报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检...报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检查示纵隔内淋巴结增大,腰3~腰5椎体等多处骨质破坏;锝亚甲基二膦酸盐(^(99m)Tc-MDP)全身骨显像示全身骨骼多处异常放射性浓聚灶。皮损组织病理检查:表皮大致正常,真皮全层致密增生的胶原束间肿瘤细胞呈单个或条索状、列兵样排列,部分肿瘤细胞核大、深染,有明显异形性。免疫组化:细胞角蛋白(CK)、CK7、绒毛蛋白(villin)均阳性表达。腰4椎体针吸组织病理检查符合转移性腺癌,免疫组化示CK及低分子质量细胞角蛋白(CAM)5.2均阳性表达。诊断:腺癌多发转移合并Sister Mary Joseph结节。治疗:患者拒绝接受治疗,随访至13个月时死亡。展开更多
Joseph Lister教授是外科学历史上的杰出人物,他开创了外科手术无菌理念的先河。作为19世纪英国备受瞩目的外科医生,他在昏昧的年代不惧艰难,勇于探索,创立并推广了无菌术。他精心制备了初级的消毒液并制定出手术消毒的基本步骤[1],从...Joseph Lister教授是外科学历史上的杰出人物,他开创了外科手术无菌理念的先河。作为19世纪英国备受瞩目的外科医生,他在昏昧的年代不惧艰难,勇于探索,创立并推广了无菌术。他精心制备了初级的消毒液并制定出手术消毒的基本步骤[1],从那以后,外科手术死亡率迅速下降,拯救了亿万生命[2]。无菌理念的出现标志着外科手术进入了新的历史阶段[3]。展开更多
With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and...With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.展开更多
Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐...Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐部转移可以与腹腔内肿瘤同时出现或异时出现,是预后极差的表现。SMJN最常见原发肿瘤为胃癌及卵巢癌,结肠癌特别是右侧结肠癌引起的SMJN极其罕见。另外右侧结肠癌转移至腹股沟淋巴结未见文献报道。本文报道一例右侧结肠癌同时伴有SMJN及腹股沟淋巴结转移,并对相关文献进行综述。展开更多
报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳...报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳性、甲状腺转录因子(TTF)-1阴性。糖链抗原(CA)19-9、CA72-4、CA24-2均升高。腹部B超检查示:胃幽门部胃壁增生性病变,肝右叶多发偏强回声结节,腹水。展开更多
In Catch-22, Joseph Heller shows his ethical concern behind absurdity, which is manifested from his attitude toward individualism and utilitarianism, religious belief, sexual promiscuity, interpersonal relationship, etc.
文摘报告1例腺癌多发转移合并Sister Mary Joseph结节。患者男,49岁。脐部斑块、结节6个月,腰痛2个月。皮肤科检查:脐部一直径3.5 cm的淡红色浸润性斑块,表面可见多个直径1~5 mm淡红色丘疹、结节,簇集呈菜花样外观,质地坚韧,活动度差。CT检查示纵隔内淋巴结增大,腰3~腰5椎体等多处骨质破坏;锝亚甲基二膦酸盐(^(99m)Tc-MDP)全身骨显像示全身骨骼多处异常放射性浓聚灶。皮损组织病理检查:表皮大致正常,真皮全层致密增生的胶原束间肿瘤细胞呈单个或条索状、列兵样排列,部分肿瘤细胞核大、深染,有明显异形性。免疫组化:细胞角蛋白(CK)、CK7、绒毛蛋白(villin)均阳性表达。腰4椎体针吸组织病理检查符合转移性腺癌,免疫组化示CK及低分子质量细胞角蛋白(CAM)5.2均阳性表达。诊断:腺癌多发转移合并Sister Mary Joseph结节。治疗:患者拒绝接受治疗,随访至13个月时死亡。
基金supported by the Open Fund of Advanced Cryptography and System Security Key Laboratory of Sichuan Province(Grant No.SKLACSS-202208)the Natural Science Foundation of Chongqing(Grant No.CSTB2023NSCQLZX0139)the National Natural Science Foundation of China(Grant No.61772295).
文摘With the rapid development of digital information technology,images are increasingly used in various fields.To ensure the security of image data,prevent unauthorized tampering and leakage,maintain personal privacy,and protect intellectual property rights,this study proposes an innovative color image encryption algorithm.Initially,the Mersenne Twister algorithm is utilized to generate high-quality pseudo-random numbers,establishing a robust basis for subsequent operations.Subsequently,two distinct chaotic systems,the autonomous non-Hamiltonian chaotic system and the tentlogistic-cosine chaotic mapping,are employed to produce chaotic random sequences.These chaotic sequences are used to control the encoding and decoding process of the DNA,effectively scrambling the image pixels.Furthermore,the complexity of the encryption process is enhanced through improved Joseph block scrambling.Thorough experimental verification,research,and analysis,the average value of the information entropy test data reaches as high as 7.999.Additionally,the average value of the number of pixels change rate(NPCR)test data is 99.6101%,which closely approaches the ideal value of 99.6094%.This algorithm not only guarantees image quality but also substantially raises the difficulty of decryption.
文摘Sister Mary Joseph’s结节(Sister Mary Joseph’s nodule,SMJN)是指腹腔内恶性肿瘤导致的脐部转移性结节,1949年由Hamilton Bailey命名以纪念St.Mary’s Hospital的护士Sister Joseph。SMJN并不多见,但个案报道屡屡见诸文献。这种脐部转移可以与腹腔内肿瘤同时出现或异时出现,是预后极差的表现。SMJN最常见原发肿瘤为胃癌及卵巢癌,结肠癌特别是右侧结肠癌引起的SMJN极其罕见。另外右侧结肠癌转移至腹股沟淋巴结未见文献报道。本文报道一例右侧结肠癌同时伴有SMJN及腹股沟淋巴结转移,并对相关文献进行综述。
文摘报告1例可能为胃癌转移的Sister Mary Joseph结节1例。患者男,44岁。脐部出现暗红色大小不等的结节7个月。皮损组织病理检查:真皮全层胶原束间散在呈腺样分化的肿瘤细胞,免疫组化染色:癌胚抗原(CEA)阳性、细胞角蛋白(CK)20阳性、CK7阳性、甲状腺转录因子(TTF)-1阴性。糖链抗原(CA)19-9、CA72-4、CA24-2均升高。腹部B超检查示:胃幽门部胃壁增生性病变,肝右叶多发偏强回声结节,腹水。
文摘In Catch-22, Joseph Heller shows his ethical concern behind absurdity, which is manifested from his attitude toward individualism and utilitarianism, religious belief, sexual promiscuity, interpersonal relationship, etc.
