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  • west china medical publishers
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    find Author "王浩斌" 3 results
    • Detecting Free Cancer Cells in Peritoneal Cavity of Colorectal Cancer Patients by Branched-Chain DNA and SqRT-PCR

      Objective To evaluate branched-chain DNA (b-DNA) signal amplification and semi-quantitative (Sq) RT-PCR in detection of free cancer cells in peritoneal flushing fluid of colorectal cancer patients during surgery. Methods The CEA mRNA in peritoneal flushing fluid in 48 cases of colorectal cancer were detected by b-DNA and SqRT-PCR. Peritoneal flushing fluid cytology (PLC) was conformed simultaneously to detect the free cancer cells. The peritoneal flushing fluid of 12 cases with colorectal benign disease were taken as negative control, GAPDH mRNA as internal control. Results In colorectal cancer patients, positive rate of free cancer cells by bDNA and SqRT-PCR (43.8%, 31.3%) was higher than that by PLC (4.2%). The relative quantitative expressions of CEA mRNA were related to the Dukes staging, depth invasion and differentiation degree (Plt;0.05), but irrelevant to tumor size,the patients’ age and gender (Pgt;0.05).Conclusion Both b-DNA and SqRT-PCR technologies have advantages and disadvantages to detect free cancer cells in peritoneal flushing fluid, which are related to clinicopathological factors.

      Release date:2016-09-08 10:50 Export PDF Favorites Scan
    • 吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性研究

      目的探討吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性。方法回顧性分析2022年7月至2024年1月期間在成都市第三人民醫院乳腺甲狀腺外科接受吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的72例甲狀腺乳頭狀癌患者的臨床資料。結果72例患者均在腔鏡下順利完成手術,無中轉開放手術。手術時間(102±27)min,術后住院時間(3.4±1.1)d。術后并發癥包括1例暫時性喉返神經麻痹,2例短暫性甲狀旁腺功能減退,18例短暫性下唇麻木,2例暫時性下頜部皮膚感覺障礙,2例暫時性嗅覺、味覺喪失,以上并發癥患者均在1~3個月內恢復,未見該術式的特異性并發癥。所有患者均獲訪,中位隨訪時間21個月(12~26個月),隨訪中無腫瘤局部殘留或復發。結論吸引器支撐式免充氣經口腔鏡甲狀腺癌手術治療甲狀腺乳頭狀癌安全可行。

      Release date:2025-08-21 02:42 Export PDF Favorites Scan
    • 1例誤診為非哺乳期乳腺炎的原發性乳腺血管肉瘤并文獻復習

      目的通過回顧分析1例被誤診為非哺乳期乳腺炎的原發性乳腺血管肉瘤患者資料,結合國內外文獻,對乳腺血管肉瘤疾病特征及診治要點進行總結,提供臨床診治參考,避免誤診。方法回顧性分析該例患者的臨床表現、診療經過、輔助檢查及病理特點;檢索相關中英文文獻資料,綜合分析文獻報道病例特點。結果該例患者初始表現為乳房脹痛,查體可見乳房腫脹,彩超及鉬靶檢查考慮乳腺炎性病變,前2次病理活檢未提示惡性病變。腫瘤明顯長大突出皮膚表面后行第3次活檢確診。總結文獻報道病例資料,乳腺原發性血管肉瘤為罕見的乳腺惡性病變,手術為主要治療方式,無標準化療、放療及靶向治療方案。結論乳腺血管肉瘤惡性程度高,遠期生存率低,模仿了乳腺多種良性疾病的生長模式。乳腺彩超及鉬靶X線攝片無特征性改變,易延誤診治,病理活檢為確診依據。結合臨床表現及輔助檢查確診后應盡早治療,可改善預后。

      Release date:2023-12-26 06:00 Export PDF Favorites Scan
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  • 松坂南