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find Author "吕超" 2 results
  • 胰腺 Castleman 病 1 例报道并文献复习

    目的 总结 1 例胰腺 Castleman 病患者的临床资料,并复习以往文献,总结该病的流行病学特点及诊治体会。 方法 回顾性分析 2016 年 1 月笔者所在医院收治的 1 例胰腺 Castleman 病患者的临床资料,进行文献复习及总结。 结果 该例患者无特殊临床表现,术前行 CT 检查发现胰腺占位,行手术切除,术后病理学诊断为胰腺 Castleman 病。术后 1 个月复查CT未见肿瘤复发及转移,已获访 6 个月,患者恢复良好。经查阅文献,共检索出胰腺 Castleman 病 32 例,男 11 例,女 21 例;年龄 23~74 岁,平均年龄为 46 岁;临床表现仅为腹部疼痛 7 例,腹痛伴发热 1 例,腹痛伴面部、双下肢水肿 1 例,腹痛伴乏力 1 例,腹胀 1 例,背部疼痛 1 例,颈部淋巴结肿大 1 例,吞咽困难 1 例,发热、乏力、体质量下降 1 例,无明显临床表现 17 例;肿瘤位于胰腺头部 9 例,胰腺颈部 3 例,胰腺体、尾部 16 例,胰周 4 例;肿瘤直径最小 1.5 cm,最大 7.2 cm;病理学分型为透明血管型(hyaline vascular,HV)19 例,浆细胞型(plasma cell,PC)4 例,混合型(mixed/HV-PC,MV)4 例,未给出明确病理分型 5 例。 结论 胰腺 Castleman 病是少见的淋巴组织增生性疾病,通常无特异临床表现,影像学检查也无特异性,目前仅能通过病理组织学检查确诊。胰腺 Castleman 病的治疗以手术为主,疗效较好。

    Release date:2017-04-01 08:56 Export PDF Favorites Scan
  • Anatomical branches of right upper lobe pulmonary arteries in Chinese patients

    Objective To observe and describe anatomical types of the pulmonary arteries to keep safety of lung resection. Methods Between November 25, 2005 and January 22, 2013, 194 patients who underwent right upper lobectomy/sleeve lobectomy or combined lung resection including right upper lobectomy were included in Peking University Cancer Hospital. There were 128 males with a median age of 59 (37-86) years and 66 females with a median age of 60 (42-77) years. We separated the pulmonary arteries and recorded the number and positions of them. Some patients were recorded photographically. Results There were 10 types of right upper lobe pulmonary artery branches in this study. Type 1: 1 apicoanterior segmental artery, 1 ascending segmental artery, 96 patients (49.5%); Type 2: 1 apicoanterior segmental artery, 2 ascending segmental arteries, 48 patients (24.7%); Type 3: 2 apicoanterior segmental arteries, 1 ascending segmental artery, 28 patients (14.4%); Type 4: 2 apicoanterior segmental arteries, 2 ascending segmental arteries, 9 patients (4.6%); Type 5: 1 apicoanterior segmental artery only, 6 patients (3.1%); Type 6: 1 apicoanterior segmental artery, 3 ascending segmental arteries, 3 patients (1.5%); Type 7: 4 apicoanterior segmental arteries, 1 ascending segmental artery, 1 patient (0.5%); Type 8: 3 apicoanterior segmental arteries, 1 ascending segmental artery, 1 patient (0.5%); Type 9: 2 apicoanterior segmental arteries, 1 patient (0.5%); Type 10: 3 apicoanterior segmental arteries, 2 ascending segmental arteries, 1 patient (0.5%). Conclusion The types of pulmonary artery branches are predictable in some way. It would be helpful to reduce the risk of pulmonary artery injury and improve the operation safety by following the rules. Variations of pulmonary artery should be noticed to avoid the major bleeding due to the pulmonary artery injury.

    Release date:2018-06-26 05:41 Export PDF Favorites Scan
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