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World Journal of Clinical Cases 2022年第18期10卷 6261-6268页

作者： Jing Zhang Na Li Wu-Li Li Xian-Yu Zheng Song Li Stomatological Hospital and College Key Laboratory of Oral Diseases Research of Anhui ProvinceAnhui Medical UniversityHefei 230032Anhui ProvinceChina

BACKGROUND TypeⅢb dens invaginatus(DI)with a lateral canal located at the mid-third of the root is rarely reported.Here,we report a rare case of typeⅢb DI in the left upper anterior tooth with a lateral canal that led to persistent periodontitis.CASE SUMMARY A 15-year-old female patient presented with a chief complaint of pain associated with recurrent labial swelling in the area of the left anterior tooth.A diagnosis of typeⅢb DI and chronic periodontitis was made.Intentional replantation was performed after conventional endodontic treatment failed.After 6 mo,the patient was asymptomatic,but a sinus tract was observed.Cone-beam computed tomography images showed bone loss in the mesial of the mid-root.Based on methylene blue staining and microscopy images,the lateral foramen located at the middle third of the root was surgically treated.After 3 years of follow-up,the clinical findings and radiographic assessment presented a favorable prognosis of bone healing without root absorption or ankylosis.CONCLUSION TypeⅢb DI with a lateral canal can be successfully treated by root canal treatment,intentional replantation,and surgical therapy.

关键词： Dens invaginatus Intentional replantation surgical therapy Lateral canal Case report

Colonoscopy-assisted removal of an impaction foreign body at the rectosigmoid junction: A case report

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World Journal of Clinical Cases 2024年第11期12卷 1990-1995页

作者： Peng-Fei Zhou Jin-Gen Lu Jia-Dong Zhang Jia-Wen Wang Department of Anorectal Surgery Longhua Hospital Shanghai University of Traditional Chinese MedicineShanghai 200000China

BACKGROUND When an anorectal foreign body is found,its composition and shape should be evaluated,and a timely and effective treatment plan should be developed based on the patient's symptoms to avoid serious complications such as intestinal perforation caused by displacement of the foreign body.CASE SUMMARY A 54-year-old male was admitted to our outpatient clinic on June 3,2023,due to a rectal foreign body that had been embedded for more than 24 h.The patient reported using a glass electrode tube to assist in the recovery of prolapsed hemorrhoids,however,the electrode tube was inadvertently inserted into the anus and could not be removed by the patient.During hospitalization,the patient underwent surgery,and the foreign body was dragged into the rectum with the aid of colonoscopy.The anus was dilated with a comb-type pulling hook and an anal fistula pulling hook to widen the anus and remove the foreign body,and the local anal symptoms were then relieved with topical drugs.The patient was allowed to eat and drink,and an entire abdominal Computed tomography(CT)and colonoscopy were reviewed 3 d after surgery.CT revealed no foreign body residue and colonoscopy showed no metal or other residues in the colon and rectum,and no apparent intestinal tract damage.CONCLUSION The timeliness and rationality of the surgical and therapeutic options for this patient were based on a literature review of the clinical signs and conceivable conditions in such cases.The type,material and the potential risks of rectal foreign bodies should be considered.

关键词： Foreign body impaction surgical therapy Rectum-sigmoid colon Colonoscopy Case report

surgical therapy and prognosis of sarcomatoid carcinoma of the gallbladder

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Hepatobiliary & Pancreatic Diseases International 2010年第2期9卷 175-179页

作者： Hu, Zhen-Hua Li, Zhi-Wei Shen, Liang Zhang, Min Zheng, Shu-Sen Zhejiang Univ Minist Publ Hlth Affiliated Hosp 1Div Hepatobiliary & Pancreat Su Key Lab Combined Multiorgan TransplantatSch Med Hangzhou 310003 Zhejiang Peoples R China Zhejiang Univ Sch Med Affiliated Hosp 1 Key Lab Organ Transplantat Zhejiang Prov Hangzhou 310003 Zhejiang Peoples R China

BACKGROUND: Sarcomatoid carcinoma of the gallbladder is rare and its characteristics are poorly understood. This study aimed to understand the behavior and prognosis of sarcomatoid carcinoma of the gallbladder as well as its clinical manifestations and survival rate of patients after radical or palliative surgery, and to review the reported data worldwide and our 10 patients. METHODS: From 2004 to 2009, ten patients were pathologically diagnosed with sarcomatoid carcinoma of the gallbladder and underwent operation at our center. These characteristics, clinical presentations, tumor-node-metastasis (TNM) staging, surgical modes, and prognosis were reviewed, retrospectively. We collected the data of 46 patients reported in the English-language literature worldwide and analyzed the survival with ours. The survival rate was estimated using the Kaplan-Meier method, and was compared using the log-rank test. RESULTS: The median age of the 10 patients was 67 years (inter-quartile range 59-74 years), and the size of tumor inter-quartile ranged from 3.1 to 7.9 cm. In this series, 9 patients received radical surgery, and one undewent palliative surgery. There was no surgical mortality, and one patient underwent a second operation because of liver metastasis. The median survival time of the patients was 9 months (inter-quartile range 6-12 months), with 3 patients still being alive until follow-up; however, two patients had tumor recurrence. The data from the 56 patients (10 patients in our series and 46 reported elsewhere) statistically indicated that the median age was 66 years (inter-quartile range 61-74.5 years) and the overall median survival was 5.5 months (inter-quartile range 2.5-10 months). The survival time in the patients undergoing radical surgery (n=42) was significantly longer than that in the patients undergoing palliative surgery (n=14) (P=0.031). CONCLUSIONS: The survival of the patients with sarcomatoid carcinoma of the gallbladder is poor. Some patients may die shortly after the surgery because of recurrence

关键词： gallbladder neoplasm sarcomatoid carcinoma surgical therapy prognosis

Clinical characteristics and prognosis of orbital solitary fibrous tumor in patients from a Chinese tertiary eye hospital

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World Journal of Clinical Cases 2022年第27期10卷 9670-9679页

作者： Ming-Yu Ren Jing Li Yi-Xiang Wu Rui-Miao Li Chi Zhang Li-Min Liu Jing-Jing Wang Yu Gao Department of Orbital Disease and Ocular Tumor Hebei Eye HospitalXingtai 054001Hebei ProvinceChina Intensive Care Unit Xingtai Third HospitalXingtai 054001Hebei ProvinceChina Department of Medical Imaging Hebei Eye HospitalXingtai 054001Hebei ProvinceChina

BACKGROUND Solitary fibrous tumor(SFT) is predominant within the pleura but very rare in the orbit,which is why the diagnosis of orbital SFT poses challenges in clinical practice.Accordingly,an integrated approach that incorporates specific clinical features,histological,histopathological,and immunohistochemical(IHC) examinations,and molecular analyses is warranted.AIM To retrospectively explore the clinical and imaging characteristics,treatment,outcomes of a series of patients with orbital SFT.METHODS We conducted a retrospective review of a series of patients diagnosed with a histopathologic orbital SFT treated at a single institution.All data on demographics,clinical characteristics,imaging,treatment,postoperative histopathological and IHC examinations,and prognosis were collected.RESULTS In total,13 patients were enrolled,7(53.8%) of whom had the tumor located in the superomedial quadrant of the orbit.Computed tomography revealed a solitary ovoid lesion in 10(76.9%) patients and irregular lesion in 3(23.1%) patients.Magnetic resonance imaging results were as follows:On T1 weighted images,3(23.1%) patients had hypointense mixed signals,whereas 10(76.9%) patients showed isointense mixed signals;on T2 weighted images(T2 WI),3(23.1%),4 (30.8%),and 6(46.2%) patients exhibited hypointense mixed,isointense mixed,and hyperintense signals,respectively.Notably,12(92.3%) patients showed significant enhancement,whereas there were patchy slightly enhanced areas in the tumor.All patients were treated by surgery.IHC analysis demonstrated that the tumor cells were immunoreactive for CD34,CD99,STAT-6,and vimentin in all patients.The lesions showed Ki-67 positivity 10% in 2(15.4%).Two(15.4%) patients exhibited tumor recurrence.CONCLUSION The clinical manifestations and radiologic characteristics of orbital SFT are diverse and not specific.Accurate diagnosis and treatment require detailed radiological and histopathological/IHC evaluation.

关键词： Orbit Solitary fibrous tumor Diagnostic imaging Immunohistochemistry surgical therapy

Intramedullary nailing for pathological fractures of the proximal humerus caused by multiple myeloma: A case report and review of literature

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World Journal of Clinical Cases 2022年第11期10卷 3518-3526页

作者： Guo-Qiang Xu Gang Wang Xiao-Dong Bai Xin-Jia Wang Department of Orthopedics Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China Department of Pediatrics Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

BACKGROUND Multiple myeloma(MM)bone disease is indicative of MM,and reduces patient life quality.In addition to oncological,antineoplastic systemic therapy,surgical therapy in patients with MM is an essential treatment within the framework of supportive therapy measures and involves orthopedic tumor surgery.Nevertheless,there are few reports on intramedullary(IM)nailing in the treatment of MM-induced proximal humeral fracture to prevent fixation loss.We here describe a case of pathological fracture of the proximal humerus caused by MM successfully treated with IM nailing without removal of tumors and a review of the current literature.CASE SUMMARY A 64-year-old male patient complaining of serious left shoulder pain and limited movement was admitted.The patient was finally diagnosed with MM(IgAλ,IIIA/II).After treatment of the pathological fracture with IM nailing,the patient's function recovered and his pain was rapidly relieved.Histopathological examination demonstrated plasma cell myeloma.The patient received chemotherapy in the Hematology Department.The humeral fracture displayed good union during the 40-mo follow-up,with complete healing of the fracture,and the clinical outcome was satisfactory.At the most recent follow-up,the patient's function was assessed using the Musculoskeletal Tumor Society score,which was 29.CONCLUSION Early surgery should be performed for the fracture of the proximal humerus caused by MM.IM nailing can be used without removal of tumors.Bone cement augmentation for bone defects and local adjuvant therapy can also be employed.

关键词： Multiple myeloma Bone disease Pathological fractures Intramedullary nailing surgical therapy Case report

surgical Management of Traumatic Facial Paralysis:A Case Review Study

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Journal of Otology 2011年第2期6卷 38-42页

作者： YI Hai-jin1,LIU Pi-Nan2,YANG Shi-ming1 1Department of Otolaryngology,Head and Neck Surgery,Institute of Otolaryngology,Chinese PLA General Hospital,Beijing,China 2Department of neurosurgery division 9 and otolaryngeal-head and neck surgery,Beijing Tiantan Hospital,Capital University of Medical Science,Beijing,China Department of Otolaryngology Head and Neck Surgery Institute of Otolaryngology Chinese PLA General Hospital Beijing China Department of neurosurgery division 9 and otolaryngeal–head and neck surgery Beijing Tiantan HospitalCapital University of Medical Science BeijingChina

Objective To evaluate efficacy of surgical treatment in traumatic facial paralysis.Methods:Thirty-three cases were reviewed,including temporal bone fracture and iatrogenic facial nerve injury.All the patients were treated with various surgical methods according to their pathogeny.Results The mean percentage facial function improvement (House-Brackmann GradeⅠ-Ⅱ) was 86% in temporal bone fracture and function was improved after proper operation to iatrogenic facial nerve injury.Conclusions Patients with traumatic facial paralysis receive proved outcomes itreaed with proper surgical methods according to their particular condition of nerve injury.

关键词： traumatic facial paralysis temporal bone fracture surgical therapy iatrogenic facial nerve injury

All about Peyronie’s disease

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Asian Journal of Urology 2015年第2期2卷 70-78页

作者： Ahmed A.Hussein Amjad Alwaal Tom F.Lue Department of Urology University of CaliforniaSan FranciscoCAUSA Department of Urology Cairo UniversityEgypt Department of Urology King Abdul Aziz UniversitySaudi Arabia

Peyronie’s disease(PD)is an acquired connective tissue disorder of the tunica albuginea of the corpus cavernosum,characterized by excessive fibrosis and plaque formation.PD can result in significant physical and psychological morbidity;as it may prevent intercourse and cause adverse impacts on partner relationships.The exact etiology and pathophysiology remain unclear,and many misconceptions about the disease associations,course and treatment exist.The disease has two distinct stages.The acute stage is characterized by pain,and disease may progress during this stage.Non-surgical managements at this stage aim to alleviate pain and stabilize the disease.Results for non-surgical treatment are often conflicting.The chronic stage occurs 6e12 months later,where pain disappears and the deformity stabilizes.surgical treatment is reserved for significant deformity or with inability to penetrative intercourse.The choice of the surgical technique depends on the length of the penis,degree of deformity,erectile function,patients’expectations and surgeon’s preference.

关键词： Peyronie’s disease Pharmacotherapy surgical therapy

Post-operation life quality assessment depending on KPS in adult supratentorial superficial low-grade glioma and relevant factors

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Post-operation life quality assessment depending on KPS in a...

Impact factor analysis of post-operation life quality according to KPS in adult supratentorial superficial low-grade glioma

2011中华医学会神经外科学学术会议

作者： Qing Mao1 Lu Ma1 Xiao-shu Dong1 1.Department of Neurosurgery, West China Hospital, Sichuan University

Objective We assessed the life quality of adult supratentorial superficial low-grade glioma (ASS-LGG) patients depending on Karnofsky Performance Scale (KPS) and analyzed the relevant factors. Some benefit factors wer... 详细信息

关键词： Life quality Low-grade glioma Adult supratentorial superficial surgical therapy Karnofsky Performance Scale （KPS） Impact factor

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Impact factor analysis of post-operation life quality accord...