Hodgkin's disease after treatment for Burkitt's lymphoma: case report

Hodgkin's disease and non-Hodgkin's lymphomas are interrelated disorders which have been reported to occur either simultaneously or sequentially in the same patient. We report here the development of nodular sclerosing type Hodgkin's disease in a patient two decades after successful treatment for Burkitt's lymphoma with cyclophosphomide and abdominal resection (AR). While the onset of symptoms after treatment for Burkitt's lymphoma was seven years definitive diagnosis of Hodgkin's disease was only made 22 years after the initial diagnosis of Burkitt's lymphoma. The recurrent and solitary nature ofthe lymphadenopathy and the fact that it was initially reported as reactive hyperplasia is typical of nodular lymphocyte predominant Hodgkin's disease. We believe that there was a transitory period of the malignancy as nodular lymphocyte predominant Hodgkin's disease.     

胸膜间皮瘤致多年单侧胸腔积液一例报道

胸膜间皮瘤是一种少见的原发性胸膜肿瘤,仅占胸膜肿瘤的5%左右.由于胸膜淋巴管和毛细血管丰富,肿瘤转移十分常见,约占胸膜恶性肿瘤的95%.     

胸膜间皮瘤致多年单侧胸腔积液一例报道

胸膜间皮瘤是一种少见的原发性胸膜肿瘤,仅占胸膜肿瘤的5%左右.由于胸膜淋巴管和毛细血管丰富,肿瘤转移十分常见,约占胸膜恶性肿瘤的95%.     

Sub-acute disseminated pulmonary tuberculosis in a girl diagnosed by CT guided transthoracic needle biopsy: case report and literature review

Primary tuberculosis often occurs in children with the main types of hilar lymphonode tuberculosis or Ghon complex. When pulmonary tuberculosis aggravates and tubercule bacillus invades pulmonary veins, a disseminated disease may occur clinically. One 8-year-old girl presented with hypodynamia and emaciation. CT indicated the disseminated disease and extensive mediastinal and hilar lymphadenopathy. But she had negative sputum smears and negative PPD test. The bronchi showed inflammatory change in fiberoptic bronchoscopy. Percutaneous transthoracic needle biopsy （PTNB） guided by CT was used as a means for the diagnosis of pulmonary tuberculosis. The case was rapidly diagnosed as sub-acute disseminated pulmonary tuberculosis with the help of combined CT imagine and histology.     

A definite case of diffuse panbronchiolitis diagnosed by open lung biopsy

Ｄｉｆｕｓｅｐａｎｂｒｏｎｃｈｉｏｌｉｔｉｓ（ＤＰＢ）ｉｓａｄｉｓｅａｓｅｃｈａｒａｃｔｅｒｉｚｅｄｂｙｃｈｒｏｎｉｃｉｎｆｌａｍｍａｔｉｏｎｏｆｂｒｏｎｃｈｉｏｌｅｓａｎｄｔｅｒｍｉｎａｌｂｒｏｎｃｈｉｏｌｅｓ．ＭｏｓｔＤＰＢｃａｓｅｓｈａｖｅｂ...     

Coexistence of chronic lymphocytic leukemia and Hodgkin's disease. A case report

In the present case there was coexistence of chronic lymphocytic leukemia and Hodgkin's disease. The leukocyte count of 213,000/cu mm, being among the highest reported in association with Hodgkin's disease, is unusual. The patient was treated for chronic lymphocytic leukemia with an unfavorable response to triethylenemelamine, and short-lived response to mechlorethamine and prednisone. The autopsy confirmed the existence of Hodgkin's disease and chronic lymphocytic leukemia. The coexistence of these two diseases does not imply that one is necessarily related to the other. In view of the continued controversy about the relationships of lymphoproliferative disorders to each other, this case should stimulate interest.     

淋巴管平滑肌瘤病致乳糜胸水、乳糜腹水一例报告

1 临床资料 患者女,29岁,因"发现乳糜胸水3个月,腹胀1个月余"于2002年9月3日入院.患者3个月前无明显诱因突感右侧胸闷、气急,活动后明显.无发热、盗汗、咳嗽、咳痰、咳血.到当地县医院就诊疑为"肺结核",行胸腔穿刺后抽出乳白色液体,考虑合并"右侧乳糜胸".予异烟肼、利福平、乙胺丁醇三联抗结核治疗并行胸腔穿刺抽液4次无明显改善.到当地市级医院就诊拟诊"右侧乳糜胸",行胸导管结扎术2次均失败,后行胸膜粘连术后乳糜胸消失.1个月前患者无明显诱因感腹胀,穿刺抽腹水性状与前胸液相似.入院查体:消瘦,腹隆,移动性浊音阳性.辅助检查:超声提示大量腹水,乳糜试验阳性.妇科会诊:患者曾流产3次,口服药物避孕.     

Penetrating chest wound: a case report.

An unusual penetrating chest injury was caused by a ball-point pen. Because of apparent penetration of the heart, preparations were made for an emergency open-heart procedure before emergency thoracotomy was undertaken, with the pen still in situ. The pen had bruised the epicardium but had not penetrated the pericardial sac. After removal of the pen, the wound was closed and a chest tube left in place. Recovery, apart from minor degrees of basal atelectasis, pleural effusion and wound infection, was uneventful. The outcome was consistent with that associated with current aggressive management of penetrating chest injuries. Management is based on three approaches. The primary one is intercostal thoracostomy tube drainage and fluid and blood replacement. In cases of massive hemorrhage or air leak, thoracotomy is necessary. The third approach is to prevent post-traumatic pulmonary insufficiency by using fine, high-efficiency filters during blood transfusion, avoiding excessive administration of intravenous fluids, performing tracheostomy after prolonged endotracheal intubation, and using a volume respirator with positive end-expiratory pressure. The average mortality for penetrating wounds of the heart is 25%.     

MRI诊断先天性处女膜闭锁1例

病例资料 患者女,14岁,间断性腹痛3月余,近日腹痛加重。3月前无明显诱因间断下腹部疼痛,在村门诊抗炎治疗后有所缓解。近日腹痛明显加重,呈连续性,饮食,睡眠欠佳,大小便可。来院就诊于外科门诊。查体：腹软,右中下腹触及约5cm×5cm大小肿块,压痛。血、尿常规及凝血四项未见异常。心电图：窦性心律不齐,大致正常心电图。     

原发性血小板增多症1例

0　引言　原发性血小板增多症 (PT)病因不明 ,临床少见 ,女性多于男性 ,多见于 40岁左右女性 .本病以出血 ,动静脉血栓形成 ,以及脾肿大为主要特征 .我科收住 1例 ,现报道如下 .1　病例报告　女 ,32岁 ,系甘肃省某县小学教师 .因牙龈出血2 a,上腹部胀痛伴消瘦 10 mo,于 1998- 10 - 0 6收住我院 . 1996-0 3出现牙龈出血 ,服维生素 C后减轻 . 1998- 0 1出现上腹部胀痛 ,活动时加重并向腰背部放射 ,伴恶心 .反复发作 ,每次持续约半小时自行缓解 ,患者身体进行性消瘦 . 1998- 0 8在当地化验血小板 396× 10 9·L- 1 .CT报告 :肝硬化 . 1998- …