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World Journal of Clinical Cases 2021年第6期9卷 1446-1454页

作者： Zhen-Zhen Fu Li-Qiang Chen Yao-Xiang Xu Jin Yue Qian Ding Wen-Lin Xiao Department of Stomatology Affiliated Hospital of Qingdao UniversityQingdao 266003Shandong ProvinceChina School of Stomatology Qingdao UniversityQingdao 266003Shandong ProvinceChina

BACKGROUND Oral lichen planus(OLP)is a chronic inflammatory disorder,and it can affect normal oral *** conventional treatments for OLP are not always effective,and relapse easily ***,treatment of OLP is difficult and *** this study,we evaluated over a long period the clinical efficacy of surgical excision and acellular dermal matrix(ADM)grafting in patients with refractory *** SUMMARY Eleven patients with refractory OLP underwent a standardized protocol of surgical excision and ADM *** condition of the area of the grafted wound,the intraoperative maximum mouth opening,pain,and clinical healing were assessed at postoperative follow-up *** patients had a flat surgical area with similar mucosal tissue coverage and local scar *** had no irritation and pain in their mucous membranes when eating acidic and spicy *** patients’mouth openings returned to normal within 2-6 mo after *** follow-up,none of the patients had recurrence of OLP after *** longest follow-up was 11 yr and the shortest was 6 mo,and none of the patients relapsed during *** surgical excision and ADM grafting could be an effective method to treat refractory OLP.

关键词： Lichen planus surgical excision Acellular dermal matrix Case report Oral

Rupture of a giant jejunal mesenteric cystic lymphangioma misdiagnosed as ovarian torsion: A case report

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World Journal of Clinical Cases 2024年第4期12卷 847-852页

作者： Jing Xu Tie-Feng Lv Department of Hepatopathy Hangzhou Xixi HospitalHangzhou 310023Zhejiang ProvinceChina

BACKGROUND Cystic lymphangioma is a rare benign tumor that affects the lymphatic *** lymphangiomas in the small bowel are extremely *** SUMMARY We present a 21-year-old female patient who complained of abdominal *** diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder,ovary,and *** patient underwent emergency laparotomy per-formed by gynecologists,but it was discovered that the cystic tumor originated from the *** surgeons were then called in to perform a *** examination confirmed the diagnosis of cystic lymphangioma of the *** patient had an uneventful postoperative *** Mesenteric lymphangiomas can cause abdominal pain,and imaging techniques can help determine their characteristics,location,and *** surgical excision and pathological examination are considered the standard treatment and diagnostic method.

关键词： Rupture Jejunum Mesenteric cystic lymphangioma Ovarian torsion surgical excision Pathological examination Case report

Malignant triton tumor in the abdominal wall:A case report

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World Journal of Clinical Cases 2024年第8期12卷 1467-1473页

作者： Ho Jik Yang Donghyun Kim Won Suk Lee Sang-Ha Oh Department of Plastic and Reconstructive Surgery Chungnam National University Sejong HospitalSejong 30099South Korea Department of Plastic and Reconstructive Surgery Chungnam National University HospitalDaejeon 35015South Korea Department of Emergency Eulji University HospitalDaejeon 35233South Korea Department of Plastic and Reconstructive Surgery Chungnam National University College of MedicineDaejeon 35015South Korea

BACKGROUND Malignant triton tumors(MTTs)comprise a subgroup of malignant peripheral nerve sheath tumors(MPNSTs)that exhibits rhabdomyosarcomatous differen-tiation and follow an aggressive *** are primarily located along peripheral *** of MTTs in the abdominal wall have not been *** has a poorer prognosis than classic MPNSTs,and accurate diagnosis necessitates a keen understanding of the clinical history and knowledge of its differential diagnosis *** for MTTs mirrors that for MPNSTs and is predominantly *** SUMMARY A 49-year-old woman presented with a subcutaneous mass in her lower abdo-minal wall and a pre-existing surgical scar that had grown slowly over 3-4 months before the *** had previously undergone radical hysterectomy and concurrent chemo-radiotherapy for cervical cancer approximately 5 years prior to the *** computed tomography(CT)showed a 1.3 cm midline mass in the lower abdomen with infiltration into the rectus abdominis *** was no sign of metastasis(T1N0M0).An incisional biopsy identified sporadic MTT of the lower abdomen.A comprehensive surgical excision with a 3 cm margin inclusive of the peritoneum was ***-quently,the general surgeon utilized an approach akin to the open peritoneal onlay mesh *** patient underwent additional treatment with an excision shaped as a mini-abdominoplasty for the skin *** complications arose,and annual follow-up CTs did not show signs of recurrence or *** An abdominal MTT was efficaciously treated with extensive excision and abdominal wall reconstruction,eliminating the need for postoperative radiotherapy.

关键词： Malignant triton tumor Abdominal wall surgical excision Reconstruction Case report

Giant retroperitoneal hemolymphangioma:A case report and review of literature

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World Journal of Clinical Cases 2024年第22期12卷 5258-5262页

作者： Yi-Kai Wang Ying-Hao Liu Wei-Bing Shuang Department of Urology The First Hospital of Shanxi Medical UniversityTaiyuan 030001Shanxi ProvinceChina

BACKGROUND Hemolymphangioma is a very rare benign tumor in clinical practice caused by abnormalities of the *** clinical features are often atypical,and it is easy to miss and *** the time of nuclear magnetic T1 is significantly reduced,the diagnosis of hemangioma should be ***,we report this case in the hope of raising clinicians'awareness of the *** SUMMARY A 37-year-old man presented with a giant retroperitoneal *** tomography and magnetic resonance imaging indicated the possibility of a large perirenal lymphatic *** postoperative pathological diagnosis is retroperitoneal *** patient underwent surgical excision after adequate *** postoperative recovery was smooth and there were no *** was no recurrence during half a year of *** This case reiterates that large retroperitoneal cystic masses with significantly shortened nuclear T1 time should be considered *** clinical basis and experience for the diagnosis and treatment of these diseases is necessary.

关键词： Hemolymphangioma Retroperitoneal tumor surgical excision Magnetic resonance imaging Case report

Recurrence of intratendinous ganglion due to incomplete excision of satellite lesion in the extensor digitorum brevis tendon: A case report

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World Journal of Clinical Cases 2022年第36期10卷 13373-13380页

作者： Jeong Jin Park Hyun Gyu Seok Hongfei Yan Chul Hyun Park Department of Orthopaedic Surgery Yeungnam University HospitalDaeguKoreaDaegu 42415South Korea Department of Orthopaedic Surgery College of MedicineYeungnam UniversityDaegu 42415South Korea

BACKGROUND Intratendious ganglions are rare lesions, especially on the foot and ankle. Although several studies have presented the intratendinous ganglion of the foot and ankle, there are only few reported cases, and no cases of recurrence or secondary surgery have been *** SUMMARY We present the case of a 32-year-old man with an intratendinous ganglion of the second extensor digitorum brevis(EDB) tendon that recurred after ganglion excision. Magnetic resonance imaging(MRI) performed before the first surgery was reviewed to analyze the causes of the recurrence. We confirmed that there was a lack of satellite detection. After recurrence, MRI revealed an extratendinous lesion, tenosynovitis, and intratendinous ganglion of the second EDB tendon. Since the second EDB tendon can compensate for the extrinsic muscle, en bloc resection was performed alone. In addition, meticulous excision and synovectomy were performed for extra-tendinous lesions and tenosynovitis, respectively. The patient returned to daily life without any functional problems or *** If removal of the affected tendon is not fatal, en bloc resection should first be considered to prevent incomplete excision and intraoperative leakage. When planning surgical excision, it is necessary to evaluate the presence of satellite lesions along the course of the affected tendon.

关键词： Intratendinous ganglion Recurrence surgical excision En bloc resection Case report

Historical changes in surgical strategy and complication management for hepatic cystic echinococcosis

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世界胃肠外科杂志:英文版(电子版) 2023年第8期15卷 1591-1599页

作者： Ji-De A Jin-Ping Chai Sheng-Long Jia Xiang-Ren A Department of Hepatic Hydatidosis Qinghai Provincial People's HospitalXining 810007Qinghai ProvinceChina Department of Internal Medicine-Cardiovascular Qinghai Provincial People's HospitalXining 810007Qinghai ProvinceChina Department of General Surgery Huangzhong Hospital of Traditional Chinese MedicineXining 810007Qinghai ProvinceChina Department of Clinical Laboratory Qinghai Provincial People's HospitalXining 810007Qinghai ProvinceChina

Echinococcosis is a zoonotic parasitic disease caused by Escherichia *** frequently involves the liver(70%-75%),followed by the lungs(15%-20%),and occasionally the brain,heart,spleen,bone,and other *** main pathogenic forms of human echinococcosis currently include cystic echinococcosis(CE)and alveolar echinococcosis(AE).CE is globally distributed,while the distribution of AE is generally restricted to the northern *** China,CE accounts for 75%of all echinococcosis *** rapid advances in surgical techniques in recent decades,the surgical strategy for CE has changed,especially with the continuous improvement of surgical methods and the expansion of surgical *** further understand the changes in surgical treatment strategies for hepatic CE,we interpreted and analyzed the existing literature addressing the surgical treatment of hepatic CE both domestically and abroad and briefly summarized them in chronological *** review aims to provide a deeper understanding of the progress in the surgical treatment of hepatic CE to provide clearer avenues for its clinical diagnosis and treatment.

关键词： Echinococcosis Hepatic cystic Internal capsule External capsule Complication surgical excision

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International Journal of Dermatology and Venereology 2022年第2期5卷 113-115页

作者： Xiao-Li Zheng Fei Yi Yi-Qun Jiang Qian-Qiu Wang Guan-Zhao Liang Yue-Ping Yin Guo-Yi Zhang Department of STD Clinical Management and Intervention National Center for Sexually Transmitted Disease ControlHospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China Department of Dermatology Institute of DermatologyPeking University Shenzhen HospitalShenzhen Peking University-The Hong Kong University of Science and Technology Medical CenterShenzhen 518036China Department of Pathology Chinese Center for Disease Control and PreventionHospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China Department of Mycology Chinese Center for Disease Control and PreventionHospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China STD Reference Laboratory Chinese Center for Disease Control and PreventionHospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China Outpatient Department Hospital for Skin Diseases(Institute of Dermatology)Chinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingJiangsu 210042China.

Introduction:Verrucous carcinoma is a rare variant of squamous cell *** generally grows exogenously and bone erosion is *** we present a case of verrucous carcinoma on the foot with toe *** presentation:A 64-year-old man presented with a 6-year history of a slowly growing exogenous hyperkeratotic verrucous lesion on the right fifth toe,which had been absent for *** the lesion appeared,he had undergone nail extraction on this *** culture of fungi and mycobacteria were ***-dimensional computed tomography showed that the fifth toe of the right foot was *** examination showed that the lesion was exogenous and verrucous and exhibited moderate keratinocyte *** with clinical manifestation and histopathological examination,verrucous carcinoma is *** lesion was surgically excised,and the patient was followed up for more than 6months without ***:Verrucous carcinoma is an exophytic tumor with verrucous growth at the beginning,which can invade deep tissues and even cause limb *** encountering a patient with a wart-like plaque on the foot that responds poorly to conventional treatments,clinicians should maintain a high degree of clinical vigilance and a low threshold for ***:We observed a rare outcome of toe absence associated with verrucous ***,early diagnosis of verrucous carcinoma is very *** excision is an effective treatment at *** resection is usually required to avoid recurrence.

关键词： verrucous carcinoma squamous cell carcinoma surgical excision case report

A New Technique to Remove Accurately Osteoid Osteomas Using Gamma Probe

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Open Journal of Orthopedics 2023年第8期13卷 328-334页

作者： Athanasios Panos Arion Kapinas Stavros Stavridis Efthymios Samoladas 1^st Univeristy Orthopaedic Department Aristotle University of Thessaloniki Thessaloniki Greece St. Luke’s Hospital Thessaloniki Greece Medical School Aristotle University of Thessaloniki Thessaloniki Greece

Study design: Description of a technique through a case-series. Objective: To promote a technique by using a gamma probe that asses intraoperatively the adequacy of the lesion curettage through a minimal invasive procedure. Methods: Reviewing the technique steps through 4 cases of osteoid osteoma surgical removal. Results: Four patients diagnosed with osteoid osteoma and moved to surgical removal. During the operation, excision of the tumour was assessed by a gamma probe, avoiding leaving residual lesion in the field. Operating time was not prolonged, so as the cost of the operation was not increased. Conclusions: surgical excision of osteoid osteoma in spine region is still the gold standard method. Avoiding recurrence of the lesion is important. The use of gamma probe is an effective and economic solution.

关键词： Gamma-Probe Spine Osteoid Osteoma surgical excision Scintigraphy Radiofrequency Ablation

Persistent Congenital Paraurethral Cyst, a Rare Cause of Dysuria in a Girl

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Open Journal of Urology 2023年第3期13卷 83-87页

作者： Doudou Gueye Ndeye Fatou Seck Florent Tshibwid A. Zeng Papa Alassane Mbaye Ibrahima Bocar Wellé Lissoune Cissé Ndeye Aby Ndoye Aloïse Sagna Department of Pediatric Surgery Albert Royer National Children’s Hospital Centre Université Cheikh Anta Diop Dakar Senegal

Congenital paraurethral cyst rarely occurs. Its natural history is spontaneous regression, leading to conservative management adoption. We report an exceptional case of a 13-year-old female with a persistent congenital paraurethral cyst, leading to dysuria. We surgically excised the cyst, and the outcomes were unremarkable 20 months postoperatively.

关键词： Congenital Paraurethral Cyst Persistent Dysuria Girl surgical excision

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International Journal of Ophthalmology(English edition) 2021年第4期14卷 547-553页

作者： Rui Liu Ji-Tong Shi Xin Ge Ben-Tao Yang Hong Zhang Jing-Xue Zhang Jian-Min Ma Beijing Tongren Eye Center Beijing Tongren HospitalCapital Medical UniversityBeijing Ophthalmology and Visual Sciences Key LaboratoryBeijing 100730China

AIM:To evaluate the survival outcomes of patients with lacrimal gland adenoid cystic carcinoma who underwent eye-sparing surgery combined with ^(125I)seed implantation radiotherapy or local externalγ-ray ***:In this retrospective comparative case series,the clinical records of 27 primary and 8 recurrent patients were *** and multivariate analyses were used to identify risk factors associated with distant metastasis(DM),and the overall survival(OS)after the initial surgery was ***:The median follow-up after radiotherapy was 36 mo(range 6-120 mo).At the last follow-up after radiotherapy,26(74.3%)patients had no evidence of disease,7(20%)patients had DM,2(5.9%)patients died of DM,and 1 patient with DM was lost to *** analyses showed that duration of symptoms,bone destruction,T stage classification,and wide excision surgery were risk factors influencing DM(P<0.05).The 5-year and 10-year OS rates after the initial surgery were 95.8%and 79.9%,*** 5-year DM-free survival and disease-free survival rates after radiotherapy were 66.4%and 52.7%,***:^(125I)seed radiotherapy and local externalγ-ray radiotherapy may have similar therapeutic effects in preventing *** with T1/T2 stage disease have a better prognosis than those with T3/T4 stage disease.

关键词： adenoid cystic carcinoma lacrimal gland ^(125I)seed radiotherapy γ-ray radiotherapy surgical excision