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Intravascular leiomyoma misdiagnosed as deep vein thrombosis: A case report 血管内平滑肌瘤误诊为深静脉血栓形成1例
Pub Date : 2021-06-30 DOI: 10.29328/JOURNAL.JRO.1001037
Yiheng Zhang, Feng Wen, Z. Liu, Zaiming Lu
Background: Leiomyoma itself is not a rare disease, but it is rarely found intravascularly. Case presentation: A 54-year old female sought medical help after noticing her leg being swelling. A diagnosis of deep vein thrombosis (DVT) was made and antithrombotic treatment was given after her initial imaging exam. Several days later, a contrast CT and sequential pathology revealed the real diagnosis was intravascular leiomyoma. The patient was discharged after a successful surgery. Conclusion: Intravascular leiomyoma should not be confused with DVT.
背景:平滑肌瘤本身并不是一种罕见的疾病,但很少在血管内发现。病例介绍:一名54岁的女性在发现自己的腿肿胀后寻求医疗帮助。在她的初次影像学检查后,诊断为深静脉血栓形成(DVT),并进行了抗血栓治疗。几天后,对比CT和序列病理显示,真正的诊断是血管内平滑肌瘤。手术成功后病人出院了。结论:血管内平滑肌瘤不应与DVT混淆。
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引用次数: 0
Role of HRCT Thorax in pre-operative assessment of RT-PCR COVID-19 negative oral cancer patients HRCT胸腔镜在RT-PCR新冠肺炎阴性口腔癌症患者术前评估中的作用
Pub Date : 2020-12-22 DOI: 10.29328/journal.jro.1001033
G. Roopa, Kantharia Shehnaz R, Shah Bhavin Bhupendra, Vasava Rajinikant Mohan, Vaishnav Tushar Vishnuprasad, Kantharia Rajesh A
Background: Oral cancer accounts for 30% of all types of cancer in India. Surgery is the mainstay of treatment but due to the recent outbreak of COVID-19, there is a partial or complete disruption of health services in the country. The initial delay in the treatment was due to cancellations of planned surgeries as per government regulations and reduction in public transportation. In the latter half of the initial relaxation of the lockdown, we formulated our institutional protocol for the surgical treatment of oral cancer patients. On admission, all patients were kept in isolated wards followed by RT-PCR (Reverse Transcriptase-Polymerase Chain Reaction) testing on the same day. RT-PCR negative patients are subjected to HRCT Thorax (High-resolution Computer Tomography). This ensured the safety of health care workers, patients, and patient attendees. Keeping this in mind, we did an observational study on the role of HRCT in the pre-operative screening of asymptomatic oral cancer patients. Materials and methods: Retrospective analysis of prospectively collected data of 150 patients was done. HRCT reporting was done by two experienced senior radiologists of the Department of Radiology at our hospital. Results: The number of patients under the CO-RADS 1 category was 121 and CO-RADS 2 category was 29, according to CO-RADS classification. The results of RT-PCR and HRCT were compared and there was a 100% positive correlation between RT-PCR and HRCT Thorax. Conclusion: Our study supported the use of HRCT Thorax as a diagnostic tool in pre-operative screening of oral cancer patients for COVID 19, particularly in RT-PCR negative cases.
背景:口腔癌症占印度癌症所有类型的30%。手术是治疗的支柱,但由于最近新冠肺炎的爆发,该国的卫生服务部分或全部中断。治疗最初的延误是由于根据政府规定取消了计划中的手术,公共交通减少。在最初放松封锁的后半段,我们制定了口腔癌症患者手术治疗的机构协议。入院时,所有患者都被隔离在病房里,然后在同一天进行RT-PCR(逆转录聚合酶链式反应)检测。RT-PCR阴性的患者接受HRCT胸部扫描(高分辨率计算机断层扫描)。这确保了医护人员、患者和患者参与者的安全。考虑到这一点,我们对HRCT在无症状口腔癌症患者术前筛查中的作用进行了一项观察性研究。材料和方法:对150例患者的前瞻性数据进行回顾性分析。HRCT报告由我院放射科两位经验丰富的资深放射科医生完成。结果:根据CO-RADS分类,CO-RADS 1类和CO-RADS 2类的患者人数分别为121人和29人。将RT-PCR和HRCT结果进行比较,RT-PCR与HRCT胸部呈100%正相关。结论:我们的研究支持将HRCT Thorax作为口腔癌症患者COVID-19术前筛查的诊断工具,特别是在RT-PCR阴性病例中。
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引用次数: 1
Primary anal malignant melanoma: A case report 原发性肛门恶性黑色素瘤1例报告
Pub Date : 2020-04-15 DOI: 10.29328/journal.jro.1001031
H. Sidhu, Sonia Sandeep
Anal melanoma is a rare and highly aggressive mucosal melanocytic malignancy. It is the third most common after melanomas of the skin and retina. The peak incidence in seen in the sixth and seventh decades. The clinical symptoms are pain, anal mass, bleeding per rectum, tenesmus or change in the bowel habits. It affects anal canal, rectum or both with a tendency to spread along submucosal planes. It is mostly beyond complete resection at the time of diagnosis and majority of patients die of metastasis. MR imaging signi icantly increases the diagnosis of anal melanoma in its early stages.
肛门黑色素瘤是一种罕见且高度侵袭性的粘膜黑色素细胞恶性肿瘤。它是继皮肤和视网膜黑色素瘤之后第三常见的肿瘤。发病率高峰出现在六、七十年代。临床症状为疼痛、肛门肿块、直肠出血、尿急或排便习惯改变。它影响肛管、直肠或两者,并有沿粘膜下平面扩散的趋势。在诊断时大多无法完全切除,大多数患者死于转移。磁共振成像显着增加肛门黑色素瘤早期的诊断。
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引用次数: 0
Haemostasis with suture-tourniquet technique following removal of large-bore venous sheaths for endovascular recanalization of acute thrombosis in native arteriovenous fistula 自体动静脉瘘急性血栓的血管内再通术中去除大直径静脉鞘后缝合止血带止血技术
Pub Date : 2019-07-01 DOI: 10.33545/26644436.2019.v2.i2a.31
O. Balli
Results: A total of 52 patients with 64 procedures met the inclusion criteria. In 60(94%) of 64 procedures, successful haemostasis was achieved with suture-tourniquet technique. In 2(3.1%) of the 64 procedures, the suture broke while turning the tourniquet and haematoma occurred in another 3 procedures (4.7%) although suture-tourniquet technique was applied appropriately. Manual compression was performed in these patients. There were 3 major complications unrelated the suture-tourniquet technique.
结果:52例患者64种手术方式符合纳入标准。64例手术中有60例(94%)采用缝合止血带技术成功止血。64例手术中有2例(3.1%)在转动止血带时缝线断裂,另外3例(4.7%)尽管采用了适当的缝合-止血带技术,但仍发生血肿。对这些患者进行手动按压。有3个主要并发症与缝合止血带技术无关。
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引用次数: 0
Glomus Tumor of the Scrotum: A Case Report 阴囊肾小球肿瘤1例报告
Pub Date : 2019-06-21 DOI: 10.29328/JOURNAL.JRO.1001028
S. Legg
Glomus tumors are rare, usually benign, lesions that arise most often in the extremities. They are derived from the glomus body and have a propensity to be found in the ingers and toes, and often in the subungual area [1]. They typically demonstrate pinprick sensitivity, cold hypersensitivity and paroxysmal pain [2]. Only two glomus tumors of the scrotum have been reported and we report a third case of this rare tumor.
肾小球肿瘤是罕见的,通常是良性病变,最常见于四肢。它们来源于声门体,有在指和脚趾中发现的倾向,通常在舌下区域[1]。它们通常表现为针刺敏感性、冷敏感性和阵发性疼痛[2]。只有两个阴囊血管球瘤的报告,我们报告了第三例这种罕见的肿瘤。
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引用次数: 1
Biological dose calculation using variable RBE in Single- and Multi-field Optimization IMPT plans for 3 Brain Tumor patients 在3例脑肿瘤患者的单场和多场优化IMPT计划中使用可变RBE的生物剂量计算
Pub Date : 2019-02-14 DOI: 10.29328/journal.jro.1001027
R. Kohno, W. Cao, P. Yepes, Xuemin Bai, F. Poenisch, D. Grosshans, T. Akimoto, R. Mohan
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引用次数: 0
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Journal of radiology and oncology
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