Hepatocellular carcinoma is a highly malignant neoplasm and frequently involves extrahepatic organs but decidedly rarely occurs in brain. We describe 3 cases of brain metastases in patients suffering from post-HBV hep...Hepatocellular carcinoma is a highly malignant neoplasm and frequently involves extrahepatic organs but decidedly rarely occurs in brain. We describe 3 cases of brain metastases in patients suffering from post-HBV hepatocarcinoma. The ＂stroke-like＂ presentation of the cerebral localization of the disease can be explained by both the important vascularization of the tumor and the frequent hemocoagulative alterations caused by the cirrhosis. The importance of diagnostic neuroradiology is briefly addressed, with reference to the fundamental role played by MRI. Surgery of these lesions does not present any particular technical problems as long as they are located in accessible areas and the patient＇s general and neurological conditions allow it. Postoperative radiotherapy seems to improve the quality and quantity of residual life, although the number of patients described in the literature was too small to draw any definite conclusion in this regard.展开更多
Objective:Percutaneous radiofrequency ablation(PRFA) is known to be as effective as hepatectomy for small hepatocellular carcinoma(HCC) in the long-term.We wished to ascertain how it is for recurrent small HCC.Methods...Objective:Percutaneous radiofrequency ablation(PRFA) is known to be as effective as hepatectomy for small hepatocellular carcinoma(HCC) in the long-term.We wished to ascertain how it is for recurrent small HCC.Methods:From January 2009 to November 2011,a series of sixty-one patients were included in the study according to the criteria:each patient had one recurrent HCC,less than 5 cm in diameter.Twenty-six of the 61 patients were treated with PRFA and the other 35 were treated with repeat hepatectomy.Results:The interval from first surgery to recurrent for repeat hepatectomy and PRFA groups were(1,239.60±1,017.00) d and(903.42±975.11) d respectively(P=0.066).The tumor-free time after repeat hepatectomy and PRFA were(310.23±159.50) d and(278.27±123.29) d respectively(P=0.584).Size of tumor in repeat hepatectomy and PRFA were(7.34±3.16) cm^2 and(5.59±3.40) cm^2(P=0.215),the total expenditure for each patient of the two groups were(26,150.66±7,923.60) yuan and(21,135.00±1,156.76) yuan(RMB),and the time of hospitalization for each of the two groups were(15.29±4.28) d and(7.46±2.20) d(P<0.001).Conclusion:PRFA is proved to be as effective as repeat hepatectomy in the treatment of recurrent small HCC,and superior to repeat hepatectomy as it is less invasive.展开更多
利用2019年11月1日—2020年4月30日广州主城区和广州塔121 m、454 m O_(3)浓度同步监测数据,分析了广州市O_(3)垂直污染分布特征及成因.结果表明:(1)近地面O_(3)浓度变化主要取决于人类活动如工业排放和机动车尾气排放等,而高空O_(3)浓...利用2019年11月1日—2020年4月30日广州主城区和广州塔121 m、454 m O_(3)浓度同步监测数据,分析了广州市O_(3)垂直污染分布特征及成因.结果表明:(1)近地面O_(3)浓度变化主要取决于人类活动如工业排放和机动车尾气排放等,而高空O_(3)浓度主要取决于天气过程,如辐射造成光学反应加剧和区域传输.(2)地面的O_(3)浓度高于垂直观测站点,其日变化均呈单峰型分布,表现为日出后太阳辐射增强O_(3)浓度升高,在午后14:00—15:00达到一日中的最高值.(3)广州塔454 m的O_(3)浓度日变化呈明显的双峰型特征,第1个峰值出现早上7:00后,O_(3)浓度随着日出后边界层混合抬升而升高,第2个峰值持续出现在午后,因高温、辐射导致的光化学反应剧烈生成.相对广州其他站点的第2峰值滞后的现象,可能是由于近地面臭氧生成后垂直传输到塔顶出现的垂直混合的时间差,受到边界层抬升强度不同的影响.(4)广州塔121 m站点,O_(3)浓度与风速的关系非常明显,广州南部地区臭氧贡献度达到了45%.在广州的冬季和春季,其中尤以冬季12—1月,广州臭氧污染贡献源广州塔中可能来自于南部,广州塔顶454 m来自于东南部.展开更多
基金supported by the SJTU-GM Collaborative Research Laboratory Jointly Established by General Motors Global Research and Development(GM R&D)Research was Supported by National Key Research and Development Program of China(2016YFB0301000)+2 种基金Shanghai Rising-Star Program(15QB1402700)National Natural Science Foundation of China(NSFC)(51671128&51771113)Special Fund of Jiangsu Province(BA2016039).
文摘Hepatocellular carcinoma is a highly malignant neoplasm and frequently involves extrahepatic organs but decidedly rarely occurs in brain. We describe 3 cases of brain metastases in patients suffering from post-HBV hepatocarcinoma. The ＂stroke-like＂ presentation of the cerebral localization of the disease can be explained by both the important vascularization of the tumor and the frequent hemocoagulative alterations caused by the cirrhosis. The importance of diagnostic neuroradiology is briefly addressed, with reference to the fundamental role played by MRI. Surgery of these lesions does not present any particular technical problems as long as they are located in accessible areas and the patient＇s general and neurological conditions allow it. Postoperative radiotherapy seems to improve the quality and quantity of residual life, although the number of patients described in the literature was too small to draw any definite conclusion in this regard.
基金Supported by the grant of Ministry of Science and Technology of the People' s Republic of China(2008ZX10002-25)National Natural Science Foundation of China(81070359)
文摘Objective:Percutaneous radiofrequency ablation(PRFA) is known to be as effective as hepatectomy for small hepatocellular carcinoma(HCC) in the long-term.We wished to ascertain how it is for recurrent small HCC.Methods:From January 2009 to November 2011,a series of sixty-one patients were included in the study according to the criteria:each patient had one recurrent HCC,less than 5 cm in diameter.Twenty-six of the 61 patients were treated with PRFA and the other 35 were treated with repeat hepatectomy.Results:The interval from first surgery to recurrent for repeat hepatectomy and PRFA groups were(1,239.60±1,017.00) d and(903.42±975.11) d respectively(P=0.066).The tumor-free time after repeat hepatectomy and PRFA were(310.23±159.50) d and(278.27±123.29) d respectively(P=0.584).Size of tumor in repeat hepatectomy and PRFA were(7.34±3.16) cm^2 and(5.59±3.40) cm^2(P=0.215),the total expenditure for each patient of the two groups were(26,150.66±7,923.60) yuan and(21,135.00±1,156.76) yuan(RMB),and the time of hospitalization for each of the two groups were(15.29±4.28) d and(7.46±2.20) d(P<0.001).Conclusion:PRFA is proved to be as effective as repeat hepatectomy in the treatment of recurrent small HCC,and superior to repeat hepatectomy as it is less invasive.
