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囊瘤

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Results (1) 6 cases of Tuberous Sclerosis. Diffused subependymal nodular calcification lesions were found in all cases on unenhenced CT. 4 patients are 2 pairs of mother/child relationship. Both of the two mothers are found to suffer from renal angiomyolipoma.(2)1 case of neurofibromatosis showed abnormal spinal canal: scoliosis of thoracic and lumbar spine, concave change of vertebral posterior border. Bilateral renal hypogenesis was found in this patient. Diffused hyper-density lesions were found in kidney and fatty accumulation was found in back skin.(3)6 cases of Sturge-Weber syndrome. On unenhenced CT, curving and strip-shaped calcifications were found along the parietal and occipital gyrus.

结果 ①结节性硬化6例,所有病例CT平扫见两侧脑室室管膜下多发小结节状高密度钙化灶,其中4例为两对母子关系,并见两位母亲合并有肾脏错构瘤,;②神经纤维瘤病1例,MRI表现为椎管异常,胸腰段脊柱侧弯,椎体后缘呈明显的切凹改变;伴有双肾发育不良,CT示肾内多个高密度影,背部皮肤多量脂肪堆积,③脑颜面血管瘤综合征6例, CT可见顶枕部沿脑回分布的弯曲的条状高密度钙化,部分延伸致侧脑室内,增强后见病灶内有扭曲的条状和结节状明显强化的血管影;④小脑血管瘤病4例,影像学表现为小脑内大囊、小结节样占位性病变。

One case with homonying serosity cystadenoma was recurred in one year after operation.The others had not recurred and no peritoneum myxoma occurred.

术后随访46例,0.5~5年。1例术后1年复发,为同侧卵巢浆液性囊腺瘤,余者均无复发及腹膜粘液瘤发生。

Results: Malignant transformation of MCT amounted to 1.4% of all MCT. Of the 11 cases, 7(7/11) were squamous cell carcinoma, 3(3/11) adenocarcinoma, and 1 (1/11) malignant struma ovarii.

结果:卵巢成熟囊性畸胎瘤恶变占良性畸胎瘤的1.4%,其中鳞癌变7例(7/11),腺癌变3例(3/11),卵巢甲状腺肿恶变1例(1/11)。5年平均生存率80%,Ⅰ期为100%,Ⅱ~Ⅲ期为0。

Methods Twenty - four patients with CP 11 cases were treated by local excision of breast CP,10 cases were treated by mastectomy,3 cases by mastecxomy and axiUary node dissection,and 5 cases of 24 cases underwent local excision(2-3 times) for tumor recurrence post operation,who were diagnosed as adenofibroma or massive adenofibroma of the breast.

方法对24例乳腺叶状囊肉瘤患者采用局部切除11例,单侧乳房切除术10例,乳房切除并腋窝淋巴结清除3例,其中5例(20%)曾诊断为乳腺腺纤维瘤或巨纤维瘤因术后肿瘤复发而经历2~3次局部切除术。

The main imaging features of CT were included the solid portion of tumors enhancement, necrosis and cystiform degeneration within the mass, more than half of the mass lay outside the cavity in many cases, the CT imagings of metastasis were similar as primary tumors.

CT扫描表现为肿块实质部分静脉期强化较动脉期明显,瘤体内可见液化坏死、囊变,多数瘤体以腔外生长为主,邻近胃肠道壁无增厚,转移病灶与原发灶的CT表现相似。

They were male in 8 eases and female in 14. Pancreatic cystoadenoma was in 14 cases (63.30%) and pancreatic cystoadenocarcinoma in 8(36.3%). It was 1.7:1 between two groups. Tumor at the head of pancreas was 6 cases (27.21%). at body-tail 12 (54.5%). at tail 4 (18.1%). Local resection was performed in one case, pancreatic body-tailectomy pancreatoc1uodenectoni in 3, central pancreatectomy in 2 cases.

男8例,女14例。14例(63.3%)为胰腺囊腺瘤(浆液性6例、黏液性8例),8例(36.3%)为胰腺囊腺癌,两者之比为1.7:l肿瘤位于胰腺头部6例(27.2%),胰腺体尾部12例(54.5%),胰腺尾部4例(181%)行胰腺肿瘤局部切除术l例,肤腺体尾部切除术14例,胰头十二指肠切除术3例,胰腺中段切除术2例,囊肿-空肠Roux-Y吻合术1例,T管架桥胆-肠内引流术1例。

Results In four cases, one was lipochoristoma of the acoustic nerve, two were low-grade papillary adenocarcinoma of endolymphatic sac origin, and another one was juxtaoral organ of Chievitz presenting clinically as a tumor mass.

结果 1例为听神经脂肪瘤样迷离瘤,2例为内耳内淋巴囊来源的低级别乳头状腺癌,1例为类似肿瘤病变的Chievitz口旁器官。

Cystic lymphangioma of mesentery is a rare cystic disorder of abdomen;most of them are multi-leaved and plurilocular thin wall cysts.

肠系膜囊性淋巴管瘤是腹部少见囊性病变,多呈分叶状多房性薄壁囊肿。

For tumors which have been well sampled and exhibit (1) a microcystic pattern and regions with lobulated cellular masses with intervening, sometimes hyalinized fibrous stroma,(2) an absence of morphologic features enabling any other specific diagnosis in the sex cord-stromal category,(3) an absence of epithelial elements, and (4) an absence of teratomatous or other germ cell elements, we propose the designation microcystic stromal tumor.

我们很好地抽样调查了4例肿瘤,显示:(1)微囊样式和有时插入玻璃样变的纤维间质中的分叶状细胞团区,(2)能造成在性索间质这个大类中其他具体诊断的形态特征缺失,(3)上皮成分缺失,(4)畸胎或其他胚芽细胞成分缺失,我们提议定其名为微囊性间质瘤。

Two methods of the nettroform stent assisted and balloon-assisted coiling may be effective to treat intracranial wide-necked aneurysms.

结论Neuroform支架或球囊辅助瘤颈重塑与电解可脱弹簧圈结合是治疗颅内宽颈动脉瘤的有效方法;两种方法各有优缺点,应根据宽颈动脉瘤的具体情况选择neuroform支架或球囊辅助进行栓塞。

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