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jzzぃM`~F

2009-12-07 homepage.vghtpe.gov.tw A +

:::jzzぃM`~砾
jzz~洛v@L珐瓣

摸砾@@gずだc砾@@c┦OぺF@@丁腑灿MF@

jzz~F]Ajzz砾B摸砾(carcinoid)Bキ菲ψFBOぺ舱麓F单c┦~FAHのU贺娉ψBF单}┦~FCt~临@ㄇ]oefpz挡Bu颠PV单]|玻ネΤp~Fぇf_Ab@挪OE_惠σ{Cz~F]Az澎Wブ砾Bztブ涧砾BPagetんfBBowenんf单Cjzz砾]fㄒhAヘe~瓣ずQj砾`]ぇ材TABΘ]Pz涪F┦娉ψ(Neoplasticpolyp,Adenomatouspolyp)闽YKちCセ`NNjzzㄤLc┦~F痹zC

ぃM`~FG

涪FB涪砾Ojzz程`ǎ~FAτ澎灿M砾Oz程`ǎc┦~FC埃ぇ~ごΤ\h耕uǎ~FC]pT^{Wぶゲ斗n跋だ}┦┪c┦A]v励よΑЧぃ@妓AぷㄤObzΤoAzO_OdぇMwC耕uǎjzzc┦~FAㄒp堵灿MFBψF单]C洛v┪洛|g菌fㄒぃhALk癸ぃPv励よΑ@[ゑ耕A旧Pv励よΑ`渤弧おA耕L@醚C虏zpUG

摸砾(Carcinoidtumor)

1907~Oberndorferㄏノkarzinoidyz@贺{Wii耕CAごi|玻ネ锣簿(Metastasis)ぇ~FC(120)CarcinoidNYCarcinoma-likeAOzGD耕`ǎgずだcF(Neuroendocrinetumor)OパcryptsofLieberkuhnいkulchitsky灿M玻ネCKulchitsky灿MO@贺z遁惶┦灿M(enterochromaffincells)A妮APUDt参(AminePrecursorUptakeandDecarboxylationsystem)C舱麓厩W摸砾OパpτАっB蛾┪hà灿M┮舱ΘAΤ蛾τ陪灿Mの遁レ┦灿M借聋采CΤ捣だ吊ぶǎCLkパ灿M厩WP_}┦┪c┦C┮孔c┦狠跌ΤLЫ场Iデ┪环狠锣簿τwC@c┦ゑv跌mぃPAざ8°40%ぇ丁C(121)s厨i陪ボ摸砾fH`ΤㄤL砾fAぷㄤOzGD涪砾C(122)摸砾だG伐sAb┮ΤzGDBや恨BZ_B登纽常ioネCbぃPmぇ摸砾Aㄤ┮だcP焊XA{S┦B锣簿诀|ョΤt钵C@だez(や恨BGBQGz)Aいz(pzBzB榴ЮBk挡z)のz(オ挡zのz)CzGDぇ摸砾程`ǎ榴ЮAㄌΩpz(ぷㄤソ狠z)BzBGC(123)bpzぇ摸砾`hoCno~闹50°70烦丁Akk1:2C榴Ю摸砾67%だGy狠A21%砰场A7%膀场C(124)|yΘkU浮场h┪摸榴ЮぇgA]oネvC(榴Юち埃夹セいぇ0.32%)BLWSgAぶΤㄆE_C@{2そだHずu@榴Юち埃YiApj2そだ┪ΤIデ恨A榴Юzt饯Ah惠@vk挡zち埃C(125)pz摸砾程`ǎzAhoA戳LSgA~F耕jiyΘz峨┪M|Cpz摸砾耕`だc5-HT(serotonin)CpfHΤぃ]ぇUgBアB浮场~遏Ai代ㄤい5-HT@┪Μ栋ЭGA代ㄤ5HIAA(5-hydroxyindoleaceticacid)tqE_C(126)@pz尼vBq福_h浪dO_Τhof_Cpz摸砾`Ν戳Τ锣簿ぇ{HC@1-2そだYΤ18°44%w锣簿xA85%锣簿Oぺ涪Aτ耕ぶΤ诀|@v┦ち埃C(126)挡z摸砾Τ48%だGbzA16%bど挡zCq`Lg┪g摸挡z涪砾Ap浮场~遏B浮hBXBjK策┦э跑单C~Fj2そだΤ|だぇTwΤ锣簿{钩Ap2そだh度Τせだぇ@Τ锣簿C]挡z摸砾ネ癸耕CAYㄏwΤx纽砾锣簿Aごi鲸qもNち埃oの锣簿f_C@参pもNv励ㄤwP挡z涪砾tぃhCz摸砾q`H独A诌饯Uぇp~FAぶΤgAq`Oz]ㄤLf跑ち埃夹セいHo{┪@z描娉ψち埃o{Cp2そだぶΤ`场Iデ┪锣簿A@{gzЫ场ち埃YiAㄤ5~svXGκだぇκAj2そだ┪ΤIデWLz纠h莱σ{@v┦zち埃Aㄤ5~sv40%C(127)Yㄇ摸砾(10%)|だcserotonin┪ㄤLgずだcτま_┮孔摸砾gJs(carcinoidsyndrome)CㄤいHbいz耕だcserotoninAぷㄤx纽Τ锣簿f_AfH|ΤUgB}o┦奸(flushing)单gCㄤv励ごH鲸qち埃oの锣簿f_DCて厩媚v励ㄏノ5-FU[strepozotocinΤu戳ぃ岿w秆vCㄓsandostatinのㄤbXΘpoctreotide┪somatuline癸ы摸砾gJsョ会Τ励C(126)zぷㄤzぇ摸砾hぶ玻ネcarcinoidsyndromeC

gずだc砾(Neuroendocrinecarcinoma)

┮孔gずだct参Y方g~FhτsGō砰UBぇ@贺S灿MτēCY┮孔APUD(Amineprecursoruptakedecarboxylationsystem)灿MCo妓灿MだGzGDB纽BBヒ涪B登W涪Bブ涧单Cパoㄇ灿M┮玻ネ砾]Ap灿M砾Aヒ涪盆借砾B纽のてDぇU贺ずだc~Fの砾Cezぇ摸砾ョ妮o@t参C]摸砾@ネ耕CAB癸τēc┦耕CG`虫WCXCE_gずだc砾Τ苦ノU贺ずだcぇк砰@K舱麓к砰V(Immunohistochemistry)のql陪L描T{CΤH{H┕\h┮孔々だてぃ}―A々ゼだて―jzz砾┪f{耕c┦ぇ摸砾ApAJ灿VBsA莱gずだc砾C(128)jzzぇgずだc砾q`wtAΝiNΤ环B(]A癌盆ず)锣簿Cㄤv励埃もNち埃~Aて厩励kPp灿M砾PC(129)Oぺ舱麓Wネ(Lympboidhyperplasia)A}┦OぺF(Benignlymphoma)AOぺ┦娉ψ(Lymphoidpolyp)HWTW迭PqAtzGD纠WぇOぺ舱麓Wネτ_C@虫┪hpτwぇ诌饯_AΤ耕je娉ψτPz涪F螟H跋OC`ǎpzソ狠┪zChLgB案τま_XB浮hBzM|B榴Ю单C舱麓厩WOぺyw(lymphoidfollicles)ぇ栋挡CywぇWネいみ(germinalcenter)陪LV娩tIデ格HCIiPc┦OぺF┪Hodgkinんf跋OC(130)g娩G┪癌盆L钵妓灿MI柬τP砾灿MぇzD柬挪OCタTちE_A@埃DΤgぃゲSOv励C

c┦OぺF(Malignantlymphoma)

zGDc┦OぺF@HO方诌饯UhぇOぺ舱麓AioAョiōc┦OぺFぇ@场だCΤǎK诀ぃAㄒp逮f(AIDS)wCΤPㄤLf跑pmacroglobinemiaA┪lymphocyticleukemia|X{C程`ǎGAbjzh程`oネzのzAΘ~[_┪检号ぇj~FAΤ|だG@qjzCㄏz纠跑opAΤp倔ブAちOぺF灿MI柬pp福jぇ舱麓C{WㄌIデぇ{だ材@戳GЫz纠F材G戳FIデ跋办Oぺ涪F材T戳GIデF竟x┪D笆Oぺ涪C(131){g螟Pjzz砾跋だA`Nfz夹セ浪d~oHE_Cv励よち埃hもNち埃[@Ы场gv励き~sviF83%ALkち埃Ahu@gv励CΤ环B锣簿惠[て厩媚v励A(132,133)キАき~sv55%CpΤR逮fhぶΤs@~C

丁腑灿MF(Mesenchymaltumors)

胖蝴FfibromaA胖蝴ψF(fibrosarcoma)Aキ菲F(Leiomyoma)Aキ菲ψF(leiomyosarcoma)AF(Lipoma)AψF(Liposarcoma)常O妮丁腑灿MFCbjzBFぇoネv鲸Ω涪FA斑ㄤoネvごCAざ0.2°0.3%ぇ丁CFO诌hUhぇp~FAΤQ饯]帝90%┕诌饯凹ネ(submucosal)A10%┕歼饯凹((subsersal)ネA耕hǎzBど挡zBj盲BA挡zCぶΤgA`もN夹セいN~o{┪jz描浪ǎCp2そだHWAhi玻ネ浮hBzM|A]诌饯检号τX单gC(134)E_Wpノ拈ztXCg㈡尼vAiSFv钩C(135)q浮场溃ぇiǎ赣~F跑(squeezesign)Abjz描浪diǎLzH独ぇ诌饯U~FAHちЖ溃ぇ|U炒(cushingsign)AはぇノちЖi淮Ж_ㄤWぇ诌饯(tentingsign)AちAㄤずぇ犯X(nakedfatsign)C(136)jzぇF埃DyΘ陪ぇg┪检号XA_hぃゲSv励Cㄤv励iノjz描Ж埃A┪gjzち}Ы场埃~F┪ち埃z纠C胖蝴Fのキ菲F常O妮濒灿MF(spindlecelltumor)Cㄤ挪OE_Τ苦fzWSVмNC(137)bjzzАぶǎA诌饯U┪ψh~FAiV诌饯凹(submucosal)歼饯凹(subserosal)┪ㄢ凹(Dumbell)ネCLWSgA耕j~Fh|玻ネz峨BM|B检号X单gCv励HЫ场ち埃DC{WnOゲ斗P胖蝴ψFのキ菲ψF跋だCfz舱麓厩WpΤ灿Mh妓てBだてぃ}BΤ捣だ吊hAP瞅Iデ单{H莱σ{c┦C(138,139){WpΤ检号BX┪ふもNA惠候]ㄆfz挪OE_ぃAy讽@c┦Bz@v┦ち埃C胖蝴ψFのキ菲ψF耕ぶ耕簿Oぺ涪C瘤ネt癸耕CA┕┕o{wΘjτ边戳~FA耕Lkvち埃CㄤЫ场_ov┪xB锣簿ぇ诀|蔼C@もNv励ぇき~svC20%C(140)g涪のて厩媚v励ョL陪励C

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