诊断学理论与实践 ›› 2021, Vol. 20 ›› Issue (06): 584-587.doi: 10.16150/j.1671-2870.2021.06.014
丁燕飞, 陈平(
), 罗方秀, 吴云林
收稿日期:2021-01-18
出版日期:2021-12-25
发布日期:2021-12-25
通讯作者:
陈平
E-mail:chenping714@aliyun.com
Received:2021-01-18
Online:2021-12-25
Published:2021-12-25
中图分类号:
丁燕飞, 陈平, 罗方秀, 吴云林. 以左锁骨上淋巴结肿大为首发表现的结肠癌一例报道[J]. 诊断学理论与实践, 2021, 20(06): 584-587.
图1
左侧锁骨上淋巴结穿刺活检病理学检查图片（×200） A：HE染色;B：免疫组化染色提示AE1/AE3阳性;C：免疫组化染色提示CDX2阳性;D：免疫组化染色提示CD20阳性。
图2
影像学检查图像 A：左锁骨上淋巴结超声图像,B：头颅MRI图像;C：上腹部增强CT图像,可见腹膜后多发淋巴结肿大、融合,右半结肠肠壁增厚;D：下腹部增强CT图像,见乙状结肠近段肠壁增厚、管腔狭窄。
图3
结肠镜检查图片 A：回肠末端;B：回盲部;C：回盲瓣;D：乙结肠。
图4
结肠镜活检组织病理学检查图片（×200） A：HE染色;B：免疫组化染色提示AE1/AE3阳性;C：免疫组化提示CDX2阳性;D：免疫组化提示MLH1阳性;E：免疫组化染色提示Ki-67阳性（90%以上）。
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