胫骨神经鞘瘤1例报告及文献复习

目的:探讨胫骨神经鞘瘤的诊断、治疗及预后。方法:报告1例胫骨神经鞘瘤患者并结合国内外相关文献进行分析。结果:该例患者术中冰冻活检取材少,取材部位不佳,未能明确诊断。术后常规活检结合免疫组化结果被确诊为骨神经鞘瘤伴骨皮质破坏。结论:胫骨神经鞘瘤的实验室检查结果和影像学表现均无特异性,易误诊为骨巨细胞瘤或动脉瘤样骨囊肿等骨肿瘤,早期确诊十分困难。目前确诊骨神经鞘瘤需依靠病理组织形态学和免疫组化检查。术中冰冻送检组织广泛取材可提高诊断,以便临床决定合理的手术方式,改善患者的预后。

Design of the tangential chest wall field after modified radical mastectomy on breast car-cinoma by using PACS system

Objective：Use PACS system to design the tangential chest wall field after modified radical mastectomy on breast carcinoma. Methods：The CT images of Patient after modified radical mastectomy on breast carcinoma were uPloaded to doctor＇s workstation through PACS system,then the tangential chest wall fields were determined with tools such as ″ drawing″ ,″ distance measure″ ,and ″ angle″ on window of PACS system in order to ensure the CLD was less than 3cm. Results：All CLDs of tangential chest wall fields of 30 Patients after modified radical mastectomy on breast carcinoma were less than 3cm. No radiation Pneumonitis occurred after radiotheraPy. Conclusion：APPlication of PACS system to design the tangential chest wall field can ensure the lowest rate of radiation Pneumotis,it also can reduce oP-erating time and imProving resource useful rate.