医学影像学诊断报告规范化的探讨

医学影像学诊断报告既是临床医生诊断和确定治疗方案的重要依据,又是重要的医疗文件。书写报告的质量既代表个人诊断水平、科室诊断水平,也代表医院的诊疗水平以及学科的发展程度。就医学影像学诊断报告的质量能否体现质量管理（QA）,

DIAGNOSIS AND TREATMENT OF THE PITUITARY METASTASES

Three cases of pituitary metastases were reported. They all had operations and the pathological exami-nation confirming the diagnosis. The clinical features of diabetes insipidus and extraocular nerve palsy were presented. In two cases, the original tumors were bronchioloalveolar carcinoma; in the other one, the original tumor was unknown. All three cases had poor outcome. These cases illustrate the fact that a pituitary metastasis can closely mimic a pituitary benign tumor, such as pituitary adenoma. Especially in the presence of suggestive symptoms such as diabetes insipidus and/or cranical nerve paralysis, the possibility of metastatic disease in the differential diagnosis of a pituitary mass should always be considered.

“速锋刀”，隔着肚皮灭肿瘤的“利器”

可能对于不少肿瘤患者来说，在影像学诊断报告上出现“转移”这两个字，就意昧着生命已进入了“倒计时”。因为此时病情已进入了中晚期。手术已无法将散落在全身各处的肿瘤悉数摘除。而强毒性的化疗药物对于身体虚弱的患者来说，更可能是催命符。很多患者因此放弃了治疗。其实，在此阶段，治疗仍然是有希望的。一种名叫“速锋刀”的放疗技术，近年来逐步进入了国内医疗机构，对于那些手术无法企及的肿瘤转移灶，它可以在短时间内逐一精准打击，让肿瘤体积明显缩小甚至消失。从而有效延长患者的生命。