins running along the long axis of the esophagus. This is a photograph of the actual slide in your class set.? Note the markedly dilated veins in the submucosa and in the muscularis propria of the esophagus. These dilated varices often cause pressure atrophy and ulceration of the overlying mucosa, as has happened in this case. The subsequent inflammation of the submucosa causes erosion of the thin wall of the varices with subsequent rupture. The large varix noted by the arrow communicates directly with the lumen and has probably ruptured in the past. It is now thrombosed. Shows thrombosis of a large submucosal varix. Note the ulceration of the overlying mucosa (arrow) and inflammation of the submucosal stroma. Squamous Cell Carcinoma of the Esophagus 第二部分 Gross: This is an example of an ulcerated squamous cell carcinoma of the esophagus. It differs from a benign peptic ulcer of the esophagus in that it is a much larger lesion and rather than being sharply punched-out, it has irregular borders. Note the perforation in the center. Is a low power view of the histologic section in your class set. (M = mucosa; Sm = submucosa; Mp = muscularis propria). The intact mucosa is to the left of the arrow; the ulcerated carcinoma (C) is to the right. Is taken at the juncture (arrow head) of the normal mucosa (M) and the ulcerated carcinoma (C) and it shows another common feature of esophageal cancer. The gross margins of the cancer are often misleading because the tumor frequently spreads longitudinally in submucosal lymphatics (double arrows). Is a section taken through the full thickness of the esophageal wall. Carcinomas of the esophagus are typically deeply infiltrating lesions and this one has extended through the m