Recently, the development of endoscopic procedures has increased the availability of minimally invasive treatments; however, there have been few case reports of duodenal hemangioma treated by endoscopic mucosal resect...Recently, the development of endoscopic procedures has increased the availability of minimally invasive treatments; however, there have been few case reports of duodenal hemangioma treated by endoscopic mucosal resection. The present report describes a case of duodenal hemangioma that showed various endoscopic changes over time and was treated by endoscopic mucosal resection. An 80-year-old woman presented with tarry stools and a loss of appetite. An examination of her blood revealed severe anemia, and her hemoglobin level was 4.2 g/dL. An emergency upper gastrointestinal endoscopy was performed. A red, protrusive, semipedunculated tumor (approximately 20 mm in diameter) with spontaneous bleeding on its surface was found in the superior duodenal angle. Given the semipedunculated appearance of the tumor, it was suspected to be an epithelial tumor with a differential diagnosis of hyperplastic polyp. The biopsy results suggested a telangiectatic hemangioma. Because this lesion was considered to be responsible for her anemia, endoscopic mucosal resection was performed for diagnostic and treatment purposes after informed consent was obtained. A histopathological examination of the resected specimen revealed dilated and proliferated capillary lumens of various sizes, which confirmed the final diagnosis of duodenal hemangioma. Neither anemia nor tumor recurrence has been observed since the endoscopic mucosal resection (approximately 1 year). Duodenal hemangiomas can be treated endoscopically provided that sufficient consideration is given to all of the possible treatment strategies. Interestingly, duodenal hemangiomas show morphological changes that are influenced by various factors, such as mechanical stimuli.展开更多
As the ′economic engines′ of China,coastal cities have developed and expanded considerably since the 1970 s.In this study,information on the urban expansion process of Chinese coastal cities from the 1970 s to 2013 ...As the ′economic engines′ of China,coastal cities have developed and expanded considerably since the 1970 s.In this study,information on the urban expansion process of Chinese coastal cities from the 1970 s to 2013 was retrieved.Through the analysis of stage characteristics,spatial expansion modes,influences on land use,centroid shifts,and spatial morphological evolutions,the spatial differences of coastal urban expansion were revealed.Results indicate that 1) the expansion stages of southern coastal cities are more complex than those of northern coastal cities,and the expansion ranges and speeds of the former are far higher than those of the latter;2) the spatial expansion of southern coastal cities mostly adopt a single mode,whereas northern coastal cities mostly adopt a mixed mode;3) significant spatial differences in the occupations of different land sources exist between the south and the north along the coastline;4) the centroid of coastal cities tends to migrate toward the coastline,and the centroid shift distances of southern coastal cities are clearly higher than those of northern coastal cities;and 5) the spatial morphology of southern coastal cities tends to be compact,whereas that of northern coastal cities tends to be loose.Policies have a powerful significance in terms of guiding urban expansion and its spatial differences in coastal cities.Urban expansion in coastal cities will encounter new opportunities and challenges under the guidance of new types of urbanization strategies.展开更多
文摘Recently, the development of endoscopic procedures has increased the availability of minimally invasive treatments; however, there have been few case reports of duodenal hemangioma treated by endoscopic mucosal resection. The present report describes a case of duodenal hemangioma that showed various endoscopic changes over time and was treated by endoscopic mucosal resection. An 80-year-old woman presented with tarry stools and a loss of appetite. An examination of her blood revealed severe anemia, and her hemoglobin level was 4.2 g/dL. An emergency upper gastrointestinal endoscopy was performed. A red, protrusive, semipedunculated tumor (approximately 20 mm in diameter) with spontaneous bleeding on its surface was found in the superior duodenal angle. Given the semipedunculated appearance of the tumor, it was suspected to be an epithelial tumor with a differential diagnosis of hyperplastic polyp. The biopsy results suggested a telangiectatic hemangioma. Because this lesion was considered to be responsible for her anemia, endoscopic mucosal resection was performed for diagnostic and treatment purposes after informed consent was obtained. A histopathological examination of the resected specimen revealed dilated and proliferated capillary lumens of various sizes, which confirmed the final diagnosis of duodenal hemangioma. Neither anemia nor tumor recurrence has been observed since the endoscopic mucosal resection (approximately 1 year). Duodenal hemangiomas can be treated endoscopically provided that sufficient consideration is given to all of the possible treatment strategies. Interestingly, duodenal hemangiomas show morphological changes that are influenced by various factors, such as mechanical stimuli.
基金Under the auspices of Young Scientist Fund of National Natural Science Foundation of China(No.41101148)'One-Three-Five' Strategic Planning by Institute of Remote Sensing and Digital Earth,Chinese Academy of Sciences(No.Y4SG0300CX)
文摘As the ′economic engines′ of China,coastal cities have developed and expanded considerably since the 1970 s.In this study,information on the urban expansion process of Chinese coastal cities from the 1970 s to 2013 was retrieved.Through the analysis of stage characteristics,spatial expansion modes,influences on land use,centroid shifts,and spatial morphological evolutions,the spatial differences of coastal urban expansion were revealed.Results indicate that 1) the expansion stages of southern coastal cities are more complex than those of northern coastal cities,and the expansion ranges and speeds of the former are far higher than those of the latter;2) the spatial expansion of southern coastal cities mostly adopt a single mode,whereas northern coastal cities mostly adopt a mixed mode;3) significant spatial differences in the occupations of different land sources exist between the south and the north along the coastline;4) the centroid of coastal cities tends to migrate toward the coastline,and the centroid shift distances of southern coastal cities are clearly higher than those of northern coastal cities;and 5) the spatial morphology of southern coastal cities tends to be compact,whereas that of northern coastal cities tends to be loose.Policies have a powerful significance in terms of guiding urban expansion and its spatial differences in coastal cities.Urban expansion in coastal cities will encounter new opportunities and challenges under the guidance of new types of urbanization strategies.
