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世界核心医学期刊文摘（胃肠病学分册） 2006年第2期2卷 27-28页

作者： noji t. Kondo S. Hirano S. 李明 Depart.ent.of Surgical Oncology Hokkaido University Graduate School of Medicine N15 W7 Kita-ku Sapporo 060- 8638 Japan

Background. t.e ext.nt.of paraaort.c lymph node (PAN) met.st.sis parellels t.at.of dist.nt.met.st.ses in pat.ent. wit. biliary carcinoma. Accurat. preoperat.ve assessment.of PAN met.st.sis has a crucial impact.on surgical indicat.ons. In t.is ret.ospect.ve st.dy, we evaluat.d whet.er comput.d t.mography (Ct. scans were useful for diagnosing PAN met.st.ses and excluding pat.ent. wit. PAN met.st.ses from an indicat.on for surgery. Met.ods. Bet.een March 1999 and November 2003, 57 pat.ent. wit. biliary carcinoma underwent.radical lymphadenect.my or surgical biopsy of PANs. Nine of t.ese pat.ent. were diagnosed as having PAN met.st.sis microscopically. All pat.ent. had undergone abdominal Ct.scans before surgery. t. diagnose PAN met.st.ses, we used t.e following diagnost.c crit.ria. (1) Size; when lymph nodes were great.r t.an 12 mm, 10 mm, 8 mm, or 6 mm in longo or short. axis diamet.r, t.e nodes were considered met.st.t.c. (2) Shape and size; when t.e axial rat.o of a lymph node was great.r t.an 0.5, 0.7, 1.0, and t.e maximum diamet.r of t.e long or short.axis was great.r t.an 12 mm, 10 mm, 8 mm, or 6 mm, t.e node was considered met.st.t.c. (3) Int.rnal st.uct.re; if t.e int.rnal st.uct.re of a PAN was het.rogeneous, t.e node was considered met.st.t.c. A posit.ve predict.ve value was calculat.d for each included crit.rion when pat.ent. numbered t.n or more. Result.. Posit.ve predict.ve values using t.e above crit.ria ranged from 13% t. 36% . Only one pat.ent.had PANs wit. het.rogeneous int.rnal st.uct.res. Conclusions. We were unable t. det.rmine surgical indicat.ons based on t.e morphological crit.ria revealed by a Ct.scan.

关键词：胆管癌 Ct 淋巴结转移短轴直径治疗指征手术指征组织活检小淋巴结外科手术轴率

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对超声凝胶中丙二醇发生过敏接触性皮炎1例(发生在肝细胞癌动脉导管栓塞治疗皮肤损伤泄露处)

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世界核心医学期刊文摘（皮肤病学分册） 2005年第11期1卷 52-54页

作者： Horiguchi Y. Honda t. Fujii S. 冯义国 Dr.Depart.ent.of Dermat.logy Osaka Red CrossHospital Fudegasaki-cho Ten'noji-ku Osaka 543-8555 Japan

A 63-year-old man wit. hepat.cellular carcinoma consequent.t. chronic viral hepat.t.s C present.d wit. severe dermat.t.s on t.e lower right.side of t.e back aft.r t.anscat.et.r art.rial chemoembolizat.on (t.CE) via t.e 10t. int.rcost.l art.ry, because his hepat.c art.ry had already collapsed due t. repeat.d usage for t.CE. t.e regional skin showed redness and hardness wit. pust.les. Hist.logically, t.ere was epidermal and appendage necrosis, as well as exocyt.sis of red blood cells. Wit. a diagnosis of skin injury due t. leakage of lipiodol ult.afluid, mit.mycin, and epirubicin, administ.red via t.e 10t. int.rcost.l art.ry, ont. t.e skin t.ssue, t.pical applicat.on of 0.06%fluocinonide-cont.ining cream was prescribed. Aft.r several weeks of conservat.ve local t.eat.ent. t.e leakage skin injury improved significant.y, leaving pigment.t.on, hardness, and a small necrot.c mass, as report.d elsewhere (Honda t. Mat.ushima S, Fujii S, et.al. A case of skin injury following t.anscat.et.r art.rial chemot.erapy t.rough int.rcost.l art.ry for hepat.cellular carcinoma. Skin Res 2003; 2: 18-22)-. Subsequent.y, t.e pat.ent.again consult.d t.e Dermat.logy Depart.ent.wit. furt.er dermat.t.s in an almost.ident.cal skin region on t.e right.side of t.e abdomen (irregularly spreading eryt.emat.us and edemat.us erupt.ons wit. it.hing; Fig. 1). As he had undergone an ult.asonic examinat.on 2 days earlier, allergic cont.ct.dermat.t.s from t.e ult.asonic gel was suspect.d. t.e cont.ct.dermat.t.s was t.eat.d wit. a t.pical cort.cost.roid hormone-cont.ining oint.ent. Pat.h t.st.ng was performed wit. Ult.a Phonic Conduct.vit. Gel (Pharmaceut.cal Innovat.ons Inc., Newark, NJ, USA), wit. which t.e pat.ent.had undergone a series of ult.asonic examinat.ons, and Sono Jelly (t.shiba Medical Supply Co., Lt.., t.kyo, Japan) as a reference, as well as whit. pet.oleum as a negat.ve cont.ol. A posit.ve result.was obt.ined for Ult.a Phonic Conduct.vit. Gel, whereas Sono Jelly was negat.ve (Fig. 2a). Pha

关键词：超声凝胶肝细胞癌动脉导管栓塞动脉导管化疗斑贴试验碘化油化疗栓塞肝动脉氟轻松醋酸酯声传导

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