胃淋巴管瘤1例报道

1 临床资料 患者女性，50岁，已婚。4个月前出现饭后胸闷，伴有呼吸费力。按照心脏病治疗．自行口服速效救心丸，每次剂量8～25粒，效果不佳。近2周出现食欲减退。自患病以来，体重无明显变化，睡眠、大小便正常。2006年11月30日于哈尔滨医科大学附属肿瘤医院行超声检查：上腹部囊性占位。入院后常规检查未见异常，     

Calcifications in Mutinous Adenocarcinoma of the Stomach: A Case Report

Thirty-nine cases of calcification of the gastric carcinomahave been reported in world medical literature. Calcificationsare always punctate in appearance, permitting a confident diagnosisof mucinous adenocarcinoma. An additional case of a sixty-nine-year-oldfemale with calcification in musinous adenocarcinoma, is presentedhere with emphasis on the usefulness of computed tomography.     

胃平滑肌肉瘤八例

胃平滑肌肉瘤少见。我院于1981-1991年间手术治疗经病理确诊胃平滑肌肉瘤8例。男性3例;女性5例,年龄36-73岁。最常见症状为腹部肿块及消化道出血。术前仅确诊2例。8例中作胃根治术3例,胃大部切除4例,楔形切除1例,切除率为100%。5年生存率50%(4/8)。现结合文献就该病的诊断和治疗进行讨论。     

胃平滑肌肉瘤（附23例报告）

１９８０年至１９９２年对２３例胃平滑肌肉瘤施行手术治疗，其中男１３例，女１０例，年龄１２岁～７２岁。患者最常见的症状是上腹不适或腹痛，腹部肿块及上消化道出血。术前确诊３例，疑诊２例，误诊１８例；分别误诊为胃癌，胰体、尾囊肿，平滑肌瘤等。行根治性切除２０例，姑息性切除和楔形切除各１例，单纯探查加切检１例。切除率９６％（２２／２３）。５年生存率５７％（１３／２３），１０年生存率１３％（３／２３）。此外对本病的诊断、病理和治疗进行了讨论分析。     

Choriocarcinoma with Brain Metastasis: Report on Two Cases with Long-term Survivals

Choriocarcinoma is a potentially curable neoplasm. Althoughthe presence of brain metastases worsens the ultimate prognosis,aggressive therapeutic intervention is sometimes justified forbrain metastases of a potentially curable neoplasm. In the presentclinical report, we present two cases of choriocarcinoma withbrain metastasis manifesting neurological deterioration, anddiscuss treatment strategies. From the results of treatment,we conclude that surgical removal of the lesion, followed bychemotherapy combined with irradiation, should be the treatmentof choice in patients with progressive neurological deterioration.     

Primary Malignant Fibrous Histiocytoma of the Stomach: (A Case Report)

A case of primary malignant fibrous histiocytoma (MFH) of the stomach is reported. The patient was a 51-year-old man who had a laparotomy for a malignant gastric tumour diagnosed by radiological studies and endoscopic examination. An inoperable gastric malignancy was found at operation. Histopathological studies of tissue biopsied at surgery showed characteristic light microscopic findings and strong positivity for alpha-1-antitrypsin by immunoperoxidase technique indicating the diagnosis of malignant fibrous histiocytoma. The absence of any other soft tissue or retroperitoneal tumour strongly indicated the stomach is the primary site.     

残胃吻合口错构瘤1例

患者,男性,40岁.入院情况:1998年因"胃溃疡并上消出血"在当地医院行"胃大部分切除术",术后病理示:慢性溃疡,侵达浅肌层.术后恢复良好.近2年无任何诱因出现上腹隐痛,无明显返酸、嗳气,无恶心、呕吐,未经正规诊治.查体:T36.5℃、P 80次/min、R20次/min、BP120/80mmHg,神清,语利,心肺听诊正常.腹平坦,上腹见一长约10cm手术切口瘢痕,质软,上腹压痛,无反跳痛,肝脾肋下未扪及,肝肾区无叩痛,肠鸣音3～4次/min.胃镜下见:胃体黏膜光滑,皱襞清晰,吻合口及残胃体下部后壁黏膜皱襞粗大迂曲,范围约5cm大小,质韧.取活检示:慢性炎症.经内科保守治疗无好转,遂行残胃部分切除术.术后病理示:吻合口处,错构瘤型息肉.     

以血尿为首发症状1例妊娠性绒癌临床分析合并文献复习

目的探讨妊娠性绒癌肾转移的临床表现、诊断及治疗。方法回顾性分析1例以血尿为首发症状的妊娠性绒癌的临床资料。结果化疗前血β-HCG水平>10 000 IU/L,化疗后血β-HCG水平为2.84 IU/L。结论血β-HCG水平的检测对妊娠性绒癌的诊断具有重要价值,化疗仍为其主要治疗方法。     

Stomach One-Point Cancer: One Case Report and Literature Review

Introduction Gastric cancer is one of the common cancers and one of the most frequent causes of cancer deaths worldwide.Early detection and accurate preoperative staging of gastric cancer is essential for planning optimal therapy such as endoscopic mucosal resection or gastric resection and offers the best prognosis.     

Calcification in a Mucus-Producing Carcinoma of the Stomach: Case Report

Another case of calcification in a gastric carcinoma is recorded, bringing the total in the English literature to 13. In all cases the calcification has been noted in the left hypo-chondrium and has been of a punctate type. The diagnosis has been confirmed by barium meal examination, which has revealed an obvious carcinoma of the stomach, the calcification being in the thickened gastric wall. In each case the gastric tumour has been an adenocarcinoma with a tendency towards marked mucus production.     

Primary Squamous Cell Carcinoma of the Stomach: a Case Report

Background

Pure squamous cell carcinoma of the stomach is an extremely rare finding with a worldwide incidence of 0.04 – 0.07% (2).

Methods

We present the case of a 78-year-old female who presented with a right hip fracture and was found to have worsening post-prandial vomiting and weight loss.

Results

Esophagogastroscopy showed a 1.5 cm tumor located along the lesser curvature of the stomach. Endoscopic biopsy specimens of the tumor demonstrated primary squamous cell carcinoma. A workup for an extragastric squamous cell primary source was negative.

Conclusions

The origin of pure squamous cell carcinoma of the stomach has not been well elucidated and thus several plausible theories have been proposed. In the presented case, the patient had a long standing history of gastric erosions and the tumor was adjacent to significant inflammatory mucosa. Therefore, it may be considered that the tumor arises from squamous metaplasia secondary to chronic mucosal damage.     

Mixed Germinoma and Choriocarcinoma in the Intramedullary Spinal Cord: Case Report and Review of the Literature

Summary Primary germinomas in the spinal cord are very rare with only 15 cases published previously. In this case a 22-year-old woman with urinary incontinence, lumbago, and bilateral leg pain and weakness was found to have a solid tumor in the conus medullaris between the L1 and L2 vertebral bodies. Serum HCG was elevated without pregnancy. The pathological diagnosis was mixed germinoma and choriocarcinoma of the intramedullary spinal cord. She received craninospinal irradiation and three courses of chemotherapy and is currently asymptomatic with no evidence of recurrence and metastasis 22 months after surgery. To our knowledge, this is the first case report of a patient with a primary mixed germinoma and choriocarcinoma of the intramedullary spinal cord. The previous 15 cases of primary spinal cord germinoma have been reviewed for comparison.     

Stomach One-Point Cancer： One Case Report and Literature Review

Introduction
Gastric cancer is one of the most common cancers and one of the most frequent causes of cancer deaths worldwide. Early detection and accurate preoperative staging of gastric cancer is essential for planning optimal therapy such as endoscopic mucosal resection or gastric resection and offers the best prognosis. With advanced technology in diagnostic instruments and the mass screening, early gastric cancer has been detected easier. One-point cancer of gastric is a special type of early gastric cancer. Diagnosis of one-point cancer of gastric is important for both the immediate treatment and the prognosis. There is still no consensus on the operation extent and postoperative treatment for patients with one-point cancer of gastric. Learned from previous reports, we know that existed in the superficial layer of the gastric mucosa and the superficial ulcer is one of the important characteristics of one point cancer of gastric. Herein, we report a case of one point cancer of gastric with the appearance of a deep infiltrating ulcer. To the best of our knowledge, no such type of one point cancer of gastric has been reported.     

Choriocarcinoma treatment: goal and issues

The success of choriocarcinoma treatment in Japan is over 90% at the present time. As for the first contribution, chemotherapeutic progress contributed to this success greatly. The next contribution is establishment of the registration system of administration of the hydatidiform mole patients, since the course of choriocarcinoma in most cases is hydatidiform mole --> invasive mole --> choriocarcinoma. When treatment is begun by preventive measures for benign tumors at the very onset of the invasive hydatidiform mole, there are fewer choriocarcinoma onsets. Moreover, discovery of choriocarcinoma in the initial stages contributes to a better prognosis. However, following abortion or normal childbirth, different measures may be necessary. No problems were found with patients once treated for invasive hydatidiform mole in connection with current problems involving post-treatment pregnancy or delivery. However, in cases of pregnancy or abortion after choriocarcinoma treatment done with multi-cancer agents strongly, heart malformations are seen in some newborns, and how to preserve egg cells may pose a problem at the time of anti-cancer agent administration.     

高危型绒癌3例和侵蚀性葡萄胎1例报道

0? 引言 妊娠滋养细胞肿瘤(gestational tropho-blastic neoplasia, GTN)是来源于胎盘滋养细胞的一组少见的恶性疾病.根据国际妇产科联盟(International Federation of Gynecology and Obstetrics, FIGO)2018最新分类,GTN...     

全胃切除术后"O"形空肠环代胃术20例报告

目的 :探讨全胃切除术后消化道重建的方法。方法 :总结我院 1992年 3月～ 2 0 0 2年 3月对2 0例胃恶性肿瘤行根治性全胃切除“O”形空肠环代胃术的治疗经验。结果 :本组无手术死亡 ,无倾倒综合征 ,6例返流性食管炎。钡剂在“O”环内循环。全组均随访。随访时间最长 6年 ,最短 7个月。其中1年死亡 4例 ,1～ 2年死亡 6例 ,2～ 3年死亡 3例 ,另 7例生活良好。结论 :术后并发症少 ,术后患者有较好的生活质量     

Choriocarcinoma of the gallbladder

A case of non-gestational choriocarcinoma, primary in the gallbladder, is described. Pathology showed a mixture of adenocarcinoma and choriocarcinoma. A Medline search for the last 10 years has shown no similar cases reported. The use of cisplatin-based chemotherapy to treat non-gestational choriocarcinoma has also not been described. This patient showed a rapidly progressive disease as described in other reported cases of non-gestational choriocarcinoma. However, cisplatin-based chemotherapy, in this patient, produced a partial response defined as significantly decreased beta-HCG titers (more than 50%), and with stable appearance or slightly improvement of hepatic metastasis and survival for 1 yr.     

Choriocarcinoma of the stomach

A 55-year-old Japanese man was admitted to our hospital in January 1985 complaining of epigastralgia. Radiologic and endoscopic examinations showed gastric carcinoma, but biopsy specimens taken by surgery showed the histologic pattern of choriocarcinoma. On autopsy, multiple metastatic sites wer observed, and histological examination of the primary and metastatic sites revealed choriocarcinoma. Primary gastric choriocarcinoma may develop from gastric cancer by retrodifferentiation.