Metastatic embryonal rhabdomyosarcoma of the breast: A case report and literature review

Rhabdomyosarcoma (RMS) is a common malignancy in children, but embryonal rhabdomyosarcoma (ERMS) deposits rarely occur in the breast in adults. Therefore, little is known about magnetic resonance imaging (MRI) features of breast metastases from RMS, especially the embryonal type. We reported a case of a 22-year-old woman who was diagnosed with ERMS at left foot 2 years ago and accepted operation and chemotherapy. She was confirmed to have breast metastases from the left foot. Successive imaging examinations were performed 3 months apart. Breast ultrasound indicated a benign lesion, and further examination did not reveal any bone metastases. However, predominant restricted diffusion and rim contrast enhancement on MRI combined with the patient's medical history suggested a malignancy of BI-RADS 5. After 3 months, breast ultrasound revealed masses detected last time became larger and lobulated. In addition, internal heterogeneous intensity and rim contrast enhancement with restricted diffusion were revealed on MRI. We speculated that typical MRI findings of breast metastases from RMS may include iso- to hypointensity on T1WI, heterogeneous hyperintensity on T2WI, and circular enhancement with restricted diffusion. Moreover, mild peritumoral edema, rapid expansion of necrosis, and ascending time-intensity curve detected on MRI may be features of the ERMS type.     

慢性肺源性心脏病人血液触变特性

本文用Low Shear 30流变测定仪,测定了55例肺心病患者全血触变特性的变化,分析了这些变化与肺心病发生和发展的关系。结果表明:肺心病患者血液的触变特性发生了异常改变。HCT、τ_o、η_s、μ、(η_s-μ)、A、ARC均升高,并随病情加重而逐渐明显。其原因主要在于肺心病缺氧所致的继发性红细胞增多及血液氧分压降低,和二氧化碳分压升高所致的红细胞变形性降低。血液触交特性的改变又使血液循环外周阻力增大,右心负荷增加,从而进一步加重了病情的发展。     

刺五加对豚鼠地高辛中毒的影响

豚鼠灌服地高辛复制地高辛中毒模型，研究五加对地高辛中毒的影响。结果发现，服刺五加组豚鼠发生心律失常较未给药组明显推迟，而血中地高辛浓度则显著高于未给药组，提未临床应用地高辛时同时给予刺五加有于减少减轻地高辛的毒性反应。     

Familial Transmission of Alcohol Use Norms and Expectancies and Reported Alcohol Use

Members of 183 families (biological parents and one adult offspring) completed questionnaires on their quantity and frequency of alcohol use, what they would consider a "normal" quantity-frequency of alcohol use, "problem" quantity-frequency of use, flushing after alcohol use, and other expected physiological and subjective responses to alcohol. Within individuals, own quantity-frequency of alcohol use was moderately negatively correlated with flushing after one drink or less ("fast flushing"), but more highly positively correlated with judged normal alcohol use and with expected subjective effects. Spouse resemblances were low for quantity-frequency of alcohol use and flushing, but high for alcohol use norms and expected physiological and subjective responses. Parent-offspring resemblances were low to moderate for own alcohol use and flushing, but moderate to high for expected physiological and subjective effects. These results were discussed in terms of the effects of genetically transmitted flushing after alcohol use and culturally transmitted alcohol norms and expectations on alcohol use.     

Clinicopathologic features and survival of patients with colorectal mucinous, signet-ring cell or non-mucinous adenocarcinoma:experience at an institution in southern China

Background Previous studies have shown conflicting results on the relation between clinicopathologic features and prognosis of patients with colorectal mucinous, signet-ring cell, or non-mucinous adenocarcinoma; only few such studies have been performed in China. This retrospective study analyzed data from our department to investigate clinicopathologic characteristics, prognosis and possible correlations of three histologic types -- colorectal mucinous,signet-ring cell, and non-mucinous adenocarcinoma, to clarity the bases for observed differences which may lead to development of targeted therapies Methods Of 2079 patients diagnosed with colorectal cancer between 1994 and 2007, 144 had mucinous, 25 had signet-ring cell, and 1837 had non-mucinous adenocarcinoma. Their clinicopathologic parameters and survival were analyzed using established statistical methodologies.Results Mucinous and signet-ring cell adenocarcinomas were common in younger patients (P <0.001). Location, size and disease stage differed significantly among the three types. Signet-ring cell tumors were more commonly found in the rectum than mucinous and non-mucinous adenocarcinoma (P <0.001). Mucinous and signet-ring cell tumors presented in a later stage in life more often than non-mucinous adenocarcinoma, with lymph node involvement, serosal infiltration, peritoneal dissemination, and adjacent organ invasion (P <0.01). The rate of radical resection, hepatic metastasis and local recurrence did not differ among types (P ＞0.05). Compared with patients with non-mucinous adenocarcinoma, patients with mucinous and signet-ring cell tumors who underwent potentially curative resections or stage Ⅱ/Ⅲ disease had poorer long-term overall survival. Survival did not differ by type for patients with either stage Ⅰor Ⅳ disease (P ＞0.05). Conclusions Mucinous and signet-ring cell adenocarcinoma have unique carcinogenesis and similar biologic behavior.Our study confirms that both histologic types, especially signet-ring cell tumors, are independent, negative prognostic factors for patients with colorectal cancer. Type does not appear to have a significant effect on survival when disease is either stage Ⅰ or Ⅳ at presentation.     

Early operation for fulminant acute pancreatitis: a possible way to decrease mortality

Background Although the indication and the timing for surgery in fulminant acute pancreatitis (FAP) are still controversial, our experience of surgical treatment for fulminant acute pancreaUtis may help improve the outcome for patients.Methods The clinical data of twenty-six patients with FAP from January 1, 2001 to October 1,2005 were analyzed. The diagnostic criteria fitted the 2007 Guidelines for the Management of Severe Acute Pancreatitis by the Chinese Medical Association.Results Twenty-six patients with FAP received surgical debridement, with a mortality rate of 42.3% (11/26). The postoperative mortalities in the ＞72 hour operation group and the <72 hour operation group were highly significantly different (7/8 vs 22.2% (4/18), respectively).Conclusions Early surgery may reduce the intraabdominal pressure and prevent the deterioration of FAP. An operation within 72 hours from the onset of symptoms might decrease the mortality of the disease.     

球囊导管损伤后早期动脉平滑肌细胞的增殖

目的：研究动脉硬化早期中膜与内膜平滑肌细胞的增殖。方法：球囊导管损伤大鼠的颈总动脉后在电镜和光镜下观察其形态和生化指标变化。结果：术后24h 5-溴脱氧尿嘧啶尿苷阳性平滑肌细胞出现,阳性细胞率分别于术后第2,5d出现高峰。术后第2,3d迁移细胞的出现率最高。术后第3d,88.8%迁移细胞增殖细胞核抗原阳性。透射电子显微镜下,术后第3d中膜平滑肌细胞特别是内层的为合成型,并且与细胞外基质连接稀疏,基底膜、胶原纤维和弹性纤维被消失。结论：动脉损伤后,中膜平滑肌细胞呈高增殖性,由收缩型转变为合成型,与细胞外基质的结合性降低,中膜弹性纤维、胶原纤维被消化,增生活跃的细胞向内膜的迁移性增高。迁移至内膜的平滑肌细胞呈高增殖性。     

原发性女性生殖器恶性黑色素瘤16例分析

目的：探讨原发性女性生殖器恶性黑色素瘤的临床病理特点及合理的治疗方法。方法：对16例原发性女性生殖器恶性黑色素瘤的临床资料进行回顾性分析。结果：发生于外阴9例,阴道5例,子宫颈2例。全部病例均行手术加化疗综合治疗,行区域淋巴结清扫11例,4例有转移,转移率36.3％。存活＜2年8例,≥2年8例,其中≥5年仅2例。结论：原发性女性生殖器恶性黑色素瘤预后差,行根治手术辅化疗和免疫治疗,可望提高生存期。