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Omental fibroma combined with right indirect inguinal hernia masquerades as a scrotal tumor: A case report
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作者 Ping Zhou Chan-Hui Jin +6 位作者 Ying Shi Guo-Qing Ma Wen-Hao Wu Yu Wang Kun Cai wu-feng fan Tian-Bao Wang 《World Journal of Clinical Cases》 SCIE 2024年第5期988-994,共7页
BACKGROUND The most common causes of scrotal enlargement in patients include primary tumor of the scrotum,inflammation,hydrocele of the tunica vaginalis,and indirect inguinal hernia;scrotal enlargement caused by exter... BACKGROUND The most common causes of scrotal enlargement in patients include primary tumor of the scrotum,inflammation,hydrocele of the tunica vaginalis,and indirect inguinal hernia;scrotal enlargement caused by external tumors of the scrotum is rare.The patient had both a greater omentum tumor and an inguinal hernia,and the tumor protruded into the scrotum through the hernia sac,which is even rarer.Moreover,omental tumors are mostly metastatic,and primary omental fibroma is rare.CASE SUMMARY Here,we report a rare case of a 25-year-old young man with scrotal enlargement and pain for 3 months.Preoperative examination and multidisciplinary discu-ssions considered intra-abdominal tumor displacement and inguinal hernia,and intraoperative exploration confirmed that the greater omentum tumor protruded into the scrotum.Therefore,tumor resection and tension-free inguinal hernia repair were performed.The final diagnosis was benign fibroma of the greater omentum accompanied by an indirect inguinal hernia.CONCLUSION This unusual presentation of a common inguinal hernia disease illustrates the necessity of performing detailed history taking,physical examination,and imaging before surgery. 展开更多
关键词 HERNIA Indirect inguinal hernia FIBROMA Omental tumor Scrotal tumor Greater omentum Case report
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Huge primary dedifferentiated pancreatic liposarcoma mimicking carcinosarcoma in a young female: A case report 被引量:2
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作者 Zhe Liu wu-feng fan +3 位作者 Gui-Chen Li Jin Long Yuan-Hong Xu Gang Ma 《World Journal of Clinical Cases》 SCIE 2019年第11期1344-1350,共7页
BACKGROUND Pancreatic liposarcoma is a rare tumor. According to a literature review, the patient described in this study is the seventh case of pancreatic liposarcoma reported in the English literature and the third c... BACKGROUND Pancreatic liposarcoma is a rare tumor. According to a literature review, the patient described in this study is the seventh case of pancreatic liposarcoma reported in the English literature and the third case of dedifferentiated liposarcoma. Furthermore, this case had the largest primary tumor volume, and a primary pancreatic liposarcoma was diagnosed based on sufficient evidence. CASE SUMMARY We here report a rare case of a 28-year-old female with a huge dedifferentiated liposarcoma in the pancreatic tail. In June 2015, the patient underwent distal pancreatectomy with splenectomy. During the operation, a huge liposarcoma of approximately 28.0 cm × 19.0 cm × 8.0 cm was found, which had a yellow and white fish-like incisal surface. Based on both pathology and MDM2 gene amplification, the tumor was diagnosed as a dedifferentiated liposarcoma. The patient was treated with surgery but declined postoperative chemotherapy. She was well at the 26-mo follow-up, and no relapse was observed. CONCLUSION Pancreatic liposarcoma has a low incidence. Chemotherapy should be included in the treatment regimens. Complete resection is the only effective treatment. 展开更多
关键词 PANCREATIC LIPOSARCOMA Huge tumor DISTAL PANCREATECTOMY and SPLENECTOMY Chemotherapy Case report
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Ileocecal intussusception caused by two different tumors - which is the culprit lesion? A case report 被引量:2
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作者 wu-feng fan Gang Ma +4 位作者 Gui-Chen Li Jin Long Yuan-Hong Xu Ke-Jian Guo Zhe Liu 《World Journal of Clinical Cases》 SCIE 2020年第10期2044-2049,共6页
BACKGROUND Ileocecal intussusception caused by two different tumors is rare,according to a literature review.We describe a case of a male patient with a cauliflower-like mass in the middle of the transverse colon obse... BACKGROUND Ileocecal intussusception caused by two different tumors is rare,according to a literature review.We describe a case of a male patient with a cauliflower-like mass in the middle of the transverse colon observed by colonoscopy before surgery.It was considered to be intussusception caused by colon cancer.However,a substantial lipomatous mass was seen in the distal end of the intussusception by computed tomography before surgery,which posed a challenge in the preoperative diagnosis.CASE SUMMARY We report a 72-year-old male patient with intussusception.The patient underwent right hemicolectomy and cholecystectomy in our hospital on April 29,2019.During operation,the ileum was inserted into the ascending colon by about 15 cm,and a tumor with a diameter of approximately 3.0 cm was observed in the distal part of the intestine.An atypical liposarcoma/highly differentiated liposarcoma in the adipose tissue was suspected in the postoperative pathology,and a lipoma was diagnosed after MDM2 gene testing.A 4.0 cm×5.0 cm polypoid mass was seen immediately adjacent to the mass,and the postoperative pathology report suggested a high-level tubular adenoma.The patient was eventually cured and discharged with an uneventful follow-up.CONCLUSION Intussusception caused by two different types of masses is extremely rare.At present,surgery is the best treatment once intussusception is diagnosed. 展开更多
关键词 Adult intussusception Two different tumors Right hemicolectomy and cholecystectomy Atypical liposarcoma High-level tubular adenoma Case report
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襄阳市新型冠状病毒肺炎住院患者特征的横断面研究 被引量:1
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作者 艾金伟 王勇 +9 位作者 陈俊文 刘晓耘 樊伍峰 黄国鑫 屈高静 张美玲 裴圣多 李杨 王立莎 裴斌 《医学新知》 CAS 2020年第5期355-363,共9页
目的研究我院新型冠状病毒肺炎(Corona virus disease 2019,COVID-19)住院患者的临床流行病学特点和临床特征,为COVID-19的防控、诊断、治疗提供参考。方法提取、评估并分析截止2020年2月9日0时我院确诊的COVID-19患者资料,总结其流行... 目的研究我院新型冠状病毒肺炎(Corona virus disease 2019,COVID-19)住院患者的临床流行病学特点和临床特征,为COVID-19的防控、诊断、治疗提供参考。方法提取、评估并分析截止2020年2月9日0时我院确诊的COVID-19患者资料,总结其流行病学特点和临床特征。结果我院共收治核酸检测确诊COVID-19患者102例,男52例,女50例;平均年龄50.38±16.86岁。输入性患者7例,37例有武汉旅行史。病毒潜伏期1-20天,平均8.09±4.99天。主要症状包括发热(84%)、咳嗽(57%)、咳痰(12%)、乏力(27%)、呼吸不畅(23%)、腹泻(15%)、食欲下降(10%)等。21例白细胞计数降低,56例淋巴细胞计数降低,66例(66/97)C反应蛋白升高,49例(49/85)血沉增快,19例(19/72)降钙素原升高,12例(12/13)铁蛋白升高。均行抗病毒、抗炎、对症治疗。8例入住ICU,6例出现呼吸衰竭,3例出现多器官功能衰竭,3例死亡。首次胸部CT检查90例、两次检查共有100例出现比较典型影像学表现,与核酸检测符合率98%。核酸检测首检阳性率66%,累计两次检测阳性率86%,累计3次96%。结论襄阳市COVID-19以二代传播为主,部分潜伏期长,性别易感性无明显差异。中老年为易感人群,重症及死亡病例集中分布在70岁以上年龄段,需采取针对性防控和诊断治疗措施。铁蛋白有可能反映该病炎症等变化情况。本地区重症及病死率低,可能与采取了积极有效的防治措施有关。3次核酸检测、2次CT检查,核酸、CT结合症状可大幅提高其诊断阳性率,有利于疾病防控和诊断治疗。 展开更多
关键词 新型冠状病毒 新型冠状病毒肺炎 横断面研究
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