检索结果-南通市图书馆

Asymptomatic gastric adenomyoma and heterotopic pancreas in a patient with pancreatic cancer: A case report and review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第27期9卷 8147-8156页

作者： Kun Li Yan Xu Nan-Bin Liu Bao-Min Shi Department of General Surgery Tongji Hospital of Tongji UniversityShanghai 200065China

BACKGROUND Gastric adenomyoma(GA)is a rare submucosal benign neoplasm that occurs mostly in the gastric antrum and is often *** standard treatment has been established for this disease in cases of *** SUMMARY A 75-year-old woman with a 10-year history of hypertension was admitted to the Emergency Department of our hospital complaining of paroxysmal exacerbation of acute abdominal pain for 1 d with no apparent *** computed tomography and magnetic resonance imaging indicated a mass in the caudal pancreas,cholecystitis,and cholecystic *** endoscopy showed a mass arising from the gastric *** to the imaging findings,pancreatic cancer(PC),gastric lesion,cholecystitis,and cholecystic polypus were our primary *** pancreatectomy,splenectomy,and cholecystectomy were performed successfully,and the gastric tumor was locally *** paraffin specimens confirmed the diagnosis of caudal PC,GA,and heterotopic pancreas(HP).Unfortunately,the patient died 13 mo later due to PC metastases to the liver,lung,and adrenal *** GA is a rare benign disease,especially when occurring with *** may stem from the same origin as *** is the first case report to date of a patient suffering from the simultaneous occurrence of GA,HP,and *** is a lesion that can mimic other benign or malignant gastrointestinal diseases;thus,a definitive diagnosis depends on postoperative pathological *** GA and HP are both benign lesions,they should be resected because there is a chance of *** research should be conducted to better understand these submucosal lesions.

关键词： Gastric adenomyoma Heterotopic pancreas Case report literature review Radiological performance Pathological performance

Trends in the management of anorectal melanoma:A multiinstitutional retrospective study and review of the world literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2021年第3期27卷 267-280页

作者： Josh Bleicher Jessica N Cohan Lyen C Huang William Peche T Bartley Pickron Courtney L Scaife Tawnya L Bowles John R Hyngstrom Elliot A Asare Department of Surgery Huntsman Cancer Institute at the University of UtahSalt Lake CityUT 84114United States Department of Surgery George E Wahlen Department of Veterans Affairs Medical CenterSalt Lake CityUT 84114United States Department of Surgery Intermountain Medical CenterMurrayUT 84107United States

BACKGROUND Anorectal melanoma(ARM)is a rare disease with a poor *** on optimal treatment is limited and surgical management varies *** hypothesized that the frequency of abdominoperineal resection used as primary treatment of ARM has decreased over the past several *** To update our understanding of outcomes for patients with ARM and analyze management trends around the *** This is a multi-institutional,retrospective study of patients treated for ARM at 7 *** included both large,academic,tertiary care centers and smaller,general community *** prospectively maintained institutional tumor registries,we identified 24 patients diagnosed with ARM between January 2000 and May *** analyzed factors prognostic for recurrence and *** then used Cox regression to measure overall survival(OS)and melanoma-specific *** also performed a literature review to assess trends in surgical management and *** Of the 24 patients diagnosed with ARM,12(50.0%)had local,8(33.3%)regional,and 4(16.7%)distant disease at *** time to recurrence was 10.4 mo[interquartile range(IQR)7.5-17.2]with only 2 patients(9.3%)not developing recurrence following surgical *** OS was 18.8 mo(IQR 13.5-33.9).One patient is still alive without recurrence at 21.4 mo from diagnosis;no other patient survived 5 *** surgical management with abdominoperineal resection(APR)vs wide excision(WE)did not lead to differences in OS[hazard ratio=1.4(95%CI:0.3-6.8)].review of the literature revealed geographic differences in surgical management of ARM,with increased use of WE in the United States and Europe over time and more frequent use of APR in Asia and *** was no significant improvement in survival over *** There is wide variation in the management of ARM and survival outcomes remain poor regardless of *** management should aim to minimize morbidity.

关键词： Melanoma Anorectal melanoma literature review Melanoma surgery Surgical oncology Colorectal surgery

Immunotherapies application in active stage of systemic lupus erythematosus in pregnancy:A case report and review of literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2020年第24期8卷 6396-6407页

作者： Zhi-Hui Xiong Hai-Lian Guan Xiao-Song Cao Hui-Ling Zheng Department of Obstetrics Tongde Hospital of Zhejiang ProvinceHangzhou 310012Zhejiang ProvinceChina Department of Medical Clinic Lanxi No.5 Middle SchoolLanxi 321100Zhejiang ProvinceChina Department of Obstetrics The Second Affiliated Hospital of Zhejiang University of Traditional Chinese MedicineHangzhou 310005Zhejiang ProvinceChina

BACKGROUND Pregnancy in the setting of systemic lupus erythematosus can worsen thecondition from the stable to active stage, with quality of life and fertility desirebeing particular concerns. Pregnancy in the active stage of systemic lupuserythematosus (ASLE), although rare and complicated to manage, can be treatedfavorably with immunotherapies ifs used properly. Here we report such a *** SUMMARY A 31-year-old primigravida patient, diagnosed with SLE seven years ago, wasinduced ASLE after a cold at 21 + weeks. The patient’s vital signs on presentationwere normal. Her laboratory exam was remarkable for significant proteinuria,liver and renal dysfunction, and low C3 and C4 levels. Infectious work-up wasnegative. The patient was diagnosed with ASLE. She was given immunosuppressiveagents (methylprednisolone, gamma globulin and azathioprine etc.)and plasma adsorption therapy, monitoring blood pressure every 8 h, fetal heartrate twice a day, and liver and renal function at least twice a week. Successfulmaternal and fetal outcomes are presented *** Child-bearing in ASLE has become more promising, even for this difficult case ofASLE with multiple organ damage. Thorough antepartum counseling, cautiousmaternal-fetal monitoring, and multi-organ function monitoring bymultidisciplinary specialties are keys to favorable pregnancy outcomes.

关键词： Pregnant women Systemic lupus erythematosus Immunotherapies Case report Active stage of systemic lupus erythematosus literature review

Diabetic mastopathy in an elderly woman misdiagnosed as breast cancer: A case report and review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第14期9卷 3458-3465页

作者： Xiao-Xiao Chen Shi-Jun Shao Hua Wan Department of Breast Shuguang HospitalShanghai University of Traditional Chinese MedicineShanghai 200001China

BACKGROUND Diabetic mastopathy is a rare benign disease in clinical practice that mainly occurs in young and middle-aged women with type 1 *** has also been reported that this disease can be found in patients with type 2 diabetes and other autoimmune diseases,such as Hashimoto's thyroiditis,as well as in *** pathogenesis of diabetic mastopathy is not yet clear,and it is easily confused with breast cancer due to their similar clinical manifestations and imaging *** SUMMARY A 69-year-old female patient was admitted because of painless breast masses,with a history of type 2 *** imaging and physical examination suggested a high risk of breast *** histopathological analysis showed dense lymphocytes infiltrating around the lobules of the breast,and extensive fibrosis of the surrounding ***,diabetic mastopathy was *** The diagnosis of diabetic mastopathy in elderly patients with painless breast masses is difficult to distinguish from breast cancer,and its imaging manifestations are not specific.

关键词： Diabetic mastopathy Diabetes Mammary gland disease literature review Autoimmunity Case report

Malignant adenomyoepithelioma of the breast:Two case reports and review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第31期9卷 9549-9556页

作者： Duan-Yang Zhai Tian-Tian Zhen Xiao-Ling Zhang Jia Luo Hui-Juan Shi Ya-Wei Shi Nan Shao The Breast Disease Center The First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou 510000Guangdong ProvinceChina Department of Pathology The First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou 510000Guangdong ProvinceChina Department of Radiology The First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou 510000Guangdong ProvinceChina Department of Medical Ultrasonics The First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhou 510000Guangdong ProvinceChina

BACKGROUND Malignant adenomyoepithelioma(AME)of the breast is a rare tumor in which malignancy can arise from either epithelial or myoepithelial components,or from both cell *** incidence and prognosis of malignant AME of the breast are difficult to assess due to its ***,the optimal treatment for this disease is still *** SUMMARY We present two middle-aged women(48 and 56 years old)with malignant AME of the *** needle biopsy was performed before ***,breast adenoma and malignant tumors were *** preoperative diagnosis of malignant AME of the breast is still challenging for pathologists and *** patients underwent mastectomy and sentinel lymph node biopsy,both of which were negative,followed by adjuvant *** The follow-up duration of the two patients was two years and four months,*** signs of relapse or metastasis have been observed thus far.

关键词： Breast Malignant adenomyoepithelioma Imaging Immunohistochemistry literature review Case report

Current and Future Research on Work-Family Balance:A Comprehensive Analysis Based on literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Educational Theory and Management 2024年第2期8卷 37-49页

作者： Hui Zhang Ali G.Mamaclay Graduate School Wesleyan University-PhilippinesMabini ExtensionCabanatuan CityNueva Ecija3100Philippines

For a long time,the issue of work-family balance has been a focus of research by scholars in organizational behavior,psychology,and other *** 2020,COVID-19 swept across the *** change in work and lifestyle brought about by the great closure blurred the boundary between work and *** work-family balance faced unprecedented challenges,both for organizations and ***,since the COVID-19 epidemic,what trends and achievements have emerged in the research on work-family balance?To clarify these issues,the author of this article searched 70 pieces of literature related to work-family balance published between 2020 and 2023 based on core databases including the SSCI,ESCI,and *** analyzing and summarizing the latest research focuses,conclusions,and future directions of retrieved literature,the author predicted the future research directions of the work-family balance.

关键词： Work-family Balance COVID-19 literature review

Determining future high speed rail review topics through bibliometric analysis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

High-Speed Railway 2024年第1期2卷 17-29页

作者： Heather Steele Marcelo Blumenfeld Paul Plummer Birmingham Centre for Railway Research and Education School of Engineering University of BirminghamBirmingham B152TTUK

As High Speed Rail(HSR)has proliferated globally,so has a related research field dedicated to exploring and addressing its unique ***,studies to understand and classify the HSR research domain are *** paper addresses the gap,using bibliometric analysis to identify future research areas and 20 candidate topics for literature review based on keyword analysis through *** and review papers related to HSR published in the last 20 years(2003-2022)were retrieved from Scopus,and then analyzed to determine the split in knowledge between languages,the collaboration between countries and institutions,highly productive and cited journals,and research topics which have and have not been *** 30%of the search results were published exclusively in Chinese,highlighting the importance of extending the evaluation to cover both *** is a novel aspect of the work,which has enabled the recognition of potential knowledge *** is recommended that future reviews incorporate works in both languages,possibly through international *** in China and other countries that are strong collaborators have been identified,as well as relevant,highly cited journals.

关键词： High speed rail literature review Bibliometric analysis Vosviewer Keyword co-occurrence

Vancomycin-induced thrombocytopenia in endocarditis:A case report and review of literature

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第7期9卷 1696-1704页

作者： Si-Ri Guleng Ri-Han Wu Xiao-Bin Guo Department of Pharmacy Inner Mongolia Autonomous Region People's HospitalHohhot 010010Inner Mongolia AutonomousChina

BACKGROUND Thrombocytopenia is a serious complication in the medical practice of numerous *** is frequently used for the prophylaxis and treatment of suspected or identified methicillin-resistant positive *** cases with vancomycin-induced thrombocytopenia(VIT)have been ***,these have rarely been extensively *** present report describes a case of VIT in endocarditis,and reviews all VIT cases reported in the *** SUMMARY A 26-year-old male diagnosed with infective endocarditis was *** patient was treated with multiple drugs,including vancomycin,which was initially intravenously given at 1000 mg every 12 h and subsequently at 500 mg every 8 h on day *** day 11,the platelet count decreased to 51×10^(9)/L,vancomycin was switched to 500 mg every 12 h,and platelet transfusion was *** day 17,the platelet count dropped to 27×10^(9)/L,and platelet transfusion was administered *** day 23,vancomycin was adjusted to 500 mg every 8 h as the trough concentration dropped to the minimum effective *** day 33,the platelet count declined to approximately 40×10^(9)/*** platelet transfusion,the platelet count rebounded to 90×10^(9)/L on day 35 but dropped again to 42×10^(9)/L on day *** on the time-to-platelet count curve and Naranjo’s Adverse Drug Reaction Probability Scale score,VIT was *** vancomycin discontinuation and platelet transfusion,the platelet count gradually *** The diagnosis of VIT can be achieved through the time-to-platelet count curve and Naranjo’s Adverse Drug Reaction Probability Scale *** platelet count cannot be normalized simply by platelet transfusion alone,and vancomycin discontinuation is essential.

关键词： Case report Vancomycin Thrombocytopenia Endocarditis Platelet transfusion literature review

Periorbital purpura can be the only initial symptom of primary light chain amyloidosis:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第26期12卷 5946-5951页

作者： Xiu-Feng Wang Ting Li Man Yang Yan Huang Department of Hematology The First Affiliated Hospital of Xinxiang Medical UniversityXinxiang 453100Henan ProvinceChina Department of Blood Purification The First Affiliated Hospital of Xinxiang Medical UniversityXinxiang 453100Henan ProvinceChina

BACKGROUND Primary light chain amyloidosis is a rare and complex disease with complex clinical features and is highly susceptible to misdiagnosis and underdiagnosis in the early *** SUMMARY We report a case of a 47-year-old female patient whose only initial symptom was periorbital purpura,which was not taken seriously *** the disease progressed,pleural effusion gradually appeared,and after systematic diagnosis and treatment,she was diagnosed with“primary light chain amyloidosis”.She achieved rapid hematological remission after treatment with a daratumumab+bortezomib+cyclophosphamide+dexamethasone *** Periorbital purpura can be the only initial symptom of primary light chain amyloidosis;we should pay attention to the cases where the initial clinical symptoms are only periorbital purpura.

关键词： Primary light chain amyloidosis Periorbital purpura Initial symptom literature review Case report