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General probe guided percutaneous transhepatic drainage in obstructive jaundice Application Analysis


Guided percutaneous transhepatic cholangiography in the application. Of Ultrasound in Medicine, 1997,13 (3) :45 - 7 .5 Jin Yaping, Gong a new ring, Xue Yongshou, et al. B-ultrasound-guided percutaneous transhepatic cholangiography in the application. Of Ultrasound in Medicine, 1997,[link widoczny dla zalogowanych],13 (4): 35 ~ 7.6 higher on the up, why gold, Yuli Yun, et al. General probe guided percutaneous transhepatic puncture and drainage of the clinical significance and Methods. Journal of Ultrasound Imaging, 2001,10 (Received 2002-08-12 Revised 2002-03-20) case reports of gastric cardia adenocarcinoma of the chest wall myxoid liposarcoma a case report Wang Jing Xu Meilin Keywords GCA chest wall tumor liposarcoma a case report of male patients, aged 70, the main reason nearly 1 year before the chest discomfort, difficulty eating 20d, 29 December 2001 Japanese hospital. Upper gastrointestinal radiography and endoscopy showed esophageal: congestive cardiac mucosal wall of the lesser curvature, a diameter of about 5cm. Chest said: squash-shaped shadow of the left breast, about 4cm × 3cm. Clinical Line and gastrectomy resection of left chest wall tumor. Surgery See: gastric lesser curvature mass, approximately 7cm × 5cm × 4cm, hard, left gastric artery lymph nodes; left chest wall mass with a diameter of about 6cm, soft,[link widoczny dla zalogowanych], coated yet complete. Fresh specimens of pathology: (1) the naked eye can see and gastric cardia ① bend in reach of a duck the size of mass, quality hard. Section: cardia see a mass of about 6.2cm × 5.6cm, was sallow, along the lesser curvature of stomach growth, invasion and full-thickness gastric wall with omental adhesions, quality hard. ② chest wall mass of about 6.4cm × 4.2cm × 3.8CFD_ size, shaped like eggs, the surface coating is still intact, smooth, soft. Cut surface is yellow, gray and white thread-like interludes of which was woven like,[link widoczny dla zalogowanych], soft texture. (2) ① cardia were observed visible tumor cells form irregular cavities, were columnar or low columnar cells, nuclear increase, deformity, some cancer cells accumulate in the glandular secretion of mucus cavity,[link widoczny dla zalogowanych], with partial necrosis , tumor invasion and full-thickness gastric wall (Figure 1). ② see a star or left chest wall tumor spindle cells and fat distribution of mother cell to evacuate the blood vessels in a highly rich myxoid stroma (Figure 2). (3) The results of immunohistochemistry ① gastric cardia tumor keratin (+), vimitin (a). ② left chest wall mass vimitin (+) (Fig. 3), S ~ 100 (+), keratin (a). (4) special results of AB-PAS staining showed the left chest wall tumor stroma see red mucus. Pathological diagnosis was: (1) gastric cardia adenocarcinoma, mucinous adenocarcinoma part; (2), myxoid liposarcoma (left chest wall mass.) 2 adenocarcinoma of the stomach to discuss the source of malignant epithelial tissue for cardiac common histological type,[link widoczny dla zalogowanych], which was rich in mucus glands in the formation and deposition of mucinous adenocarcinoma. Liposarcoma is the first two of the most common adult soft tissue sarcoma, liposarcoma which the most common type of mucus . based on clinical examination, disease location, morphology and pathology microscope immunohistochemical results can be confirmed. the same or different sites simultaneously has a different primary malignant tissue, called repetitive cancer. Warren and Gates Standard port: (1) on each histological must be malignant. (2) each has its unique pathologic tumor morphology. (3) tumors occur in different parts of the two are not continuous with. (4) must be rule out the possibility of transfer of each other. It is reported that the incidence of malignant tumors of domestic autopsy repeatability of 1.2% and 5.7%, the clinical report is 0.59% ~ 2.45% I3l. repeatable cause of the current cancer not clear and may exist in vivo tumor susceptibility genes, and immune dysfunction may also be relevant. Therefore, patients should be fully double-check, to avoid repetition of malignant tumors missed, and should improve the patient's immune function, long-term follow-up. (See Figure 1 to 3 inside front cover)