{"id":62625,"date":"2025-12-30T05:11:09","date_gmt":"2025-12-30T05:11:09","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=62625"},"modified":"2025-12-30T05:11:09","modified_gmt":"2025-12-30T05:11:09","slug":"%e8%82%ba%e9%83%a8%e7%96%be%e7%97%85-%e8%82%ba%e5%be%ae%e5%b0%8f%e8%84%91%e8%86%9c%e7%98%a4%e6%a0%b7%e7%bb%93%e8%8a%82%ef%bc%88%e9%99%84%e5%8e%9f%e5%88%9b%e7%97%85%e4%be%8b%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=62625","title":{"rendered":"\u80ba\u90e8\u75be\u75c5 | \u80ba\u5fae\u5c0f\u8111\u819c\u7624\u6837\u7ed3\u8282\uff08\u9644\u539f\u521b\u75c5\u4f8b\uff09"},"content":{"rendered":"

\u5fae\u5c0f\u80ba\u8111\u819c\u4e0a\u76ae\u6837\u7ed3\u8282( minute pulmonary meningothelial-like nodules\uff0cMPMN) \u662f\u80ba\u5185\u7684\u5c11\u89c1\u826f\u6027\u75c5\u53d8\uff0c\u6700\u65e9\u4e8e1960\u5e74\u62a5\u9053\u3002MPMN \u4e3a\u4e00\u79cd\u95f4\u8d28\u7ec6\u80de\u7684\u589e\u751f\u6027\u75c5\u53d8\uff0c\u5927\u591a\u6570\u76f4\u5f84\u22643 mm\uff0c\u5c11\u6570\u53ef\u8fbe4~5mm\uff0cMPMN \u901a\u5e38\u662f\u5728\u80ba\u90e8\u624b\u672f\u6807\u672c\u7684\u75c5\u7406\u68c0\u67e5\u4e2d\u5076\u7136\u53d1\u73b0\u3002<\/p>\n

\u5b9a\u4e49\uff1a<\/p>\n

MPMN\u9996\u5148\u7531Korn\u7b49\u63cf\u8ff0\u5e76\u547d\u540d\u4e3a\u201c\u80ba\u5fae\u5c0f\u5316\u5b66\u611f\u53d7\u5668\u7624\u201d,\u4ed6\u4eec\u53d1\u73b0\u8be5\u80bf\u7624\u7531\u4f4d\u4e8e\u5c0f\u9759\u8109\u9644\u8fd1\u7684\u95f4\u8d28\u7ec4\u7ec7\u7ec6\u80de\u5de2\u7ec4\u6210\u3002\u6b64\u540eMPMN\u88ab\u8ba4\u4e3a\u5177\u6709\u6c27\u76d1\u6d4b\u529f\u80fd\u7684\u5316\u5b66\u611f\u53d7\u5668,\u4f46\u968f\u540eMPMN\u7684\u514d\u75ab\u7ec4\u7ec7\u5316\u5b66\u7814\u7a76\u548c\u8d85\u5fae\u7ed3\u6784\u5206\u6790\u53d1\u73b0 MPMN\u7ec6\u80de\u4e0d\u542b\u5185\u5206\u6ccc\u9897\u7c92,\u5374\u4e0e\u8111\u819c\u4e0a\u76ae\u7ec6\u80de\u5bc6\u5207\u76f8\u4f3c\u3002Gaffey \u7b49\u63d0\u51fa\u4e86\u65b0\u7684\u8bca\u65ad\u540d\u79f0\u201c\u8111\u819c\u4e0a\u76ae\u6837\u7ed3\u8282\u201d\u3002\u300a\u963f\u514b\u66fc\u5916\u79d1\u75c5\u7406\u5b66\u300b\u5219\u91c7\u7528\u4e86\u201c\u5fae\u5c0f\u8111\u819c\u7624\u6837\u7ed3\u8282\u201d \u8fd9\u4e00\u540d\u79f0\u3002<\/p>\n

\u4e34\u5e8a\u7279\u5f81\uff1a<\/p>\n

\u6587\u732e\u663e\u793aMPMN \u7684\u53d1\u751f\u7387\u5728\u5973\u6027\u4e2d\u4e3a10. 7% \uff0c\u7537\u6027\u4e2d\u4e3a4.5%\uff0c\u53d1\u751f\u4e8e\u5c0f\u4e8e30\u5c81\u7684\u5e74\u8f7b\u4eba\u975e\u5e38\u7f55\u89c1\uff0c\u5927\u591a\u4ee5\u4e2d\u8001\u5e74\u5973\u6027\u591a\u89c1\uff0c\u7ed3\u8282\u901a\u5e38\u5f88\u5c0f,\u5927\u591a\u6570\u76f4\u5f84\u22643 mm\uff0c\u5c11\u6570\u53ef\u8fbe4~5mm\u3002MPMN \u53ef\u89c1\u5355\u53d1\u53ca\u591a\u53d1\u7076\uff0c\u5f53MPMN\u5728\u80ba\u5185\u8868\u73b0\u4e3a\u5f25\u6f2b\u6027\u591a\u53d1\u5c0f\u7ed3\u8282\u65f6\uff0c\u79f0\u4e3a\u5f25\u6f2b\u6027\u80ba\u8111\u819c\u4e0a\u76ae\u75c5(diffuse pulmonary meningotheliomatosis\uff0cDPM) \u3002\u8be5\u75c5\u5341\u5206\u7f55\u89c1\uff0c\u5f71\u50cf\u5b66\u9700\u4e0e\u7c9f\u7c92\u6027\u7ed3\u6838\u3001\u611f\u67d3\u6027\u75be\u75c5\u3001\u8f6c\u79fb\u7624\u7b49\u9274\u522b\uff0c\u8bca\u65ad\u4f9d\u8d56\u75c5\u7406\u6d3b\u68c0\uff0c\u9884\u540e\u8f83\u597d\u3002<\/p>\n

\u5927\u4f53\u4e0a,\u75c5\u7076\u901a\u5e38\u4e0d\u660e\u663e\uff0c\u8089\u773c\u96be\u4ee5\u8fa8\u522b\uff0c\u5e38\u5e38\u5728\u4f34\u6709\u5176\u4ed6\u80ba\u75be\u75c5\u7684\u624b\u672f\u5207\u9664\u6807\u672c\u4e2d\u5076\u7136\u53d1\u73b0\uff0c\u817a\u764c\u662f\u6700\u5e38\u4f34\u6709\u7684\u6076\u6027\u75c5\u53d8\uff0c\u8868\u73b0\u4e3a\u5355\u53d1\u6216\u591a\u53d1\u7ed3\u8282,\u76f4\u5f841~3 mm\uff0c\u968f\u673a\u5206\u5e03\u5728\u80ba\u95f4\u8d28\u5185\uff0c\u75c5\u7076\u5b9e\u6027\uff0c\u8fb9\u754c\u6e05\u695a\uff0c\u5207\u9762\u5448\u9ec4\u8910\u8272\u3001\u7070\u8272\u3002<\/p>\n

\u7ec4\u7ec7\u5b66\uff1a<\/p>\n

MPMN \u7684\u7ec4\u7ec7\u5b66\u6392\u5217\u53ca\u7ec6\u80de\u5f62\u6001\u4e0e\u4e0a\u76ae\u578b\u8111\u819c\u7624\u5f62\u6001\u5341\u5206\u76f8\u4f3c\u3002\u7ec6\u80de\u6392\u5217\u5448\u5de2\u56e2\u72b6\u53ca\u6f29\u6da1\u72b6\uff0c\u7d27\u8d34\u8840\u7ba1\u5185\u76ae\u4e0b\u65b9,\u5e76\u56f4\u7ed5\u72ed\u957f\u7684\u88c2\u9699\u72b6\u8840\u7ba1\u8154\u751f\u957f,\u5f62\u6210\u56f4\u8840\u7ba1\u7684\u5de2\u56e2\u7ed3\u6784\uff0c\u6216\u5728\u80ba\u6ce1\u95f4\u9694\u7684\u95f4\u8d28\u5185\u751f\u957f\uff0c\u80ba\u6ce1\u8154\u7ed3\u6784\u4fdd\u5b58\u3002\u7ec6\u80de\u5375\u5f62-\u68ad\u5f62\u7ec6\u80de\u7ec4\u6210\uff0c\u8fb9\u754c\u4e0d\u6e05\uff0c\u5448\u5408\u4f53\u6837\u6216\u4e0a\u76ae\u6837\u3002\u67d3\u8272\u8d28\u7ec6\u817b\uff0c\u80de\u8d28\u4e30\u5bcc\uff0c\u55dc\u9178\u6027\u3002\u6838\u5375\u5706\u5f62\uff0c\u5f62\u6001\u6e29\u548c\uff0c\u65e0\u5f02\u578b\u6027\uff0c\u65e0\u6838\u5206\u88c2\u50cf\uff0c\u6838\u4ec1\u4e0d\u660e\u663e\uff0c\u5076\u5c14\u53ef\u89c1\u6838\u5185\u5047\u5305\u6db5\u4f53\u3002<\/p>\n

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\u56fe1:\u7ec6\u80de\u5de2\u72b6\u6392\u5217\u5448\u7ed3\u8282\u72b6\uff1b\u56fe2:\u7ec6\u80de\u8fb9\u754c\u4e0d\u6e05\uff0c\u5448\u5408\u4f53\u6837; \u6838\u5375\u5706\u5f62\uff0c\u80de\u8d28\u4e30\u5bcc\u55dc\u9178\u6027\uff1b\u56fe3:\u4f4e\u500d\u955c\u4e0b\u5fae\u5c0f\u80ba\u8111\u819c\u4e0a\u76ae\u6837\u7ed3\u8282\u7ec6\u80de\u5728\u80ba\u6ce1\u95f4\u9694\u5185\u751f\u957f\uff1b\u56fe4:\u8111\u819c\u4e0a\u76ae\u6837\u7ec6\u80dePR\u5448\u6838\u9633\u6027\uff1b\u56fe5-7:EMA\u5448\u5f31~\u4e2d\u5ea6\u819c\u9633\u6027,CD56\u5448\u4e2d\u5ea6\u819c\u9633\u6027,vimentin\u5448\u80de\u8d28\u5f25\u6f2b\u9633\u6027<\/p>\n

\u56fe1\u80ba\u5fae\u5c0f\u8111\u819c\u7624\u6837\u7ed3\u8282\u4e2d\u68ad\u5f62\u7ec6\u80de\u6392\u5217\u6210\u65cb\u6da1\u72b6,\u7ec6\u80de\u4e2d\u7b49\u5927\u5c0f,\u5f62\u6001\u76f8\u5bf9\u4e00\u81f4,\u7ec6\u80de\u754c\u9650\u6b20\u6e05,\u80de\u8d28\u5448\u55dc\u9178\u6027,\u6838\u4ec1\u4e0d\u660e\u663e\uff1b\u56fe2-6\uff1b\u68ad\u5f62\u7ec6\u80deEMA\u5f25\u6f2b\u9633\u6027,\u5b9a\u4f4d\u4e8e\u7ec6\u80de\u8d28\u53ca\u7ec6\u80de\u819c\uff0cPR\u5f25\u6f2b\u5f3a\u9633\u6027,\u5b9a\u4f4d\u4e8e\u7ec6\u80de\u6838\uff0cCD56\u5f25\u6f2b\u9633\u6027\uff0c\u5b9a\u4f4d\u4e8e\u7ec6\u80de\u819c \uff0c\u4e0d\u8868\u8fbeCD34\u3001SMA <\/p>\n

\u514d\u75ab\u7ec4\u5316\uff1a<\/p>\n

MPMN \u4e0e\u9885\u5185\u8111\u819c\u7624\u6709\u76f8\u540c\u7684\u514d\u75ab\u53cd\u5e94\u6a21\u5f0f,\u7624\u7ec6\u80de\u8868\u8fbeVimentin\u3001EMA\u3001CEA\u3001CD56 \u548c PR\uff0c\u4e0d\u8868\u8fbe\u7ec6\u80de\u89d2\u86cb\u767d\u3001\u808c\u52a8\u86cb\u767d\u3001CD34\u3001S100\u3001CgA\u3001Syn\u548cNSE\u3002P\uff32\u7684\u8868\u8fbe\u4e3a\u5f25\u6f2b\u5f3a\u9633\u6027\uff0cCD56\u3001EMA \u4e3a\u5f31\uff5e\u4e2d\u5ea6\u9633\u6027\uff0cEMA \u67d3\u8272\u5f3a\u5ea6\u5f31\u4e8e\u5185\u5bf9\u7167\u7684\u80ba\u6ce1\u4e0a\u76ae\u9633\u6027\u3002<\/p>\n

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VIM\u514d\u75ab\u7ec4\u5316<\/p>\n","protected":false},"excerpt":{"rendered":"

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