Povýsil C
2nd Institute of Pathology, Charles University Faculty of Medicine, Prague.
Acta Univ Carol Med Monogr. 1986;116:1-204.
The monograph summarizes the most important data and experience based on the clinicopathological analysis, histological and histoenzymatic examinations of more than 1000 primary tumours and 400 tumour-like lesions of bones. The diagnosis of them has been based on the WHO classification of bone tumours which appeared to be the best in meeting the needs of diagnostic practice. However, in our collection of cases also occurred such cases which did not fit into the WHO diagnostic scheme. They included lesions the separate existence of which could be proved only recently or has remained the matter of discussion, such as periosteal osteosarcoma, clear-cell and dedifferentiated chondrosarcoma, malignant fibrous histiocytoma, the so-called parachordoma, resorptive giant-cell granuloma, reactive periostitis of tubular bones of hands and feet, and the tibial lesion reminiscent of cementifying fibroma. In the majority of types of the tumours and tumour-like lesions of bones electron microscopical examination was carried out (203 cases), the results of which are presented here in a considerable extent. On the one hand, electron microscopy facilitated the diagnosis in some cases, and, on the other hand, it proved as extremely important in solving the problems of histogenesis of some of the lesions.
这本专著基于对1000多个原发性骨肿瘤和400个骨肿瘤样病变的临床病理分析、组织学和组织酶学检查,总结了最重要的数据和经验。它们的诊断依据的是世界卫生组织(WHO)的骨肿瘤分类,该分类似乎最能满足诊断实践的需求。然而,在我们收集的病例中,也出现了一些不符合WHO诊断方案的病例。这些病例包括一些病变,其单独存在直到最近才得到证实,或者仍然存在争议,如骨膜骨肉瘤、透明细胞和去分化软骨肉瘤、恶性纤维组织细胞瘤、所谓的副脊索瘤、吸收性巨细胞肉芽肿、手足管状骨的反应性骨膜炎,以及类似骨化性纤维瘤的胫骨病变。对于大多数类型的骨肿瘤和骨肿瘤样病变,都进行了电子显微镜检查(203例),其结果在很大程度上在此呈现。一方面,电子显微镜在某些情况下有助于诊断,另一方面,它在解决一些病变的组织发生问题方面被证明极其重要。