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Primary yolk sac tumor in the abdominal wall in a 20-year-old woman:A case report
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作者 Yuan Wang Jing Yang 《World Journal of Clinical Cases》 SCIE 2023年第7期1642-1649,共8页
BACKGROUND Extragonadal yolk sac tumors(YSTs)are rare,with only a low reported tumor occurrence outside the gonads locally and abroad.Extragonadal YSTs are usually a diagnostic challenge,because they are infrequent,bu... BACKGROUND Extragonadal yolk sac tumors(YSTs)are rare,with only a low reported tumor occurrence outside the gonads locally and abroad.Extragonadal YSTs are usually a diagnostic challenge,because they are infrequent,but also because a thoughtful and detailed differential diagnostic process must be performed.CASE SUMMARY Here we present a case of an abdominal wall YST in a 20-year-old woman admitted with a tumor in the lower abdomen close to the umbilicus.The tumorectomy was performed.The histological examination revealed characteristic findings such as Schiller-Duval bodies,loose reticular structures,papillary structures,and eosinophilic globules.According to the immunohistochemical staining,the tumor tissue was positive for broad-spectrum cytokeratin,Spalt-like transcription factor 4,glypican-3,CD117,and epithelial membrane antigen.Based on the clinical information,histological features,and immunohistochemical staining profile,the tumor was diagnosed as a YST present in the abdominal wall.CONCLUSION Based on the clinical information,histological features,and immunohistochemical staining profile described above,the tumor was diagnosed as a primary YST in the abdominal wall. 展开更多
关键词 yolk sac tumor Abdominal wall 20-year-old woman Case report
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Refractory Ascites Revealing an Ovarian Yolk Sac Tumor with Intraperitoneal Rupture
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作者 Vahatra Joëlle Razafimahefa Herilalao Elisabeth Razafindrafara +2 位作者 Tojo Rémi Rafaralahivoavy Tsitohery Francine Andriamampionona Nantenaina Soa Randrianjafisamindrakotroka 《Open Journal of Pathology》 CAS 2023年第2期93-99,共7页
Yolk sac tumors of the ovary are rare entities that account for 2% - 5% of all ovarian tumors. They represent the second most common histological variant of malignant germ cell tumors of the ovary after dysgerminomas.... Yolk sac tumors of the ovary are rare entities that account for 2% - 5% of all ovarian tumors. They represent the second most common histological variant of malignant germ cell tumors of the ovary after dysgerminomas. Yolk sac tumors are most commonly encountered in women in the second and third decades. Microscopically, they are highly polymorphic and can present in a pure form or associated with another contingent of germ cell tumor. We report the case of a 26-year-old woman, who underwent surgery for a large right ovarian tumor rupturing into the peritoneal cavity. The ovarian tumor was revealed by ascites of great abundance and abdomino-pelvic pain. On histological examination, the diagnosis of yolk sac tumor in its pure and polyvesicular vitelline pattern was made. Through this observation, we propose to discuss the anatomoclinical particularities of these tumors by emphasizing the importance of histology for the diagnosis as well as the need of an early and appropriate management. 展开更多
关键词 Germ Cell Tumor yolk sac Tumor OVARY Abdominal Distension Schiller-Duval Ascite
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Clinicopathologic Characteristics and Survival of Patients with Rare Malignant Ovarian Yolk Sac Tumors:A Population-based Analysis 被引量:4
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作者 Tian WANG Bo WANG +1 位作者 Shi-xuan WANG Ming-fu WU 《Current Medical Science》 SCIE CAS 2021年第2期342-347,共6页
Yolk sac tumors (YSTs) are rare malignant germ cell tumors that usually affect youngfemales. To date, there have been few studies on YSTs. We evaluated the relationship betweenclinicopathologic characteristics of pati... Yolk sac tumors (YSTs) are rare malignant germ cell tumors that usually affect youngfemales. To date, there have been few studies on YSTs. We evaluated the relationship betweenclinicopathologic characteristics of patients with ovarian YSTs and disease outcome based onSurveillance, Epidemiology, and End Results data. The K aplan-Meier method and log-rank testwere used to evaluate differences in survival rates. Data for 269 patients were analyzed. Theincidence of YSTs among ovarian germ cell tumors (OGCTs) cases was 0.4%;median patient agewas 22.0 years, and most tumors were unilateral. Patients presented with distant metastasis (37.5%),localized disease (49. 1%), and regional spread (8.9%). American Joint Committee on Cancer stagewas available for 13 patients (stage IA, n=2;stage IC, n=1;stage IA, n=1;stage IB, n=3;stageIlC, n=2;and stage IV, n=4). Survival rates at 1, 3, and 5 years were 91.0%, 84.0%, and 83.2%,respectively, for overall survival (OS) and 92.0%, 85.4%, and 84.5%, respectively, for disease-specific survival (DSS). The 5-year OS and DSS of patients with ovary tumors were 91.5% and92.9%, respectively, compared to 74.8% and 77.2%, respectively, for those with extra-ovarianspread (P<0.001 for both OS and DSS). Age >50 years was associated with shorter OS and DSS(both P<0.001), whereas no associatios of OS and DSS were observed with pathologic grade (P=0.49for OS and 0.52 for DSS). In summary, YSTs are typically unilateral, of a high grade, and localizedto the ovary;extra-ovarian spread has a poor outcome, and postmenopausal women have worseprognosis than premenopausal women. 展开更多
关键词 yolk sac tumor clinical characteristic prognosis SEER
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Yolk Sac Tumor and Fanconi Anemia: Case Report
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作者 Chabchoub Imen Sboui Hiba +7 位作者 Ammar Nouha Ben Abdeljalil Nouha Hochlef Makrem Belhassen Samia Zrig Ahmed Zakhama Abdelfattah Chabchoub Elyes Ben Ahmed Slim 《Journal of Cancer Therapy》 2021年第10期585-592,共8页
Yolk sac tumor (YST), which most frequently arises in the gonads as a type of germ cell tumor, is rare in children but is highly malignant. The common age grou</span><span style="font-family:Verdana;&quo... Yolk sac tumor (YST), which most frequently arises in the gonads as a type of germ cell tumor, is rare in children but is highly malignant. The common age grou</span><span style="font-family:Verdana;">p affected by yolk sac tumours is 11 to 24 years. In this study, we described a rare case of YST in terms of the clinical manifestation, imaging, and h</span><span style="font-family:Verdana;">istopathology findings, diagnosis and treatment in a 12-year-old girl who was followed since birth for Fanconi-like syndrome. This is a rare clinical association that also limits chemotherapy. 展开更多
关键词 ALPHA-FETOPROTEIN CHEMOTHERAPY yolk sac Tumor PEDIATRIC SURGERY Fan-coni-Like Syndrome
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Yolk Sac Tumor of the Ovary in 18 Egyptian Cases: Does It Really Differ?
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作者 Ahmed Elsayed Fathalla Hala Aziz Shokralla 《Journal of Cancer Therapy》 2016年第4期247-253,共7页
Background: Ovarian Yolk sac tumor (OYST) is a rare entity of malignant ovarian germ cell tumors (MOGCT). Abdominal pain, a rapidly growing distending mass or irregular vaginal bleeding is the main presentation. Serum... Background: Ovarian Yolk sac tumor (OYST) is a rare entity of malignant ovarian germ cell tumors (MOGCT). Abdominal pain, a rapidly growing distending mass or irregular vaginal bleeding is the main presentation. Serum AFP is elevated in nearly all cases. The standard management is fertility preserving surgery with adjuvant chemotherapy. Aim of Work: To report and analyze retrospectively recorded cases that were either treated at National Cancer Institute/Egypt or referred there for advice about therapy. Materials and Methods: This is a retrospective single-institutional analysis of 18 cases of OYST treated at National Cancer Institute-Cairo University from January 2011 till December 2015. The clinical and pathological characteristics, treatment, and outcomes of these patients were analyzed. Results: Data from eighteen patients were obtained. The median age was 18 years (range: 15 - 22). Abdominal pain was the most common presentation (89%). The mean tumor size was 21cm (range: 8 - 30 cm). Eleven of our cases (61%) were stage I, seven cases and (39%) were stage IV at presentation. Fifteen cases (83%) underwent fertility preserving procedure & the standard surgical staging. Panhysterectomy & formal staging procedure was done only in two cases (11%). One case (6%) underwent bilateral salpingo-oophorectomy. 2 cases (11.1%) only underwent lymph node biopsy. 11 patient (61.1%) showed pure type YST while mixed type was present in the remaining 7 cases (38.8%): Dysgerminoma (one case, 5.6%), Dysgerminoma + immature teratoma (one case, 5.6%), Immature teratoma (2 cases, 11.1%) and Teratoma (3 cases, 16.7%). AFP was extremely elevated in all cases at presentation (median 4191 ng/mL;ranging: 725 ng/mL - 402,908 ng/mL). It showed decreased level after surgery (median 145 ng/ mL;ranging: 2 ng/mL - 38,000 ng/mL) & normalized after chemotherapy except for progressive disease. All cases started BEP regimen after surgery with complete remission in twelve cases. In follow up period (median 17 months;ranging: 2 - 48 months) two patients relapsed;the mean overall survival time was 34.2 and progression free survival was 33.84 months respectively. Conclusion: Ovarian yolk sac tumors are rare neoplasms. Surgery with adjuvant chemotherapy is the standard management. AFP is important for diagnosis, monitoring response to treatment and predicting relapse. 展开更多
关键词 yolk sac Tumor OVARY OUTCOMES
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Multidisciplinary team for the diagnosis and treatment of 2cases of primary intestinal yolk sac tumor
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作者 Qiujuan Huang Changxu Liu +16 位作者 Ruijun Tang Jie Li Wei Li Lei Zhu Yuhong Guo Lin Zhang Tongyuan Qu Lingyi Yang Lingmei Li Yalei Wang Baocun Sun Bin Meng Jie Yan Wengui Xu Huilai Zhang Dengfeng Cao Wenfeng Cao 《Cancer Biology & Medicine》 SCIE CAS CSCD 2018年第4期461-467,共7页
Extragonadal primary yolk sac tumor of the intestinal tract origin is exceedingly rare. Through a multiple disciplinary team, the diagnosis and treatment of primary intestinal yolk sac tumor were further defined. We r... Extragonadal primary yolk sac tumor of the intestinal tract origin is exceedingly rare. Through a multiple disciplinary team, the diagnosis and treatment of primary intestinal yolk sac tumor were further defined. We report 2 such cases with detailed histologic and immunohistochemical analysis. The two patients were a 7-year-old girl and a 29-year-old woman. Both of them preoperatively had an elevated serum alpha fetoprotein(AFP) level(≥ 1,210 ng/mL). The tumors are located in the intestine and imaging examination indicated the rectum as the primary site. Grossly the mass was grey-white and crisp texture. Microscopic examination featured reticular, microcystic, macrocystic, papillary, solid, and some glandular patterns. Immunohistochemically,tumor cells of both cases were positive for SALL4, AFP, pan-cytokeratin(AE1/AE3), and glypican-3. Simultaneously, a stain for EMA, OCT4, CD30, HCG, vimentin and CK20 were negative in all 2 neoplasms. The features of morphology,immunohistochemistry, laboratory examinations and imaging studies consist of the diagnosis of primary yolk sac tumor of the intestine. 展开更多
关键词 yolk sac tumor INTESTINE EXTRAGONADAL IMMUNOHISTOCHEMISTRY MULTIDISCIPLINARY team (MDT)
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A case report of primary mediastinal yolk sac tumor
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作者 李小飞 刘锟 +1 位作者 程庆书 汪健 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第5期320-320,共1页
Primary yolk sac tumor of the mediastinum is very rare. Yolk sac tumor is highly malignant, and has less chance of operation. One case, which treated in this institute since 1954, is retrospectively studied to investi... Primary yolk sac tumor of the mediastinum is very rare. Yolk sac tumor is highly malignant, and has less chance of operation. One case, which treated in this institute since 1954, is retrospectively studied to investigate the clinical characteristics, surgical treatment and prognosis of the primary mediastinal yolk sac tumor. 展开更多
关键词 病例报告 早期 纵隔 卵黄囊肿 肿瘤
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Malignant Sacrococcygeal Teratoma with Yolk Sac Differentiation in a Child—A Case Presentation
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作者 Sayeeda Nasreen Mohammad Zillur Rahman +2 位作者 Shahe Systa Mosarrat Tasnuva Sharmin Mizanur Rahman 《Open Journal of Pathology》 2018年第2期60-67,共8页
Sacrococcygeal teratoma (SCT) is a common congenital neoplasm, contains derivatives of more than one of the three embryonic germ cell layers. However, malignant Sacrococcygeal Yolk Sac tumor (YST) is an extremely rare... Sacrococcygeal teratoma (SCT) is a common congenital neoplasm, contains derivatives of more than one of the three embryonic germ cell layers. However, malignant Sacrococcygeal Yolk Sac tumor (YST) is an extremely rare extra-gonadal germ cell tumor. This case describes a two and half years old female child presenting with history of swelling at sacrococcygeal region for nine months. Case was evaluated clinically. Patient’s serum alpha fetoprotein (AFP) level was elevated abnormally. FNAC of the swelling was done which shows suspicious cell for immature teratoma. Swelling excised and histopathological examination was carried out, the report of which shows malignant sacrococcygeal teratoma with yolk sac tumor. 展开更多
关键词 sacROCOCCYGEAL TERATOMA yolk sac Tumor AFP FNAC
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Twin fetuses associated with double amniotic sacs diagnosed using transvaginal ultrasonography:A case report
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作者 Zheng-Qiao Liang Wen-Qing Ding 《World Journal of Clinical Cases》 SCIE 2024年第18期3534-3538,共5页
BACKGROUND Conjoined twins are a rare twin malformation commonly presenting as single amniotic sac twinning,with double amniotic sac twinning being extremely rare and poorly reported.Most conjoined twins are females.C... BACKGROUND Conjoined twins are a rare twin malformation commonly presenting as single amniotic sac twinning,with double amniotic sac twinning being extremely rare and poorly reported.Most conjoined twins are females.CASE SUMMARY A woman of childbearing age conceived naturally,and at 8 wk of gestation,transvaginal ultrasonography showed an embryo and cardiac tube pulsation in both amniotic sacs.On dynamic observation,the two embryos were connected in the lower abdomen,with restricted movement.A repeat transvaginal ultrasound at 11 wk showed that the intestinal tubes of both fetuses were connected in the lower abdomen.The pregnancy was terminated and labor was induced.CONCLUSION Transvaginal ultrasound may detect conjoined twin malformations in an early stage.Our case provides diagnostic insights for ultrasonographers and can help develop early therapeutic interventions. 展开更多
关键词 Double amniotic sac Conjoined twins yolk sac Transvaginal ultrasound Case report
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Adult-repopulating lymphoid potential of yolk sac blood vessels is not confined to arterial endothelial cells 被引量:3
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作者 Chaojie Wang Yandong Gong +7 位作者 Anbang Wei Tao Huang Siyuan Hou Junjie Du Zongcheng Li Junliang Wang Bing Liu Yu Lan 《Science China(Life Sciences)》 SCIE CAS CSCD 2021年第12期2073-2087,共15页
During embryogenesis,hematopoietic stem progenitor cells(HSPCs)are believed to be derived from hemogenic endothelial cells(HECs).Moreover,arterial feature is proposed to be a prerequisite for HECs to generate HSPCs wi... During embryogenesis,hematopoietic stem progenitor cells(HSPCs)are believed to be derived from hemogenic endothelial cells(HECs).Moreover,arterial feature is proposed to be a prerequisite for HECs to generate HSPCs with lymphoid potential.Although the molecular basis of hematopoietic stem cell-competent HECs has been delicately elucidated within the embryo proper,the functional and molecular characteristics of HECs in the extraembryonic yolk sac(YS)remain largely unresolved.In this study,we initially identified six molecularly different endothelial populations in the midgestational YS through integrated analysis of several single-cell RNA sequencing(scRNA-seq)datasets and validated the arterial vasculature distribution of Gja5+ECs using a Gja5-EGFP reporter mouse model.Further,we explored the hemogenic potential of different EC populations based on their Gja5-EGFP and CD44 expression levels.The hemogenic potential was ubiquitously detected in spatiotemporally different vascular beds on embryonic days(E)8.5–E9.5 and gradually concentrated in CD44-positive ECs from E10.0.Unexpectedly,B-lymphoid potential was detected in the YS ECs as early as E8.5 regardless of their arterial features.Furthermore,the capacity for generating hematopoietic progenitors with in vivo lymphoid potential was found in nonarterial as well as arterial YS ECs on E10.0–E10.5.Importantly,the distinct identities of E10.0–E10.5 HECs between YS and intraembryonic caudal region were revealed by further scRNA-seq analysis.Cumulatively,these findings extend our knowledge regarding the hemogenic potential of ECs from anatomically and molecularly different vascular beds,providing a theoretical basis for better understanding the sources of HSPCs during mammalian development. 展开更多
关键词 yolk sac hematopoietic stem progenitor cell hemogenic endothelial cell single-cell RNA sequencing arterial endothelial cells lymphoid potential
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BIOCHEMICAL CHANGES DURING DEVELOPMENT OF EGGS AND YOLK-SAC LARVAE OF HERRING AND PLAICE
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作者 殷名称 J.C.A.Craik 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 1992年第4期347-358,共12页
Changes in quantities of water, sodium, potassium, lipid and protein were compared in developing eggs and yolk-sac larvae of herring dupes harengus L., a species with demersal eggs, and plaice Pleuroncctcs platessa L.... Changes in quantities of water, sodium, potassium, lipid and protein were compared in developing eggs and yolk-sac larvae of herring dupes harengus L., a species with demersal eggs, and plaice Pleuroncctcs platessa L., a species with pelagic eggs. The principal difference between the two species was the occurrence in herring, but not in plaice of considerable increases in water content and in one or both of the above ions at three distinct stages: at fertilization,during the middle stage of egg development, and in the days immediately after hatching. Newly hatched larvae of the two species differed greatly in water content because of the difference in mass and water content of the yolk, not in the water content of the rest of the body. In herring, there were increases in sodium and potassium which coincided broadly with the increase in water content. These differences are related to the gradual acquisition of buoyancy by herring during this period, comparable with the buoyancy conferred on plaice eggs 展开更多
关键词 HERRING PLAICE EGG yolk-sac larva DEVELOPMENT biochemical changes
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不同禽胚和接种途径分离GoAstV JL01株的效果研究
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作者 张雪 张玺 +7 位作者 王文月 杨小艺 王尧 张亚如 门嘉琪 李洪涛 马波 王君伟 《东北农业大学学报》 CAS CSCD 北大核心 2024年第3期41-51,共11页
鹅星状病毒(Goose astrovirus,GoAstV)可导致1~15日龄雏鹅痛风甚至死亡。为探究有效分离GoAstV方法,将RT-PCR鉴定为GoAstV阳性的雏鹅肝脏、肾脏研磨液通过尿囊腔、绒毛尿囊膜及卵黄囊途径分别接种至SPF鸡胚、SPF鸭胚及非SPF鹅胚,通过多... 鹅星状病毒(Goose astrovirus,GoAstV)可导致1~15日龄雏鹅痛风甚至死亡。为探究有效分离GoAstV方法,将RT-PCR鉴定为GoAstV阳性的雏鹅肝脏、肾脏研磨液通过尿囊腔、绒毛尿囊膜及卵黄囊途径分别接种至SPF鸡胚、SPF鸭胚及非SPF鹅胚,通过多次传代观察胚体剖检变化、死亡情况、核酸、病毒载量检测等,综合判断GoAstV JL01株在禽胚上的最佳分离方式。结果表明,病料经尿囊腔途径接种非SPF鹅胚及SPF鸭胚,绒毛尿囊膜途径接种非SPF鹅胚、SPF鸡胚及SPF鸭胚,卵黄囊途径接种SPF鸭胚均无法使胚体发生显著的剖检变化及规律性死亡,RT-PCR及RT-qPCR检测表明,病毒无法在相应胚体、尿囊液及胚体其他组织中有效增殖,卵黄囊途径接种SPF鸡胚所传的10代胚体均发生发育迟缓、出血等特征性病变,除F_(1)代其余9代均死亡,卵黄囊和胚体中病毒载量为10^(4.5)~10^(6.0)copies·μL^(-1)。因此,卵黄囊途径接种8日龄SPF鸡胚为GoAstV JL01株最适分离方式。研究为GoAstV分离提供可借鉴路径。 展开更多
关键词 鹅星状病毒 卵黄囊 鸡胚 分离
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儿童骶尾部卵黄囊瘤11例临床分析及文献复习
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作者 王春美 祁文静 +3 位作者 任艳娇 张艳莎 李新强 盛光耀 《中国小儿血液与肿瘤杂志》 CAS 2023年第6期369-372,共4页
目的分析儿童骶尾部卵黄囊瘤(SYSTs)的临床特征、治疗方案及预后。方法回顾性分析郑州大学第一附属医院2015年6月—2020年3月收治的11例SYST患儿的临床资料。结果11例患儿中位发病年龄23个月(孕23+3周~64个月),9例以骶尾部包块起病,1例... 目的分析儿童骶尾部卵黄囊瘤(SYSTs)的临床特征、治疗方案及预后。方法回顾性分析郑州大学第一附属医院2015年6月—2020年3月收治的11例SYST患儿的临床资料。结果11例患儿中位发病年龄23个月(孕23+3周~64个月),9例以骶尾部包块起病,1例以排便困难起病,1例以右下肢疼痛起病。肿瘤分期:Ⅰ期1例,Ⅱ期2例,Ⅲ期2例,Ⅳ期6例。所有患儿均手术切除骶尾部肿物。6例Ⅳ期患儿中4例术前接受环磷酰胺/顺铂/依托泊苷/博来霉素(C-PEB)化疗2~4周期,Ⅰ~Ⅱ期患儿术后接受顺铂/依托泊苷/博来霉素(PEB)化疗4周期,Ⅲ~Ⅳ患儿术后接受C-PEB化疗4~6周期。中位随访时间34(15~69)个月,9例完全缓解,2例死于复发。结论儿童SYSTs易早期转移,大部分患儿手术联合化疗仍能获得长期无病生存,部分复发患儿预后不佳。 展开更多
关键词 卵黄囊瘤 骶尾部 预后 儿童
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原发子宫内膜卵黄囊瘤1例并文献回顾
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作者 宗桂娟 赵敏 陈旭东 《安徽医药》 CAS 2023年第10期2038-2040,I0005,共4页
目的提高对原发子宫内膜卵黄囊瘤(yolk sac tumor,YST)临床及病理学特征的认识。方法报告南通市肿瘤医院2020年5月诊断YST 1例,收集病人相关临床信息包括血清甲胎蛋白(AFP)水平、手术方案、化学治疗方案及术后随访20个月。并复习原发子... 目的提高对原发子宫内膜卵黄囊瘤(yolk sac tumor,YST)临床及病理学特征的认识。方法报告南通市肿瘤医院2020年5月诊断YST 1例,收集病人相关临床信息包括血清甲胎蛋白(AFP)水平、手术方案、化学治疗方案及术后随访20个月。并复习原发子宫内膜YST相关文献。结果原发性子宫内膜YST 1例,采取全子宫加双侧附件切除手术、网膜切除术及盆腔淋巴结清扫术,并在术后化疗接受BEP(博来霉素,依托泊苷和顺铂)治疗方案,随访20个月,病人预后佳。结论原发性子宫内膜YST是一种罕见高度恶性的生殖细胞肿瘤,迄今为止尚未有共识性治疗方案。手术治疗联合术后化疗被认为是治疗原发性子宫内膜YST的有效方法。术后随访血清AFP水平可用于监测治疗结果以及检测治疗后的转移和复发。 展开更多
关键词 内胚层窦瘤 子宫内膜卵黄囊瘤 甲胎蛋白(AFP) 病理学 临床治疗
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CT对儿童原发肝脏卵黄囊瘤和肝母细胞瘤的鉴别诊断 被引量:2
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作者 寿然 王霄英 《中国小儿血液与肿瘤杂志》 CAS 2023年第2期87-92,共6页
目的探讨儿童原发肝脏卵黄囊瘤的影像学表现,并寻找可能与肝母细胞瘤相鉴别的影像学特征。方法回顾性分析北京大学第一医院收治的1例原发肝脏卵黄囊瘤患儿的临床表现,尤其是其影像学资料,与22例肝母细胞瘤资料进行对比分析,并复习相关... 目的探讨儿童原发肝脏卵黄囊瘤的影像学表现,并寻找可能与肝母细胞瘤相鉴别的影像学特征。方法回顾性分析北京大学第一医院收治的1例原发肝脏卵黄囊瘤患儿的临床表现,尤其是其影像学资料,与22例肝母细胞瘤资料进行对比分析,并复习相关文献。结果原发肝脏卵黄囊瘤患儿为1岁11个月男童,甲胎蛋白(AFP)明显升高,腹部增强CT及B超均提示肝脏右叶巨大单发占位,未见明显钙化,肿物内可见出血、坏死,有包膜下积液等肿瘤破裂迹象。肝母细胞瘤患儿AFP亦明显升高,腹部增强CT提示多为单发肝脏巨大肿物,结节状多见,无包膜,多见点状或片状钙化,肿物周边有明显血流信号,未见有肿瘤破裂迹象。复习文献8例原发肝脏卵黄囊瘤患儿的影像学资料显示多有出血和坏死表现,1例有明显肿瘤破裂表现,无钙化。结论原发肝脏卵黄囊瘤和肝母细胞瘤都表现为肝脏巨大占位伴AFP明显升高,前者影像学特征是肿物更容易出现出血、坏死和肿瘤破裂迹象,有包膜,无钙化,对二者有一定的临床鉴别价值。 展开更多
关键词 肝脏卵黄囊瘤 CT 肝母细胞瘤 儿童
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早期开食对雏鹅卵黄囊吸收和卵巢发育的影响
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作者 刘政权 赵羽彤 +2 位作者 常鹏辉 陈玉飞 陈兴勇 《甘肃农业大学学报》 CAS CSCD 2023年第6期31-38,共8页
【目的】旨在探究雏鹅育雏期开食对卵黄囊吸收和后期卵巢发育的影响。【方法】试验筛选体质量差异(90.32±2)g的1日龄母雏鹅126只,随机分为开食组和禁食组,每组3个重复,每个重复42只。出雏后48、60、72 h每个重复取3只雏鹅称质量后... 【目的】旨在探究雏鹅育雏期开食对卵黄囊吸收和后期卵巢发育的影响。【方法】试验筛选体质量差异(90.32±2)g的1日龄母雏鹅126只,随机分为开食组和禁食组,每组3个重复,每个重复42只。出雏后48、60、72 h每个重复取3只雏鹅称质量后屠宰取卵黄囊并称质量,气相色谱分析卵黄囊脂肪酸组成;于1、2、3、4周龄末每个重复取3只雏鹅称质量,屠宰后卵巢称质量,苏木精-伊红(HE)染色法观察卵巢结构,实时荧光定量PCR检测卵泡发育调控相关细胞周期检测点激酶1(CHK1)、成纤维生长因子12(FGF12)和SMAD同源物4(SMAD4)基因相对表达量。【结果】开食组体质量在48h至4周龄末均显著高于禁食组(P<0.05)。卵黄囊中饱和脂肪酸(SFA)、单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)主要由C16:0、C18:0、C22:0、C16:1、C18:1n9t和C20:4n6组成。开食组4周龄末卵巢质量、原始卵泡数、初级卵泡数和原始卵泡直径显著高于禁食组(P<0.05)。开食组1、2和4周龄CHK1表达量显著高于禁食组(P<0.05),开食组1、2和3周龄FGF12和SMAD4表达量显著高于禁食组(P<0.05)。【结论】48 h开食有助于确保雏鹅获得较高的体质量,且可促进雏鹅脂肪酸吸收,并上调CHK1、FGF12、SMAD4卵巢发育相关基因表达,促进雏鹅卵泡发育。 展开更多
关键词 雏鹅 早期开食 卵黄囊吸收 卵巢发育 细胞周期检测点激酶1
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MSCT、MRI及血清肿瘤标志物在卵巢卵黄囊瘤诊断中的应用价值
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作者 蒲烨 林生发 +2 位作者 赵大聪 彭昌勇 刘一江 《中国CT和MRI杂志》 2023年第11期117-120,共4页
目的探讨多层螺旋计算机断层扫描(MSCT)、核磁共振成像(MRI)及血清肿瘤标志物在卵巢卵黄囊瘤诊断中的应用价值,并尝试建立量化规则,把MSCT、MRI征象描述转化为可进行比较分析的数值资料。方法收集2019年1月-2022年3月在达州市中西医结... 目的探讨多层螺旋计算机断层扫描(MSCT)、核磁共振成像(MRI)及血清肿瘤标志物在卵巢卵黄囊瘤诊断中的应用价值,并尝试建立量化规则,把MSCT、MRI征象描述转化为可进行比较分析的数值资料。方法收集2019年1月-2022年3月在达州市中西医结合医院经手术病理证实的卵巢卵黄囊瘤的患者93例作为研究对象(研究组),另选取同时期内年龄范围相同且经病理证实为其他类型卵巢肿瘤的患者88例作为对照组进行比较。所有患者均完善CT、MRI及血清肿瘤标志物检查。观察卵巢卵黄囊瘤MSCT、MRI表现,绘制接收者工作特征(ROC)曲线分析MSCT、MRI及血清肿瘤标志物对卵黄囊瘤单独和联合诊断的应用价值,计算准确度、灵敏度和特异度,分析其诊断价值。结果研究组患者血清甲胎蛋白(AFP)水平明显高于对照组,差异有统计学意义(P<0.05)。研究组患者血清糖类抗原125(CA125)水平明显低于对照组,差异有统计学意义(P<0.05)。ROC分析显示:MSCT、MRI征象及血清AFP、CA125联合应用时的灵敏度、特异度、准确度分别为0.903、0.852、0.878,均高于单独应用的诊断结果,MSCT、MRI及血清肿瘤标志物联合应用对卵黄囊瘤具有较高的诊断价值,曲线下面积(AUC)为0.878。结论MSCT、MRI及血清肿瘤标志物(AFP、CA125)联合应用对卵巢卵黄囊瘤具有较高的诊断价值,且具有重复性好、临床应用范围广泛等优势。 展开更多
关键词 多层螺旋计算机断层扫描 核磁共振成像 肿瘤标志物 卵黄囊瘤 诊断价值
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育雏温度对雏鸡卵黄囊脂肪酸吸收和肠道发育及代谢相关基因 GLUT2和PepT1 表达的影响
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作者 赵羽彤 陈兴勇 +3 位作者 刘政权 常鹏辉 彭锦州 吉倩昀 《南京农业大学学报》 CAS CSCD 北大核心 2023年第5期913-921,共9页
[目的]本文旨在探究早期育雏温度对雏鸡卵黄囊吸收和肠道发育的影响。[方法]选取1日龄健康淮南麻黄鸡雏鸡189只,随机均分为3组,育雏温度分别为33、30和27℃(2.5 d后3组育雏温度统一为33℃),每组3个重复,每个重复21只。分别于0.5、1、1.5... [目的]本文旨在探究早期育雏温度对雏鸡卵黄囊吸收和肠道发育的影响。[方法]选取1日龄健康淮南麻黄鸡雏鸡189只,随机均分为3组,育雏温度分别为33、30和27℃(2.5 d后3组育雏温度统一为33℃),每组3个重复,每个重复21只。分别于0.5、1、1.5、2、2.5、7和14日龄从每个重复取3只雏鸡,称重后从心脏采血,分离血清用于抗体检测,屠宰取卵黄囊用于脂肪酸组成分析(1.5 d内),取各段小肠制作切片并观察,荧光定量分析代谢相关基因表达量。[结果]30℃组雏鸡14日龄体重显著高于其他2组(P<0.05),除育雏1.5 d外,卵黄囊重在各温度组间无显著差异。卵黄囊脂肪酸主要由C16∶0、C18∶1n9t、C18∶0、C18∶2n6t组成,脂肪酸含量在各组间无显著差异(P>0.05)。7日龄雏鸡脾脏重在30℃组显著高于其他2组(P<0.05),且血清IgM和IgY水平均显著高于33℃组(P<0.05)。30℃组雏鸡14日龄十二指肠和空肠绒隐比显著高于33℃组,但回肠显著低于27℃和33℃组(P<0.05)。30℃组雏鸡回肠GLUT2和PepT1基因表达量均显著高于27℃组(P<0.05)。[结论]育雏早期温度对雏鸡生长发育有显著影响,33℃育雏有助于前1.5 d卵黄囊吸收,30℃育雏有助于雏鸡体重增加、小肠形态发育、雏鸡免疫水平提高及肠道营养吸收相关基因的表达。 展开更多
关键词 淮南麻黄鸡 育雏温度 卵黄囊 脂肪酸吸收 绒隐比 肠道发育
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儿童睾丸卵黄囊瘤的MRI表现及临床病理特点分析 被引量:2
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作者 李春鸽 杨昕 张超鑫 《罕少疾病杂志》 2023年第2期60-62,共3页
目的探讨儿童睾丸卵黄囊瘤(YST)的磁共振影像特征,提高本病的影像诊断准确率。方法收集我院经手术和病理检查确诊的15例睾丸YST的临床及术前MRI检查资料,并与病理结果进行对照分析。结果15例均为单侧睾丸病变,其中右侧8例,左侧7例,MRI... 目的探讨儿童睾丸卵黄囊瘤(YST)的磁共振影像特征,提高本病的影像诊断准确率。方法收集我院经手术和病理检查确诊的15例睾丸YST的临床及术前MRI检查资料,并与病理结果进行对照分析。结果15例均为单侧睾丸病变,其中右侧8例,左侧7例,MRI表现实性型6例,囊实性9例,T_(1)WI呈等或稍低信号,T_(2)WI以稍高信号为主,伴有多发小囊变呈更高信号,均未见钙化及脂肪信号,1例伴少许出血。病变实性成分弥散受限,且增强后强化显著。术前血清甲胎蛋白(AFP)检测均提示明显升高,7例AFP>1000ng/mL,4例AFP<1000ng/mL,4例未检测,术后AFP值均明显降低。结论儿童睾丸YST具有较特征性MRI表现,且与病理结果有较高的一致性,结合血清AFP,可提高术前诊断准确性。 展开更多
关键词 睾丸 生殖细胞肿瘤 卵黄囊瘤 磁共振成像 儿童
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丁胚胎发育和卵黄囊仔鱼摄食研究 被引量:42
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作者 凌去非 李思发 +6 位作者 乔德亮 姚化章 张海军 殷建国 何智杰 李岩平 蔡晓琴 《水产学报》 CAS CSCD 北大核心 2003年第1期43-48,共6页
对丁的胚胎发育进行了连续观察,并对其卵黄囊仔鱼在开口摄食之前的发育、生长以及不可逆点作了实验研究。结果表明:(1)丁受精卵在水温21.5℃时,胚胎发育时间约为52h;(2)仔鱼在孵出后第7天开始摄食,初次摄食率第9天达100%,第12天降到... 对丁的胚胎发育进行了连续观察,并对其卵黄囊仔鱼在开口摄食之前的发育、生长以及不可逆点作了实验研究。结果表明:(1)丁受精卵在水温21.5℃时,胚胎发育时间约为52h;(2)仔鱼在孵出后第7天开始摄食,初次摄食率第9天达100%,第12天降到50%,进入不可逆点;(3)仔鱼对卵黄囊的日净消耗量的最大值出现在出膜后第1天,体长最大增长率出现在出膜后的第2天;(4)仔全出膜后第8天,卵黄囊全部吸收,同时,饥饿期仔鱼开始出现负生长。 展开更多
关键词 丁GUI 胚胎发育 卵黄囊仔鱼 摄食 不可逆点
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