Objective: To summarize the clinical experience of diagnosis and treatment of the testicular tumors.Methods: Retrospective analysis of 42 adult patients with testicular cancers was carried out.Results: Ultrasonography...Objective: To summarize the clinical experience of diagnosis and treatment of the testicular tumors.Methods: Retrospective analysis of 42 adult patients with testicular cancers was carried out.Results: Ultrasonography (B-ultrasound and color Doppler flow imaging) was performed on 37 cases. One case was misdiagnosed. Surgical management was carried out in 42 cases and postoperational radiation therapy or chemotherapy was performed. The 1–5 year postoperative survival rate was totally 100%.Conclusion: B-ultrasound, especially color Doppler flow imaging, with the advantages of noninvasiveness and inexpensiveness was most useful and should be firstly employed in diagnosing the testicular tumor. The favorable prognosis can be obtained if an early diagnosis is made and the early treatment is performed. Key words testicular tumor - B-ultrasound - color Doppler flow imaging展开更多
Objective.To study the experience of diagnosis and treatment of gastrinoma. Methods.A retrospective study of 17 patients with gastrinoma seen from 1978 through 1998 in PUMC hospital. ...Objective.To study the experience of diagnosis and treatment of gastrinoma. Methods.A retrospective study of 17 patients with gastrinoma seen from 1978 through 1998 in PUMC hospital. Results.Three of the 17 cases were associated with multiple endocrine neoplasia type I(MEN I)syndrome.Tumors dispersed extensively in pancreas(31%),duodenum(25%),lymphnode(19%)and other place(25%).Ultrasonography and computed tomography(CT)were sensitive in localizing tumor in pancreas and liver,but were not so well for small tumor in duodenum and lymph node.The angiography,percutaneous transhepatic portal sampling(PTPS),scintigraphy and endoscopic ultrasonography(EUS)also can be used.Sixteen of 17 patients underwent 38 operations and 56 percent of the 16 cases underwent several operations.Seven patients at last performed total gastrectomy that was still considered as a choice of treatment.Tumor resection was rare because the advancing of tumor in most cases. Conclusions.Diagnosing gastrinoma in its early stage and striving for the tumor resection and reducing the metastasis of liver were the cruxes for good prognosis.展开更多
心肌致密化不全(Noncompaction of the Ventricular Myocardium,NVM)是比较罕见的先天性心脏病。随着检测手段不断完善,临床医师的重视程度提升,对NVM的流行病学、基因与遗传、发病机制、临床特征、治疗方法也日趋清晰。本文查阅了最新...心肌致密化不全(Noncompaction of the Ventricular Myocardium,NVM)是比较罕见的先天性心脏病。随着检测手段不断完善,临床医师的重视程度提升,对NVM的流行病学、基因与遗传、发病机制、临床特征、治疗方法也日趋清晰。本文查阅了最新文献并进行综述,期望能为NVM的诊疗及预后判断提供参考。展开更多
文摘Objective: To summarize the clinical experience of diagnosis and treatment of the testicular tumors.Methods: Retrospective analysis of 42 adult patients with testicular cancers was carried out.Results: Ultrasonography (B-ultrasound and color Doppler flow imaging) was performed on 37 cases. One case was misdiagnosed. Surgical management was carried out in 42 cases and postoperational radiation therapy or chemotherapy was performed. The 1–5 year postoperative survival rate was totally 100%.Conclusion: B-ultrasound, especially color Doppler flow imaging, with the advantages of noninvasiveness and inexpensiveness was most useful and should be firstly employed in diagnosing the testicular tumor. The favorable prognosis can be obtained if an early diagnosis is made and the early treatment is performed. Key words testicular tumor - B-ultrasound - color Doppler flow imaging
文摘Objective.To study the experience of diagnosis and treatment of gastrinoma. Methods.A retrospective study of 17 patients with gastrinoma seen from 1978 through 1998 in PUMC hospital. Results.Three of the 17 cases were associated with multiple endocrine neoplasia type I(MEN I)syndrome.Tumors dispersed extensively in pancreas(31%),duodenum(25%),lymphnode(19%)and other place(25%).Ultrasonography and computed tomography(CT)were sensitive in localizing tumor in pancreas and liver,but were not so well for small tumor in duodenum and lymph node.The angiography,percutaneous transhepatic portal sampling(PTPS),scintigraphy and endoscopic ultrasonography(EUS)also can be used.Sixteen of 17 patients underwent 38 operations and 56 percent of the 16 cases underwent several operations.Seven patients at last performed total gastrectomy that was still considered as a choice of treatment.Tumor resection was rare because the advancing of tumor in most cases. Conclusions.Diagnosing gastrinoma in its early stage and striving for the tumor resection and reducing the metastasis of liver were the cruxes for good prognosis.
文摘心肌致密化不全(Noncompaction of the Ventricular Myocardium,NVM)是比较罕见的先天性心脏病。随着检测手段不断完善,临床医师的重视程度提升,对NVM的流行病学、基因与遗传、发病机制、临床特征、治疗方法也日趋清晰。本文查阅了最新文献并进行综述,期望能为NVM的诊疗及预后判断提供参考。
