A patient with spinal metastasis from hepatocellular carcinoma discovered from neurological findings

Although spinal tumors are uncommon, they may reduce survival or cause serious functional disorders in the extremities. Metastatic spinal tumors from malignant tumors can induce symptoms of spinal cord compression, such as paraplegia, quadriplegia, and vesicorectal disturbance, which are aggravated with progression of the diseases and time. We report a patient with hepatocellular carcinoma (HCC) who was suspected of having spinal lesions based on neurological findings, and a metastatic spinal tumor was found by imaging examination. Assuming that metastasis had occurred at the time lumbar pain developed, the patient reached the level of gait disturbance within only 4 mo, showing a rapid advancement of symptoms. If early diagnosis had been possible, treatment could be performed before acute myelopathy progressed to complete paralysis. We speculate that the terminal stage of HCC is not only liver failure associated with intrahepatic lesions but also metastasis to other regions, treatment for individual pathologies therefore, will be needed, which constitutes an important issue.

肾上腺节细胞神经瘤的CT诊断价值探讨

目的:分析肾上腺节细胞神经瘤的CT诊断价值。方法:选取我院2018年1月至2018年12月收治的44例肾上腺节细胞神经瘤患者作为研究对象,所有患者均接受了CT检查,分析患者CT诊断结果。同时将CT诊断结果与病理检查结果进行对比。结果:44例患者经过CT检查最终确诊43例,诊断符合率为97.72%,与病理学检查结果差异较小(P>0.05),不具有统计学意义。43例患者中,经过CT检查发现14例节细胞瘤、19例无功能嗜铬细胞瘤、10例转移瘤。除节细胞瘤以外,其他类型肿瘤均未发现桃尖征。结论:CT检查对肾上腺节细胞神经瘤的临床诊断价值较高,结合病理学检查结果可以提高准确率,对患者治疗与预后具有重要的意义。

多层螺旋CT诊断眼眶骨折及其法医学应用价值

眼外伤在临床法医学鉴定中常常遇到,眼部钝器伤所致眶内结构损伤,常规影像学检验易漏诊,往往导致法医鉴定结论的偏差。本文作者收集了50例眼钝器伤的案例资料,就其多层螺旋CT征象及其法医学应用价值进行分析。