Five cases of cystic osteoechinococcosis

Osseous cystic echinococcosis (CE) is a rare disease caused by the larval stage of Echinococcus granutosus ( E. granutosus ) and CE is different from alveolar echinoceccosis (AE)caused by the larva of E. muttitocularis. During a period of 20 years (1983-2003)1 a total of 364 cases of echinecoccosis, including 263 CE and 101 AE cases were diagnosed at Hydatidos Research Laboratory ( HRL ), Basic Medical College,Lanzhou University, China. Of them, 5 cases of osseous CE (1.37%) were encountered and now reported as follows.     

Analysis of 23 cases of pulmonary cryptococcosis

Pulmonary cryptococcosis (PC) is a subacute or chronic pulmonary fungitis caused hy Cryptococcus neoformans.Because of no specific clinical symptoms or manifestaions in chest radiographs, misdiagnosis is common. Between January 1980 and january 2004, 23 eases of PC were diagnosed by pathological examinations in our hospital and the clinical data were retospectively analyzed to inprove the diagnosis of PC.     

Clinical analysis of 35 cases of peripheral arterial disease

Objective To analyse the current condition in diagnosis and treatment of peripheral arterial disease （PAD）. Methods： 35 cases of PAD hospitalized between July 2007 and May 2008 were collected and studied. Results： 14 of them had the concomitant type 2 diabetes mellitus （shortly as DM） and 18 cases with ulcers or gangrene in the lower limb, up to 14 were found with DM. 5 died of pulmonary infection and 1 died of multiple system organ failure （MSOF）. Conclusion： DM was an important risk factor of PAD. PAD tended to start in younger age in those with DM and its local lesion was frequently more severe and often less effective in revasculation treatment. Death during hospitalization was mainly due to related complications from cerebral vascular problems but not DM.     

Analysis of 176 cases of death from kidney transplantation

Objective To review the cadaveric kidney transplantations at our center in the past 22 years and to analyze the causes and the influencing factors on death in 176 patients who died after renal transplantation. Methods A total of 1 039 patients received cadaveric kidney graftings between October 1977 and June 1999. Patient' s mortality was calculated by the Kaplan-Meier method. The factors which might lead to patients' death,including age and sex of the donors and recipients, frequency of transplantation, dialysis time and transfusion volume before transplantation, cold ischemic time(CIT),delayed graft function(DGF),rejection, immunosuppressive regimen, and post-transplant complications, were analyzed by log-rank and Cox model. Results Total mortalities of the patient at 1 - ,5 - , 10 - , and 15-year were 6.9%, 19.7%, 32.1% and 34.7%, respectively. The leading causes of patients' death were infection, cardiocerebral vascular diseases, and hepatic failure. The factors of transplant times, dialysis time be     

Chondroblastoma of temporomandibular region: report of 3 cases

Chondroblastomaisararebenignbonetumor,whichaccountsforlessthan 1 %ofallosteocartiginoustumors 1Itisalwayslocatedintheepiphysisoflongbonesandiscommonlyseeninpatientsof 1 5 -2 0 yearsofage Whileitisseldomseeninthepelvisandsternum ,itisevenlessfrequentinthetemporomandibularregion WereportedhereinthreecasesofchondroblastomainthetemporomandibularregionfromJune 1 994toOctober1 998attheDeparmentofOralandMaxillofacialSurgeryintheSecondAffiliatedHospital,CollegeofMedicine ,ZhejiangUniversity ,Chi…     

Clinical experience of 2 086 cases of kidney preservation

Objective To summarize the experience of 20 years in using hypertonic citrate adenine(HC-A) for clinical kidney preservation. Methods A total of 2 086 cases of kidneys for transplantation from Angust 1980 to December 2000 were reported. The donors' age ranged from 18 to 49 years. The cadaveric kidneys were harvested with en-bloc method, and were perfused via renal arteries with 250 ml HC- A at 2 - 4 ℃ and 10 cm H2O, and then stored in HC- A at 2 - 4 ℃ throughout preservation. Serum creatinine was measured at 1 week and 1 month after transplantation. Graft survival rates at 1 year and 3,5,10 years and mean graft survival periods were followed up. According to the cold ischemic time, the cases were divided into 3 groups; Group 1, n = 573, with cold ischemic time less than 12 h; Group 2, n = 779, with 12 to 24 h; and Group 3, n = 734, with more than 24 h. Results The mean cold ischemic period of 2 086 cases was(23.68±4.51) h. The mean level of serum creatinine at 1 week and 1 month after transplantation     

Clinical analysis of 251 cases of soft tissue sarcomas

Objective To explore the therapeutic principles and prognostic factors of soft tissue sarcoma. Methods Two hundred and fifty-one patients with soft tissue sarcoma (STS) treated at Shanghai Cancer Hospital during 1986 -1990 were reviewed retrospectively. Results The 1-, 3 - , 5 - , 10 - year tumor-free survival rates were 67. 74% , 57. 16% , 52, 41% , 38. 60% , respectively.The overall survival rates for 1,3,5 and 10 years were 81. 01 % ,67.75% ,60.79% ,and 49.23% respectively. Log-rank test showed that the patients with different pathological findings, histological grades,mass location and size, anatomical depth, and surgical margin showed different outcomes. Whether the sarcomas invaded the vessels or metastasized would influence the survival rates. The patients who underwent different interventions or operations also had different outcomes. The prognosis of STS was associated with age,histological type,histological grade, tumor size, surgical margin and metastasis according to the Cox regression analy     

Expert warns of human cases of wild fowl flu

ZHONG Nan-shan, a famous expert in fighting SARS, has warned of the possible spread of bird flu from wild fowls to humans. Avian influenza will surely spread around the world this year and the virus detected in wild birds are likely to be transmitted to people via unknown means, said ZHONG, an academician of the Chinese Academy of Engineering. Some new cases of H5 avian influenza virus have been detected among wild swans and ducks in Europe. However, it does not mean an immediate ex…     

Histopathological and immunohistochemical studies of 120 cases of osteosarcoma

Ｈｉｓｔｏｐａｔｈｏｌｏｇｉｃａｌａｎｄｉｍｍｕｎｏｈｉｓｔｏｃｈｅｍｉｃａｌｓｔｕｄｉｅｓｏｆ１２０ｃａｓｅｓｏｆｏｓｔｅｏｓａｒｃｏｍａＧａｏＦｅｎｇｘｕｎ（高奉浔）；ＬｉＺｅｎｇｐｅｎｇ（李增鹏）；ＤｏｎｇＺｈｉｑｉａｎ（董志谦）；ＳｕＨｏｎｇ...     

Biliary papillomatosis: analysis of 18 cases

Biliary papillomatosis （BP） is an extremely rare pathological condition, which is characterized by papillary proliferation of the bile duct epithelia. Although initially thought to be a benign entity, this tumor has been shown to have a tendency for malignant transformation. As reported in the literature, malignant degeneration occurs in 20% to 35% of cases. Because patients typically present with abdominal pain, obstructive jaundice and fever, they are usually mistaken as having more serious pathology such as cholangiocarcinoma, cholangitis and so forth. In general, the rate of preoperative diagnosis is very low. At present, the number of published articles about this illness is limited, mainly as single case reports. In addition, the diagnosis, treatment and prognosis of BP have not been well known. We, therefore, discuss age, gender, clinical manifestations, diagnostic approaches, histopathological findings, treatments and prognosis by reviewing the clinical data of eighteen patients with BP treated in our hospital, so as to better understand this rare illness.     

Zygosity in two cases of triplet.

A total of 11 techniques including 57 items for zygosity diagnosis was employed in two sets of triplet. Namely, placenta-fetal membrane, LDH isoenzymes, etc. The authors made an investigation in detail on the pedigree history of polyembryony and systematic analysis of two sets of male triplets. The conclusion was that the first triplet came from a single ovum, whereas the second triplet developed from double ova. Different methods for the zygosity diagnosis were discussed. It was considered that there was hereditary influence in the occurrence of triplets developing either from a single ovum or from multiple ova.

     

Homotransplantation of testis. A report of 11 cases.

Testis homotransplantation has been carried out in 11 patients since 1986. Of them, 8 suffered from congenital testicular dysplasia and the other 3 from orchiatrophy as a result of orchitis. Preoperatively, manifestations were a small penis, small testes, sexual dysfunction, indistinct secondary sex characteristics and low serum testosterone (1.7-7.35 mmol/L). Three cases had cadaver transplants and 8 had living relatives' transplants. The patients were followed up for 7 months to 4 years. The secondary sex characteristics and sexual function were improved remarkably after transplantation. Serum testosterone increased up to 12.8-18.2 mmol/L. All of 5 married patients resumed sexual intercourse satisfactorily. Three others got married after transplantation and have enjoyed normal sexual functions. Spermatozoa have been found in the semen in 3 of the cases.

     

Use of video-assisted thoracoscope in 121 cases of cardiac surgery

Objective: To sum up 121 cases of heart disease operations with the help of thoracoscope from May to August in 2000. Among these cases, 48 cases were atrial septal defect (ASD) ; the average age of patients is 20±10 years old; average weight is (43±16) kg. 67 patients with ventricular septal defects (VSD) , average age13±9 years old; one male patient, 44 years old with Ebstein malformation; one female patient (21 years old) partial atrioventricu-lar canal combined with cor triatriatum; one male (21 years old) with ruptared aneuryem of aortic sinus. 3 cases(all females ) with mitral stenosis combined with mitral valve incompetence. One male patient (aged 16) with pericardiun effusion after trauma. Methods: During operations, a patient with supine position, and his/her right shoulder was padded 30°higher. Tracheal cannula was inserted and air was piped in with high frequency jet ventilation. Three mini tho-racotomies with a diameter of 2 to 3 cm were made in the 4th intercostals space of the right par     

Clinical epidemiologic characteristics of 430 cases of gallbladder cancer.

Ｃｌｉｎｉｃａｌｅｐｉｄｅｍｉｏｌｏｇｉｃｃｈａｒａｃｔｅｒｉｓｔｉｃｓｏｆ４３０ｃａｓｅｓｏｆｇａｌｂｌａｄｄｅｒｃａｎｃｅｒＺｏｕＳｈｅｎｇｑｕａｎ邹声泉，ＺｈａｎｇＬｉｎ张林，ＺｅｎＧｕｏｚｈｅｎ僧国珍，ＣｈｅｎＪｉｓｈｅｎ陈积圣ａｎｄＸｉａＳ...     

Surgical correction of hypertelorism. Report of 40 cases.

Forty patients with hypertelorism seen in the past 16 years were reviewed retrospectively. Combined intra- and extracranial surgical approach was used for 37 severe and moderate cases and subcranial approach (U-osteotomy) for 3 moderate cases. Gratifying results were obtained in patients with different types of hypertelorism by a multidisciplinary team. Complications were also reviewed. Of the 37 cases of intra- and extracranial corrections, 1 died, 4 had cerebrospinal fluid leakage and 4 had keratitis. No seizure, cerebral edema, meningitis, blindness, and ptosis occurred in this series. The average age was 13 years and two months. Operating time averaged 6 hours and 50 minutes. Hypertelorism was mostly attributable to craniofacial cleft, craniosynostosis, frontoethmoidal meningoencephalocele, frontonasal fibrous dysplasia, and trauma. Satisfactory esthetic appearance was achieved in most of the cases.

     

Neurilemmomas of the nasal vestibule: report of two cases

Neurilemmomas is usually a benign neoplasm which is composed of Schwann cells, alsonamed schwannomas and originates from the peripheral nerve sheath. It most frequently （25%- 45%） occurs in the head and neck, but rarely （4%） in the nasal cavity and paranasal sinuses, especially rare in nasal vestibule. In English literature, only Alessandrinis reported one case with the tumor originating from the nasal vestibule. Here we report two cases.     

Do studies of the nature of cases mislead about the reality of cases? A response to Pattison et al.

This article questions whether many are misled by current case studies. Three broad types of style of case study are described. A stark style, based on medical case studies, a fictionalised style in reaction, and a personal statement made in discussion groups by an original protagonist. Only the second type fits Pattison's category. Language remains an important issue, but to be examined as the case is lived in discussion rather than as a potentially reductionist study of the case as text.     

Different patterns of displacement of condylar fractures:analysis of 56 cases

Different patterns of displacement of condylar fractures:analysis of 56 cases@翦新春@陈新群@唐瞻贵...     

Aspergilosis of the larynx:a report of 8 cases

Ａｓｐｅｒｇｉｌｏｓｉｓｏｆｔｈｅｌａｒｙｎｘ：ａｒｅｐｏｒｔｏｆ８ｃａｓｅｓＮｏｎｇＤｏｎｇｘｉａｏ农东晓，ＮｏｎｇＨｕｉｔｕ农辉图，ＬｉＪｕｓｈａｎｇ李菊裳，ＨｕａｎｇＧｕａｎｇｗｕ黄光武ａｎｄＣｈｅｎＺｈｏｎｇ陈忠ＤｅｐａｒｔｍｅｎｔｏｆＯｔｏ...