肿瘤病

Cases presenting as peritoneal carcinomatosis with unknown origin are always a challenge for the physicians to select the most appropriate method to make the diagnosis. In this particular case, the pathological report obtained directly from the incarcerated tumor implant showed the tumor to have arisen most probably from the stomach.

临床上偶而会遇到病患就医即呈现广泛性腹腔内癌性转移的情形，因原始肿瘤的症状不明显，临床上会有诊断及治疗方面的困扰，原始肿瘤未明的广泛性腹腔内癌性转移案例中，虽以胃癌及大肠癌的案例最多，但胰脏癌及妇科方面的案例亦不少，为了诊断及组织切片的取得常需要一些侵袭性的检查如胃镜或大肠镜等，增加病患的痛苦。

A large number of hospitals in the region to fill gaps in the history of technology, such as in 1958 to carry out the chest tumor; in 1959 discovered the first case of leptospirosis in the region; in 1960 discovered the first case of scrub typhus in the region; in 1961 to carry out two rheumatic heart disease Closed mitral dilation and liver resection; in 1963 to carry out low-temperature under anesthesia for congenital pulmonary valve stenosis open heart surgery; in 1969 to carry out the tumor radiation therapy; implemented in 1975 brain tumor resection; in 1981 to carry out the second tip Valve replacement; in 1982 to carry out artificial joint replacement; in 1983 for the installation of a patient implantable artificial heart pacemaker .......

医院有着大量填补本地区技术空白的历史记录，如1958年开展胸腔肿瘤切除术；1959年发现本地区首例钩端螺旋体病；1960年发现本地区首例恙虫病；1961年开展风湿性心脏病二尖瓣闭式扩张术和肝叶切除术；1963年开展低温麻醉下先天性肺动脉瓣狭窄心脏切开直视手术；1969年开展肿瘤放射治疗；1975年施行脑瘤切除术；1981年开展二尖瓣置换术；1982年开展人工关节置换术；1983年为病人安装埋藏式人工心脏起搏器……。

Methods Nuclear β-catenin expression was detected by immunohistochemistry in 77 lesions with desmoid-type fibromatosis and 171 other spindle cell lesions, including superficial fibrmoatosis (n=18), nodular fasciitis (n=36), keloid (n=16), scar (n=10), granulation tissue (n=9), synovial sarcoma (n=38), neufibroma (n=13), solitary fibrous tumor (n=12), gastrointestinal stromal tumor (n=10), low-grade myxofibrosarcoma (n=3), low-grade fibromyxoid sarcoma (n=3), and smooth muscle tumor (n=10). In addition, the immunohistochemical expressions of ER-α, ER-β and Ki-67 were examined in all of the lesions with desmoid-type fibromatosis. The nuclear immunohistochemical staining for nuclear βcatenin and ER-β was graded as high level (≥25% of cells), low level (5%-25%) or none.

采用免疫组织化学染色法检测77例韧带样型纤维瘤病和171例其它良、恶性梭形细胞病变（包括结节性筋膜炎36例、浅部纤维瘤病11例、瘢痕疙瘩16例、增生性瘢痕10例、肉芽组织9例、滑膜肉瘤38例、神经纤维瘤13例、孤立性纤维性肿瘤12例、胃肠间质肿瘤10例、低度恶性黏液纤维肉瘤3例、低度恶性纤维黏液样肉瘤3例及平滑肌肿瘤10例）组织中β-catenin核阳性的表达，同时检测韧带样型纤维瘤病中ER-α、ER-β和Ki-67的表达。

In conclusion, Kikuchi-Fujimoto disease can masquerade as a single, rapidlygrowing, parotid tumor in a middle-aged man. Because it is histiocytic necrotizing lymphadenitis adjoining the parotid gland, Kikuchi-Fujimoto disease should be considered a cause of parotid tumor.

经此案例可知，菊池－藤本氏病可以单一、快速增大，发生在中年男性且以疑似腮腺肿瘤为表徵，实际上是邻近腮腺的组织发生了组织球性坏死性淋巴结炎，故临床上耳下附近的疑似腮腺肿瘤病灶，应将本病列入鉴别诊断。

For Clark Haskins, MD, from New Mexico Oncology Hematology Consultants, Ltd, New Mexico Cancer Center, the data do not support the researchers' positive conclusions."The results were crummy," he told Medscape when asked what he thought of the strategy of using metronomic chemotherapy in advanced disease."The problem is that there are a lot of patients who don't want to take chemotherapy, so this strategy is trying to reach these patients," he said."Unfortunately, the data don't support that the strategy works."

新墨西哥癌症中心新墨西哥肿瘤血液肿瘤谘询家Clark Haskins医师表示，这项试验数据并不支持研究者的正面结论；当他被问到有关使用节律性化学疗法在进展性癌症病患的意见时，他向Medscape表示，这项试验结果并不显著，问题在於许多病患不想接受化学疗法，所以这项使用低剂量、持续使用的策略希望可以用在这些病患身上；但不幸的，这项试验的数据并不支持这样的做法是有效的。

For Clark Haskins, MD, from New Mexico Oncology Hematology Consultants, Ltd, New Mexico Cancer Center, the data do not support the researchers' positive conclusions."The results were crummy," he told Medscape when asked what he thought of the strategy of using metronomic chemotherapy in advanced disease."The problem is that there are a lot of patients who don't want to take chemotherapy, so this strategy is trying to reach these patients," he said."Unfortunately, the data don't support that the strategy works."

新墨西哥癌症中心新墨西哥肿瘤血液肿瘤咨询家Clark Haskins医师表示，这项试验数据并不支持研究者的正面结论；当他被问到有关使用节律性化学疗法在进展性癌症病患的意见时，他向Medscape表示，这项试验结果并不显著，问题在于许多病患不想接受化学疗法，所以这项使用低剂量、持续使用的策略希望可以用在这些病患身上；但不幸的，这项试验的数据并不支持这样的做法是有效的。

LIT was most commonly confused with malignant tumor, Crohn's disease, lymphoma and periappendicular abscess. There were 2 of 4 patients, who were performed operation. Most of our cases were not definitively diagnosed until the histopathologic examination after surgery and polymerase chain reaction.

大肠结核较易误诊为大肠肿瘤、克罗恩病、淋巴瘤和阑尾周围脓肿。4例剖腹手术者术中仍有2例(50%)被误诊为肿瘤和克罗恩病，即使活检或术后在病理学报告前仍有多数不能确诊。

July 13, 2007 - A new study shows that even a brief presurgical stress-management intervention can go a long way in helping men undergoing radical prostatectomy. Reporting at the recent American Society of Clinical Oncology 43rd Annual Meeting, researchers demonstrated that intervention improved quality of life 6 and 12 months after the procedure.

July 13， 2007 -最新研究显示，对于要接受根除性列腺切除术的男性，即使是简短的术前压力管理措施，对他们都有正面的影响于近期美国临床肿瘤病学第43届年会中所发表的研究报告中，研究人员说明术前的压力管理措施，对于术后生活品质改善的影响能持续6至12 月。

None of the other potential prognostic factors evaluated (including patient age, gender, tumor grade, tumor location, subtotal resection, presence or absence of cranial nerve palsies, total dose, 3D conformal radiotherapy, duration of symptoms, or radiological response) were associated with patient overall survival in multivariate analysis.

以多变数分析评估其他一些可能的预后因子（包括病患年龄、性别、肿瘤的分化程度、肿瘤位置、是否接受手术切除、有无脑神经麻痹、放射治疗总剂量、三度空间顺形放射治疗、症状的持续时间、或影像学上肿瘤是否变大）均不影响病患存活率。

A similar dose comparator study, using another product, was reported in a neighboring poster by Ulrich Kleeberg, MD, from Haematologisch-Onkologische Praxis Altona, in Hamburg, Germany. This study compared epoetin beta at a dose of 30,000 IU once weekly with 10,000 IU given thrice weekly in 1458 patients. Most of these patients had solid tumors (371 had hematologic cancers) and were undergoing chemotherapy.

德国汉堡Praxis Altona城区Ulrich Kleeberg医师於另一项发表的壁报中，使用不同的药品，却得到相同的结果；这项研究针对1，458位病患比较红血球生成素贝他（NeoRecormon， Roche），以每周投予30，000单位、或每周三次10，000单位的疗效，这些病患绝大多数罹患固体肿瘤（其中371位罹患血液肿瘤），并且接受化学疗法。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。