胎盘部位结节5例报道

<正>胎盘部位结节(placental site nodule,PSN)为中间滋养细胞来源的非肿瘤性病变。该病变较少见,易与其他滋养细胞病变和非滋养细胞肿瘤混淆,我们总结了5例PSN的临床及病理学特征,结合文献探讨其临床意义及病理学诊断和鉴别诊断要点。     

Portal venous system aneurysms: report of five cases.

Until recently aneurysms in the portal venous system were considered to be very rare lesions. This opinion has largely been changed by the increasing number of cases reported in recent years. In this paper we report the cases of five patients with portal venous system aneurysms, including one with splenic vein aneurysm. One patient had associated portal hypertension. The reexamination of two patients 2 years later showed no change in the aneurysms. The sonographic features and related literature are reviewed. In the light of this series and the information in the literature, we recommend that portal venous system aneurysms should no longer be considered exceptionally rare entities.     

胚胎发育不良性神经上皮肿瘤5例报道

胚胎发育不良性神经上皮肿瘤(dysembryoplastic neuroepithelial tumour,DNET)是好发于颅内、少见的神经系统肿瘤,其临床特征与影像表现均不具有特异性,过去常被误诊为脑软化灶、囊肿或星形细胞瘤等.本文回顾性分析5例DNET的临床病理资料,复习相关文献,以提高对该肿瘤的认识. 1材料与...     

骨韧带状纤维瘤X线诊断5例报告

骨韧带状纤维瘤是一种罕见的良性骨纤维性肿瘤，又称硬纤维瘤或骨成纤维性纤维瘤，组织学上酷似腹壁外韧带状纤维瘤，最早由Jaffe于1958年报道5例，迄今为止国内外文献报道也不过百余例。该肿瘤发展缓慢，病程较长、无转移，但可侵犯周围软组织，手术后易复发，应引起临床重视，现结合文献资料报道分析如下。     

Recurrent benign esophageal strictures treated with self-bougienage: report of seven cases

Self-bougienage has rarely been used in the treatment of recurrent benign esophageal strictures. Nonetheless, it has proved to be a useful alternative technique in carefully selected patients. Herein we report our experience with seven symptomatic patients who were treated with self-bougienage for recurrent benign esophageal strictures. These seven patients (six men and one woman; mean age, 66.9 years) had had dysphagia for a mean of 37.9 months and had undergone a mean of 6.7 endoscopic dilations before their involvement in a self-bougienage program. During a mean follow-up period of 36.3 months (range, 10 to 78 months) after initiation of self-bougienage treatment, all seven patients became asymptomatic and remained free of dysphagia. No complications occurred in any patient, and no further endoscopic dilations were necessary. Our results suggest that self-bougienage can provide long-term symptomatic relief in selected patients with recurrent benign esophageal strictures.     

维生素A治疗痤疮五例

痤疮又名“青春痘”,俗称粉刺。好发于十几岁到三十几岁人群,由于这部分人的内分泌比较旺盛,油脂分泌多而排泄不畅时就会阻塞在皮内,形成暗疮。淤阻的油脂进而变性,成为豆腐渣样,外露的阻塞头就是粉刺。这些豆腐渣样物容易生长细菌并导致痤疮疖肿。有的人常用手去挤压,最终疖子好了也落下疤。久而久之满脸是凹凸不平的瘢痕和色斑,极大地影响了面容和外观。     

Nonmass-forming type anorectal cancer with pagetoid spread: A report of two cases

Pagetoid spread (PS) of anorectal cancer is relatively rare and associated with poor prognosis. While a primary tumorous lesion is usually obvious in most PS cases, we experienced two cases of nonmass-forming type anorectal cancer with PS. It remains challenging to decide strategies. In both cases, histological findings of a perianal skin biopsy showed proliferation of atypical cells that were positive for cytokeratin (CK) 7, CK20, and caudal type homeobox 2 and negative for Gross cystic disease fluid protein 15, suggesting PS. Abdominoperineal resection (APR) with extensive anal skin resection was performed in both patients. The pathological diagnosis in each was nonmass-forming type anorectal cancer with PS. Neither has experienced recurrence in postoperative courses. Even nonmass-forming type anorectal cancer with PS could have high malignant potentials. APR with lymph nodes dissection and wide skin excision and regular surveillance might be necessary.     

肺黏液表皮样癌5例报道

<正>肺黏液表皮样癌是肺部极少见的恶性肿瘤,本文从临床病理角度报道5例肺原发性黏液表皮样癌,以期加深对该疾病的认识,早期诊断和治疗。1材料与方法1.1材料收集吉林大学第一医院2002—2009年间经手术切除的肺黏液表皮样癌5例,复习所有切片,观察其病理学特征。     

慢性粒细胞白血病伴阴茎异常勃起五例报道

慢性粒细胞白血病（慢粒）引起阴茎异常勃起是其较特异的临床表现之一,由于以阴茎异常勃起发病,极易造成误诊误治。我院１９８７年６月～１９９６年６月收治５例,均发生误诊,现报告如下。１　临床资料１．１　一般资料　年龄２０～３５岁;已婚２例,未婚３例;阴茎异常勃起发生的病程４～２１天,平均１１．２天。１例在发病前已发现脾脏肿大。１．２　临床表现　５例均有阴茎持续异常勃起而不能自动软缩,伴胀痛;２例已婚者发生在性生活后,同时有排尿困难。均有面色苍白、乏力、头晕、心悸等贫血症状,消瘦、多汗３例,腹胀和左上腹…     

Asymptomatic enlargement of the medial clavicle: report of five cases

Five middle-aged women presented with unexplained chronic swelling at the medial clavicle. None of the patients recalled a history of trauma and none experienced pain or other symptoms associated with the swelling. In all cases, suspicion of tumor prompted referral to an orthopedic oncologist; two cases were biopsied before referral. Radiological studies demonstrated degenerative changes confined to the medial clavicle in three cases, exophytic overgrowth of the medial clavicle and adjacent manubrium in one case, and bilateral degenerative changes on both sides of the joint in one case. Prolonged follow-up supported the diagnosis of a benign, likely degenerative condition. These cases demonstrate the tendency for a variety of degenerative changes to manifest clinically as swelling at the medial clavicle. Inherent properties of the clavicle may predispose the medial clavicle to such changes. Recognition of this entity may prevent unnecessary testing or surgical biopsy of patients with this condition in the future. A thorough differential diagnosis of swelling at the medial clavicle is also presented.     

Cytapheresis for the treatment of myeloperoxidase antineutrophil cytoplasmic antibody-associated vasculitis: report of five cases.

To minimize the adverse effects of high-dose administration of steroids and cyclophosphamide in patients with myeloperoxidase (MPO) antineutrophil cytoplasmic antibody (ANCA), granulocytapheresis (GCAP) or leukocytapheresis (LCAP) was performed to reduce inflammation. Four patients with rapidly progressive glomerulonephritis (RPGN) and one patient with pulmonary hemorrhage due to MPO-ANCA-associated vasculitis were treated by cytapheresis. The prednisolone (PSL) dose was 0.28 +/- 0.15 mg/kg/day (mean +/- SD) (range 0.18-0.50 g/kg/day). In the 4 RPGN patients, the peak serum creatinine level was 3.7 +/- 1.9 mg/dl (range 1.7 to 5.6 mg/dl). GCAP was performed in 3 RPGN patients and in 1 pulmonary hemorrhage patient. LCAP was performed in 1 RPGN patient. In the 4 RPGN patients, renal function improved after combined therapy with cytapheresis and corticosteroids. In the pulmonary hemorrhage patient, evidence of pulmonary hemorrhage on chest computed tomography scanning diminished after combined therapy with cytapheresis and corticosteroids. Cytapheresis, when combined with a low-dose or intermediate-dose PSL regimen, is effective in the treatment of ANCA-associated vasculitis.     

Small-bowel tumors diagnosed by wireless capsule endoscopy: report of five cases

Tumors of the small bowel, both benign and malignant, are relatively uncommon. As the symptoms are vague and conventional diagnostic tests are unsatisfactory, these tumors often present a clinical, radiological, and endoscopic challenge. We report here on five patients in whom small-bowel tumors were diagnosed using wireless capsule endoscopy. The indications for capsule endoscopy were: obscure gastrointestinal bleeding in four patients (one jejunal capillary hemangioma, one ileal hemangiosarcoma, and two jejunal gastrointestinal stromal tumors) and chronic abdominal pain in one patient (ileal carcinoid). Wireless capsule endoscopy, a new endoscopic method, promises to improve the diagnosis of deep small-bowel pathology.     

Thiamine deficiency at a district general hospital: report of five cases

Five biochemically severe cases of thiamine deficiency presented to one medical firm within an 11-month period at a district general hospital in Wales. In two patients the presenting feature was oliguric functional renal failure, with frank cardiovascular beri-beri. In one of these renal failure developed over a period of seven days, the cause being recognised after 20 days of continuous high-calorie intravenous feeding including daily vitamin supplements. Three further cases illustrate how early recognition and adequate treatment of the renal and cardiovascular components of thiamine deficiency may be life-saving.     

Radiological findings of renal leiomyomas: a report of five surgically confirmed cases

Background  

To describe radiological features of renal leiomyomas.     

Retropharyngeal calcific tendinitis: report of five cases and review of the literature

Retropharyngeal calcific tendinitis is an inflammation of the longus colli muscle tendon, which is located on the anterior surface of the vertebral column extending from the atlas to the third thoracic vertebra. Five cases of acute retropharyngeal calcific tendinitis seen in the emergency department (ED) over a 15-month period are reported. In addition, a retrospective review of four cases diagnosed as retropharyngeal abscess and admitted to the hospital revealed that two of these cases actually represented retropharyngeal calcific tendinitis. A review of the literature and potential differential diagnoses are presented. For those primary care physicians who must evaluate patients with acute cervical pain, sore throat, or odynophagia, an x-ray study of the neck revealing retropharyngeal calcium deposition should raise the question of the diagnosis of acute retropharyngeal tendinitis. Clinical characteristics of this entity include a painful condition which is treatable and is often mistaken for retropharyngeal abscess, pharyngitis, or peritonsillar abscess. In our opinion, this condition may be more prevalent than the literature suggests.     

Corynebacterium jeikeium (group JK diphtheroids) endocarditis. A report of five cases

Corynebacterium jeikeium is the name recently given to a group of coryneform rods, formerly known as the JK group, and associated with a wide range of serious infections. We describe five patients with C. jeikeium endocarditis observed in two Belgian hospitals over a period of 5 years. In three cases, the infection occurred on prosthetic heart valves between 1.5 and 5 months after surgery. The two other patients, with known mitral insufficiency, presented with endocarditis on native valves. In four patients, bacteriologic and clinical cure followed treatment with vancomycin. The fifth patient died despite eradication of the coryneforms by combination antibiotic therapy. We know of no previous reports of C. jeikeium endocarditis on native heart valves.     

胃肠道外间质瘤的影像学表现并文献复习（附5例报告）

目的：探讨胃肠道外间质瘤（EGIST）的影像学表现。方法：回顾性分析经手术病理证实的5例EGIST患者的临床资料,结合文献报道,对其影像表现进行探讨。其中4例行CT平扫及增强,1例行MR平扫及增强。结果：5例病灶均为单发。病变位于中下腹肠系膜区2例,右下腹肠系膜区、左中上腹肠系膜区及盆腔各1例。肿块最大横断面平均7.6 cm×9.6 cm。2例肿块呈类圆形,1例呈椭圆形,2例呈不规则形、有分叶。肿块均边界清楚。4例密度不均,其内可见液化坏死区;1例密度大致均匀。增强动脉期4例病灶表现边缘索条状或血管样强化,实质期实性成分进一步明显强化,CT值较平扫升高48～96 HU。结论：EGIST CT、MRI表现具有一定特征,结合临床及影像特点可做出正确诊断。