共查询到20条相似文献,搜索用时 46 毫秒
1.
复发性肾上腺神经外胚层肿瘤并发下腔静脉癌栓的治疗 总被引:2,自引:0,他引:2
[目的]探讨肾上腺神经外胚层肿瘤复发后的处理.[方法] 报告1例复发性肾上腺神经外胚层肿瘤并发下腔静脉癌栓的病例,结合文献复习讨论.患者因腹膜后肿瘤行右肾上腺及肿瘤手术切除,术后化疗,术后1年复发合并下腔静脉癌栓及双下肢浮肿,在本院行右肾切除及肿瘤清扫 下腔静脉部分切除,术后出现下肢静脉血栓,经溶栓、抗凝等治疗.[结果] 手术后患者肾功能代偿正常,下肢静脉浮肿消退,择期行化疗或放疗.[结论] 神经外胚层肿瘤为恶性程度高的肿瘤,易转移和复发,手术是治疗的根本办法,放疗和化疗效果不确切. 相似文献
2.
3.
4.
[目的]探讨有关阴囊Paget病的临床特点、治疗方法和预后,提高对阴囊Paget病的诊治水平.[方法]回顾性分析10例阴囊Paget病患者的临床表现、病理资料、治疗方法和随访情况.所有患者均在术前经病理证实为阴囊Paget病而行肿大淋巴结活检和病灶广泛切除,对伴有腹股沟淋巴结转移者行腹股沟淋巴结清扫术.[结果]所有患者术后病理检查均发现Paget细胞.根据Ray分期:A1期6例,A2期3例,B期1例(6例肿瘤局限于表皮,4例浸及真皮).3例淋巴结肿大者经活检证实1例为淋巴结转移.9例获得随访,随访时间3月~4年.1例因术后1年复发而行二次手术治疗,其余均未复发.[结论]对久治不愈的阴囊皮炎或湿疹应尽早行皮肤活检确诊,局部病灶的广泛切除是本病的首选治疗方法,预后较好. 相似文献
5.
6.
[目的]探讨原发性颈淋巴结核的诊断及治疗方法.[方法]分析本院35例原发性颈淋巴结核患者的临床资料.35例患者经给予细针穿刺针吸活检,有9例确诊,给予抗结核治疗1年;26例患者行手术切除病理检查确诊,术后抗结核治疗半年.[结果]35例患者均随访1年以上,未见颈淋巴结复发.[结论]原发性颈淋巴结结核确诊首选细针穿刺活检;诊断不明者行肿块切除病理确诊.确诊者均需抗结核治疗.手术对原发性颈淋巴结核有明确诊断、治疗及缩短抗结核药物应用时间的作用. 相似文献
7.
8.
9.
患者女,28岁,于2001年5月偶然发现右乳肿物,如“小枣”大小,无疼痛不适,无发热,皮肤无红肿,无乳头溢液。在当地医院行乳腺肿物切除术,病理诊断:右乳腺纤维腺瘤。术后2年内2次复发均行肿块切除,病理诊断均为:右乳腺纤维腺瘤。2004年患者右乳肿物再次复发,因肿瘤生长缓慢,未予治疗。2005年6月患者怀孕后右乳腺肿物生长较快,并有胀痛,因妊娠未行手术切除。2006年3月患者生产后短期内自觉右乳腺肿块有所缩小。2006年9月患者就诊时右乳肿物明显增大,大小约为20cm×20cm,遂行第4次手术,将右侧乳房单纯切除,手术病理诊断:乳腺分叶状肿瘤恶性变。术… 相似文献
10.
1 病例报告例 1 男 ,46岁。右前臂肿物疼痛 9个月。检查右前臂中段肱桡肌内可扪及玉米粒大小圆形肿物 ,质硬、压痛 ,与皮肤无粘连但活动度差。 X线片显示右尺桡骨未见异常。拟诊右前臂肌纤维瘤 ,行手术切除。术中见肿物有完整包膜 ,切面呈编织状 ,色淡红。术后病理诊断为血管平滑肌瘤。术后随访 8a无复发。例 2 男 ,5 0岁。左小腿肿物疼痛有时麻木 1a。检查左小腿近端外侧腓骨小头下可扪及黄豆大小的肿块 ,压痛明显 ,质硬 ,活动度差 ,叩击可向小腿及足跟方向放射。 X线片未见胫腓骨异常 ,拟诊腓总神经纤维瘤 ,行手术摘除。术中摘除黄豆… 相似文献
11.
12.
Dr. Alfeo Montesi Alessandro Pesaresi Lanfroi Graziani Daniela Salmistraro Leonardo Dini Italo Bearzi 《Abdominal imaging》1983,8(1):207-212
Benign tumors of the esophagus are rare. So far radiological examination has been useful in the diagnosis of fairly large benign tumors. In 4100 consecutive double-contrast studies we have found 22 incidental cases of protruded lesions of the esophagus with the appearance of submucosal tumor (8 cases) or polyp of the mucosa (14 cases). The lesions were small: 14 were less than 1 cm and 8 were between 1 and 3 cm. The histological data showed leiomyoma in the submucosal tumors and squamous papillomas in the polyps of the mucosa. A noteworthy feature is the unusual frequency of small squamous papillomas detected. The radiological diagnosis of benign tumors of the esophagus cannot be confined to large tumors in symptomatic patients but may include the accidental detection of small tumors. These call for histological verification and possibly endoscopic removal. 相似文献
13.
14.
目的评价CT和常规胃肠道造影对小肠原发恶性肿瘤诊断的准确性。方法收集52例经手术和病理证实小肠原发恶性肿瘤的胃肠道造影、CT、血管造影及临床资料,回顾性分析其胃肠道造影和CT影像特征,并与手术和病理学结果进行对照。结果 52例小肠原发恶性肿瘤中腺癌19例,恶性间质瘤10例,恶性淋巴瘤23例。常规胃肠道造影主要表现为肠管狭窄、充盈缺损、管壁僵硬、黏膜破坏及环状皱襞消失、肠梗阻、肠套叠及溃疡形成等,41例得到了准确定位,肯定肿瘤诊断32例。CT检查20例,主要表现为局部肠壁增厚、小肠肿块、肠管狭窄、肠梗阻、肠套叠等,均得到了准确定位,肯定肿瘤诊断18例。肠系膜上动脉造影3例,均明确了出血的部位,但术前均误诊为血管畸形。结论 CT对小肠原发恶性肿瘤的诊断具有更高的准确性,并能提供有关肿瘤局部浸润、淋巴结远处转移以及并发症等影像学信息,常规胃肠道造影与CT检查相结合有助于制订出更为恰当的治疗计划。 相似文献
15.
目的探讨胸内Castleman病(CD)的临床病理学特点及治疗方式。方法回顾性分析1989—2011年间我院经手术病理确诊的26例胸内CD病人的临床病理资料。结果 26例胸内CD的临床分型:局限型22例,主要表现为局部淋巴结大;多中心型4例,主要表现为胸内多部位淋巴结大伴脾大、贫血、清蛋白降低等相关实验室检查异常。组织病理分型:透明血管型21例,浆细胞型4例,混合型1例。所有胸内CD病人均行病变完整手术切除,术后随访长期生存。结论胸内CD临床诊断较为困难,最终诊断仍依赖病理组织学检查。胸内CD以临床的局限型和组织病理的透明血管型多见。无论局限型或多中心型CD,手术为其治疗首选方式。对于难以完整切除的多中心型CD,可尝试以减瘤手术为主辅以术后放化疗的综合治疗。 相似文献
16.
17.
Pharyngeal teratomas are very rare congenital tumours derived from pluripotent stem cells. Surgical resection is the main treatment to avoid breathing and feeding difficulties. This current case report describes two newborn infants with congenital oropharyngeal teratomas. In one of the infants, the tumour presented along with a cleft tongue and cleft palate. Prenatal diagnosis by ultrasonography did not identify the tumours because the masses were small and there was no polyhydramnios. Both cases were treated surgically and histological examination of the masses in both cases confirmed the diagnosis of a congenital epignathus. There were no complications such as infection, bleeding or residual recurrence following surgery. After 1-year follow-up, there was no recurrence of the epignathus in either case. Oropharyngeal teratoma is a very rare congenital tumour that may cause upper airway obstruction and feeding difficulties in the newborn, so it should be treated surgically in a timely manner. 相似文献
18.
骨原发非霍奇金淋巴瘤23例临床分析 总被引:3,自引:0,他引:3
为了探讨骨原发性非霍奇金淋巴瘤的临床表现与治疗效果,回顾性分析23例骨原发性非霍奇金淋巴瘤患者的临床症状、X射线、病理组织形态学及免疫组织化学检测和治疗。结果表明:23例患者的主要临床表现为病变处局部疼痛和压痛;X线检查及CT显示,浸润型改变者15例、溶骨型5例、硬化型2例、囊状膨胀型1例;病理组织学类型主要为弥漫型大B细胞淋巴瘤。23例中单发骨病灶21例,多发病灶2例。3例发生病理性骨折。结论:本病常侵犯单骨,多表现为虫蚀样浸润性和溶骨性骨破坏。X线及CT定性诊断困难,最后确诊需结合临床表现、病理组织学及免疫组织化学检测证实。采用局部放疗联合全身化疗疗效明显。 相似文献
19.
目的:探讨多层螺旋CT(MSCT)在急性主动脉综合征(AAS)的临床应用价值。方法:采用西门子Sensation16层螺旋CT扫描机,对59例主诉急性胸背痛患者进行MSCT检查。结果:59例患者中主动脉夹层(AD)40例,主动脉壁内血肿(IMH)11例,穿透性粥样硬化性溃疡(PAU)8例。MSCT能够显示三种疾病的特征性征象:AD可见内膜片和双腔征;IMH主动脉壁呈新月形或环形增厚≥5mm;PAU为凸出于主动脉管腔外的造影剂充盈的龛影。结论:MSCT是一种快速、无创的检查方法,能为AAS的诊断提供重要信息。 相似文献
20.
Guillotine needle biopsy as a supplement to endosonography in the diagnosis of gastric submucosal tumors. 总被引:5,自引:0,他引:5
G C Caletti E Brocchi A Ferrari G Bonora D Santini G Mazzoleni L Barbara 《Endoscopy》1991,23(5):251-254
The presumptive diagnosis of gastric submucosal tumors can be made by endoscopic ultrasonography (EUS) but histological confirmation is still required. A special guillotine biopsy device (Flexi-Temno) which enables collection of adequate submucosal samples by the endoscopic approach was therefore evaluated. After visualization by EUS the guillotine needle biopsy was performed in 21 patients with submucosal tumors of the stomach. There were 2 failures in 2 patients with leiomyomas. The diagnosis suggested by EUS was confirmed by guillotine biopsy in 17 cases. Guillotine biopsy detected 2 cases of unsuspected leiomyosarcoma which were confirmed surgically. In cases of solid submucosal tumors confirmed on EUS, the guillotine needle biopsy enables a definitive histologic diagnosis. Thus malignancies can be detected when EUS findings are not significant. 相似文献