胃嗜酸性肉芽肿26例报告

目的进一步探讨胃嗜酸性肉芽肿的诊断与治疗。方法对２６例胃嗜酸性肉芽肿的临床资料进行回顾性分析。结果钡餐检查１９例,诊断胃溃疡１１例,胃癌８例。胃镜检查１４例,诊断胃溃疡８例,胃癌４例,胃嗜酸性肉芽肿２例。外周血中嗜酸粒细胞增多１０例。术中快速病理检查确诊１１例。行胃大部切除术１６例,胃癌根治术１０例。２３例随访０．５～１８年,无复发病例。结论胃镜活检及术中快速病理检查可确诊嗜酸性肉芽肿,胃大部切除     

胃嗜酸性肉芽肿11例报告

胃嗜酸性肉芽肿是一种原因不明的以胃粘膜下层及肌层受到嗜酸性细胞浸润为特征的一种病变,极易误诊为胃癌和胃溃疡.     

胃嗜酸性肉芽肿(附22例报告)

为探讨胃嗜酸性肉芽肿的诊断,病理学特点和临床处理,作者分析了经手术和病理检查证实的胃嗜酸性肉芽肿２２例,其中行胃癌分切除术１４例,胃次全切除术６例,全国切除术１例,胃癌根治术１例。     

胃嗜酸性肉芽肿误诊32例分析

胃嗜酸性肉芽肿误诊３２例分析同济医科大学附属同济医院外科（武汉，４３００３０）陈汝福钱家勤戴植本山东省潍坊医学院病理教研室吕士军胃嗜酸性肉芽肿是一种原因不明、瘤样增生性疾病，术前确诊困难，极易误诊为胃癌或胃溃疡。我们自１９８４年９月至１９９６年１２月...     

胃嗜酸性肉芽肿的诊治

胃嗜酸性肉芽肿是一种以嗜酸性细胞浸润为特征的、原因未明的瘤样增生性病变，表现为胃壁增厚、僵硬和溃疡等，常与胃癌相混淆，造成临床诊断上的困难。1937年Kaujser首先描述了本病，1963年赵乾元在国内报告首例。文献中曾有多种不同的命名，1961年Ureles综合文献进行了命名和     

胃嗜酸性肉芽肿21例报告

目的探讨胃嗜酸性肉芽肿的诊断和治疗方法。方法对２１例嗜酸性肉芽肿的临床资料进行分析。结果钡餐检查２１例,诊断胃癌７例,胃溃疡１４例。胃镜检查１２例,诊断胃癌５例,胃溃疡７例。１１例外周血中嗜酸性细胞增多。４例行近全胃切除加Ｄ３淋巴结清扫,１７例胃次全切除术。１２例随诊５～１５年,９例健在。结论胃镜活检及术中快速病检可确诊,胃大部切除术是主要的治疗方法     

胃嗜酸性肉芽肿20例分析

胃嗜酸性肉芽肿属少见。我们近９年中共手术治疗２０例，均经病理证实。同期有病理诊断的各种胃手术共１９６４例，胃嗜酸性肉芽肿所占的比率约为１％。该病误诊误治率较高。我们认为仔细询问病史，上消化道钡餐检查及末梢血嗜酸性粒细胞计数是明确此病的重要依据。     

胃嗜酸性肉芽肿12例

中国图书分类号】Ｒ３６４３Ｒ５７３我院近年来共收治胃嗜酸性肉芽肿１２例，现报告如下。１临床资料本组男１０例，女２例。年龄２７～６８岁，平均５１５岁，其中４０岁以上１１例。病程１个月～２０年，平均５９年。本组病例均有上腹部疼痛，其中阵发性疼痛９例...     

Solitary eosinophilic granuloma of the sternum

We report a rare case of eosinophilic granuloma of the sternum in a 25-year-old woman, who presented with anterior chest pain and a tender mass over the sternum. Total-body bone scintigraphy and computed tomography scanning of the thorax revealed an isolated lytic lesion of the manubrium. An open biopsy showed the typical histologic appearance of an eosinophilic granuloma. Surgical curettage of the solitary lesion was performed, and the sternal defect was filled with a bone replacement material. At the 2-year follow-up, no local recurrence was found, and the patient was in good health.     

胃嗜酸性肉芽肿的诊断与治疗

目的 提高胃嗜酸性肉芽肿的诊治水平及疗效。方法 回顾性分析1988年8月-1998年10月我院收治经手术病理证实的胃嗜酸性肉芽肿病人20例，并进行随访。结果 ５例行部分胃切除，８例行大部胃切除，３例行次全胃切除。４例行根治性胃切除术，手术无并发症及死亡。随访经Ｘ线钡餐或纤维胃镜复查１８例（９０％），其中７～９年１０例，４～６年６例，１－３年２例，均无复发，且未见癌变。结论 仔细询问病史，Ｘ线钡餐、纤维胃镜及外周血嗜酸性粒细胞计数是明确胃嗜酸性肉芽肿的重要依据。其中纤维胃镜必须在边缘作挖掘式活检深达胃粘膜下组织病理检查。可提高术前诊断率。手术切除是最有效的治疗方法。     

肝脏非特异性嗜酸性肉芽肿的影像学特征

肝脏嗜酸性肉芽肿是由长期炎症引起肉芽肿形成继而发生.本文分析2008年7月至2012年4月烟台市烟台山医院和烟台市毓璜顶医院收治的2例肝脏非特异性嗜酸性肉芽肿患者的临床资料,并总结其影像学特征.实验室检查均提示患者外周血嗜酸性粒细胞增高,超声检查发现低回声肝脏包块,彩色多普勒检查无血流信号.CT检查示略低密度病灶,边界欠清晰,增强扫描示延迟期不均匀强化,病灶呈网格状改变.l例患者接受MRI检查,T1 WI扫描示病灶呈不规则略高信号,边缘欠清晰,其内见一斑片状低信号;T2WI扫描呈高信号,内见低信号分隔;DWI扫描呈明显高信号.熟悉肝脏非特异性嗜酸性肉芽肿的影像学特征,并结合外周血嗜酸性粒细胞增高,可以帮助临床医师作出正确诊断.     

Gastric eosinophilic granuloma: a report of 23 cases

Twenty-three cases of gastric eosinophilic granuloma were presented with three major complications including gastric ulcers in 22 cases (95.6%), gastric bleedings in 19 cases (82.6%), and fungus infections in 16 cases (69.6%). The relationship between gastric eosinophilic granuloma and fungus infection was discussed, and it was the authors' belief that fungus infection may play a role in the development of the ulcer and cause bleeding. The authors put forward several diagnostic main points and believe that surgery should be the first choice of therapy.     

胸椎嗜酸性肉芽肿的外科治疗

正脊柱的嗜酸性肉芽肿(EG),是以朗格汉斯细胞增生为特征的多系统侵犯的反应性增生性疾病,它属于3种朗格汉斯组织细胞增多症(LCH)中的一种,多见于小儿和青少年,成人较少见,老年人罕见~([1])。症状性的胸椎EG常引起背部疼痛,多伴有神经功能障碍,造成脊柱失稳,甚至造成瘫痪和二便功能障碍,严重危害患者的身心健康。一旦发生神经功能症状或脊柱不稳,需要及时通过外科手术来干预,以达到挽救濒临恶化的神经功能~([2-3])。第二军医大学长     

Spontaneous resolution of lumbar vertebral eosinophilic granuloma

Summary Eosinophilic granuloma (EG) is a rare disease but is more common in adults than children. Its often self-limiting. Spinal involvement is rare. It is the localized and most benign form of Langerhans cell histiocytosis (previously known as histiocytosis X), characterised by lytic lesions in one or more bones. Spontaneous resolution of vertebral body lesions is very rare. In this case, the patient had one EG in a cervical vertebra and a similar lesion in a lumbar vertebra. This case is important because it featured a symptomatic lesion in the cervical spine accompanied by an asymptomatic lesion in a lumbar vertebra. We treated the cervical lesion by surgical fusion and followed the lumbar lesion up conservatively, with the patient in a corset. After 8 years of follow-up, control MRI showed that the lumbar lesion had spontaneously resolved.     

Solitary involvement of the fourth thoracic vertebral body with eosinophilic granuloma and development of incomplete paraparesis

Summary This is a report of the case of a 9-year-old boy with solitary involvement of the fourth thoracic vertebral body with eosinophilic granuloma and development of neurologic deficits. Ventral decompression of the spinal cord, removal of the tumor tissue, and anterior arthrodesis succeeded in preventing an increase of the kyphotic deformity of the vertebral body. Complete reversal of the neurologic deficits was seen in the further course.     

骨嗜酸细胞肉芽肿的临床特征与治疗

目的探讨骨嗜酸细胞肉芽肿的临床表现、诊断和治疗效果。方法1991年3月至2006年3月收治骨嗜酸细胞肉芽肿28例,男19例,女9例;年龄1-61岁,平均22.4岁。病程20d～10个月。单发24例,多发4例。影像学表现为溶骨性改变,15例伴软组织肿物影。于外院确诊5例,入院后误诊为原发肿瘤及转移癌12例。所有病例均经病理学确诊。单发病例行化疗1例,手术治疗20例,手术后辅以放疗、化疗、激素综合治疗3例;多发病例采用放疗1例,激素治疗1例,综合治疗2例。结果全部病例随访7个月￣15年,平均5.3年。20例手术者手术治愈率100%;术后辅以放疗、化疗及激素治疗者无复发;植骨者6～12个月骨性愈合,随访功能不受限。1例行胸椎椎板减压术者截瘫部分恢复。4例多发病例中2例出现复发,再次给予激素及放疗、化疗后缓解。结论骨嗜酸细胞肉芽肿临床症状及影像学表现与肿瘤类似,误诊率极高。术前应尽可能行穿刺活检。对单发病例宜采用手术治疗,可辅以放疗或化疗;多发病例病灶多、范围广,不宜采用手术治疗,可选择放疗、化疗、激素治疗等综合疗法。     

骨嗜酸性肉芽肿的影像诊断

目的探讨骨嗜酸性肉芽肿的影像表现特点。方法回顾性分析10例经手术病理证实的骨嗜酸性肉芽肿的X线、CT及MRI表现。10例患儿均接受CT检查,3例同时接受患部X线平片检查,5例同时接受患部MR检查,其中4例接受MR增强扫描。结果病变单发8例,多发2例。累及颅面骨4例,长骨3例（肱骨1例,胫骨1例,股骨1例）,髂骨2例,锁骨2例,椎体1例,肩胛骨1例。不同部位病变影像学表现有差异,主要表现为骨质破坏,形成软组织肿块,边缘清楚、无硬化。结论综合影像学检查能显示骨嗜酸性肉芽肿的病变形态、范围、特点,有助于诊断及鉴别诊断。