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World Journal of Radiology 2024年第8期16卷 294-316页

作者： Woongsoon John Choi Peggy Lee Penelope C Thomas Tanya J Rath Monique A Mogensen Roberta W Dalley Pattana Wangaryattawanich Division of Neuroradiology Department of RadiologyUniversity of Washington School of MedicineSeattleWA 98195United States Department of Radiology M&S Radiology AssociatesSan AntonioTX 78217United States Division of oral Radiology University of Washington School of DentistrySeattleWA 98195United States Division of Neuroradiology Department of RadiologyMayo ClinicPhoenixAZ 85054United States

Jaw and maxillofacial bone lesions encompass a wide variety of both neoplastic and non-neoplastic *** lesions can arise from various tissues,including bone,cartilage,and soft tissue,each presenting distinct challenges in diagnosis and *** some pathologies exhibit characteristic imaging features that aid in diagnosis,many others are *** overlap often necessitates a multimodal imaging approach,combining techniques such as radiographs,computed tomography,and magnetic resonance imaging to achieve a diagnosis or narrow the diagnostic *** article provides a comprehensive review of the imaging approach to jaw and maxillofacial bone tumors,including updates on the 2022 World Health Organization classification of these *** relevant anatomy of the jaw and dental structures that is important for accurate imaging interpretation is discussed.

关键词： Mandible Maxilla Maxillofacial Jaw Tumor Neoplasm

Facial basal cell carcinoma:A retrospective study of 67 cases

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World Journal of Clinical Cases 2023年第7期11卷 1488-1497页

作者： Afrah A Khalil Hamid H Enezei Tahrir N Aldelaimi Raid M Al-Ani Department of oral diagnosis College of DentistryUniversity of AnbarRamadi 31001AnbarIraq Department of oral and Maxillofacial Surgery College of DentistryUniversity of AnbarRamadi 31001AnbarIraq Department of Surgery/Otolaryngology University of AnbarCollege of MedicineRamadi 31001AnbarIraq

BACKGROUND Basal cell carcinoma(BCC)is a slow-growing malignant tumor characterized by local invasiveness but an exceptionally rare metastatic *** ideally affects sun-exposed skin of older patients with more propensity for the facial *** To evaluate the different clinicopathological characteristics of the facial BCC and the efficacy and safety of diode laser for the treatment of these *** We retrospectively reviewed facial BCC lesions of60 years(P value=0.007).Excellent aesthetic and functional outcomes were reported in all cases after 6 mo of *** complications were reported after diode laser *** Facial BCC was mostly seen in the elderly and *** mean duration was 5.15 *** nose was the commonest involved *** lesions were seen in approximately half of the *** age of the patients determined the histological type of the lesion(solid type was mostly seen in the age group≤60 years,while,adenoid in the age group>60 years).Diode laser ablation showed excellent functional and aesthetic outcomes following a 6-mo follow-up.

关键词： Basal cell carcinoma Maxillofacial pathology Histopathology Malignant skin tumors Dermatological lesions Diode laser

oral malignant acanthosis nigricans associated with endometrial adenocarcinoma

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International Journal of oral Science 2014年第4期6卷 247-249页

作者： Han-Wen Chu Jing-Min Li Guan-Fu Chen Jing-Yuan Ma Department of oral and Maxillofacial Surgery Second Affiliated Hospital College of Medicine Zhejiang University Hangzhou Stomatological Hospital Department of oral medicine Second Affiliated Hospital College of Medicine Zhejiang University

We report a 59-year-old patient with malignant acanthosis nigricans associated with metastasis of endometrial carcinoma. The patient presented papillomatosis lesions that appeared to be benign on multiple skins of body folds, particularly on lips. The lesions in lips and axilla had histological characteristic appearances of acanthosis nigricans, while the masses in abdomen and pelvis were metastasis endometrial adenocarcinoma. The article highlights the importance of biopsy and histopathological diagnosis in presumed benign lesions and the role of doctors in screening for body internal tumors.

关键词： endometrial adenocarcinoma oral malignant acanthosis nigricans

Changes in interleukin-6 levels in saliva in patients with oral squamous cell carcinoma during the treatment phase.

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中国口腔颌面外科杂志 2008年第B5期6卷 150-151页

作者： Jun Goto Ayako Harahashi Yutaka Yamazaki Akira Satoh Yoshimasa Kitagawa oral diagnosis and medicine Department of OralPathobiological Science Hokkaido University Graduate Schoolof Dental Medicine. Sapporo Japan

Purpose: To compare interleukin-6 (IL-6) levels between patients with oral squamous cell carcinoma (OSCC) and controls, and to elucidate the changes in IL-6 levels during the treatment phase。Methods: Twenty-nine consecutive subjects with OSCC were enrolled in this study。The patients were guided for systematic oral care just after admission to prevent complications such as pneumonia。Saliva was collected three times during the treatment phases in the patient group。As controls, 11 healthy volunteers were recruited。Results: IL-6 was detected in 22/28 samples in the patient group at the time of admission。The median concentration of IL-6 was significantly higher in the patient group (3.6 pg/ml) than in the controls (0.4 pg/ml) (P=0.03)。Just before the surgery, the median concentration of IL-6 was 4.8 pg/ml, which was significantly higher than that at the time of admission (P=0.01)。The median concentration of IL-6 was 5.2 pg/ml at the time of discharge。Conclusion: IL-6 was up-regulated in saliva in the OSCC patients。IL-6 level tended to increase before treatment, and was not reduced significantly at discharge。IL-6 in saliva may contribute to the immune response or progression of OSCC。

关键词：口腔鳞状细胞癌治疗方法临床分析

Pleural empyema with endobronchial mass due to Rhodococcus equi infection after renal transplantation: A case report and review of literature

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World Journal of Clinical Cases 2024年第1期12卷 224-231页

作者： Guo-Fu Liang Sheng Chao Zhou Sun Ke-Jing Zhu Qian Chen Lei Jia Yu-Lin Niu Department of Organ Transplantation School of Clinical MedicineGuizhou Medical UniversityGuiyang 550025Guizhou ProvinceChina Department of Organ Transplantation The Affiliated Hospital of Guizhou Medical UniversityGuiyang 550000Guizhou ProvinceChina

BACKGROUND Kidney transplantation is the best option for patients with end-stage renal ***,the need for lifelong immunosuppression results in renal transplant recipients being susceptible to various *** equi(***)is a rare opportunistic pathogen in humans,and there are limited reports of infection with *** in post-renal transplant recipients and no uniform standard of *** article reports on the diagnosis and treatment of a renal transplant recipient infected with *** 21 mo postoperatively and summarizes the charac-teristics of infection with *** after renal transplantation,along with a detailed review of the ***,we present the case of a 25-year-old man who was infected with *** 21 mo after renal *** the clinical features at the time of presentation were not specific,chest computed tomography(CT)showed a large volume of pus in the right thoracic cavity and right middle lung atelectasis,and fiberoptic bronchoscopy showed an endobronchial mass in the right middle and lower lobe *** culture and metagenomic next-generation sequen-cing sequencing of the pus were suggestive of *** *** immunosup-pressive drugs were immediately suspended and intravenous vancomycin and azithromycin were administered,along with adequate drainage of the *** endobronchial mass was then *** the patient’s clinical symptoms and chest CT presentation resolved,he was switched to intravenous ciprofloxacin and azithromycin,followed by oral ciprofloxacin and *** patient was re-hospitalized 2 wk after discharge for recurrence of *** *** recovered after another round of adequate abscess drainage and intravenous ciprofloxacin and *** Infection with *** in renal transplant recipients is rare and complex,and the clinical presentation lacks *** antibiotic therapy is required,and adequate abscess drainage and s

关键词： Kidney transplantation Rhodococcus equi Pleural empyema Pulmonary atelectasis Immunosuppression Case report

Gastroesophageal reflux following peroral endoscopic myotomy for achalasia:Bumps in the road to success

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World Journal of Gastroenterology 2024年第29期30卷 3461-3464页

作者： David Itskoviz Stephen David Howard Malnick Kaplan Medical Center Institute of Gastroenterology and HepatologyHebrew University Medical School of JerusalemRehovot 76100Israel Kaplan Medical Center Department of Internal Medicine CHebrew University Medical School of JerusalemRehovot 76100Israel

Achalasia can significantly impair the quality of *** clinical presentation typically includes dysphagia to both solids and liquids,chest pain,and *** can be delayed in patients with atypical presentations,and they might receive a wrong diagnosis,such as gastroesophageal reflux disease(GERD),owing to overlapping symptoms of both *** the cause of achalasia is poorly understood,its impact on the motility of the esophagus and gastroesophageal junction is well *** treatment modalities have been utilized,with the most common being surgical Heller myotomy with concomitant fundoplication and pneumatic balloon ***,peroral endoscopic myotomy(POEM)has gained popularity as an effective treatment for achalasia,despite a relatively high incidence of GERD occurring after treatment compared to other *** magnitude of post-POEM GERD depends on its definition and is influenced by patient and procedure-related *** longterm sequelae of post-POEM GERD are yet to be determined,but it appears to have a benign course and is usually manageable with clinically available *** risk factors for post-POEM GERD and modifying the POEM procedure in selected patients may improve the overall success of this technique.

关键词： Achalasia Per-oral endoscopic myotomy Gastroesophageal reflux Pneumatic dilatation Heller myotomy Proton pump inhibitor Acidic fermentation

Ischemic colitis induced by a platelet-raising capsule: A case report

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World Journal of Clinical Cases 2024年第3期12卷 607-615页

作者： Chen-Lu Wang Ze-Kun Si Guo-Hong Liu Chen Chen Hui Zhao Lei Li The Affiliated Hospital of Shandong Second Medical university School of Clinical MedicineShandong Second Medical UniversityWeifang 261000Shandong ProvinceChina Department of Gastroenterology The Affiliated Hospital of Shandong Second Medical UniversityWeifang 261000Shandong ProvinceChina

BACKGROUND Ischemic colitis(IC)is also known as colon ischemia and is caused by colon vascular occlusion or nonocclusion,which results in a reduced blood supply to the colon and is not significant enough to maintain the metabolic function of cells,leading to intestinal wall *** main symptoms include abdominal pain,diarrhea,and bloody *** severe cases,intestinal gangrene,peritonitis,intestinal stenosis and even intestinal obstruction may *** induced by long-term use of certain special drugs is relatively rare in clinical *** article describes the clinical diagnosis and treatment of a typical case and provides a new treatment idea for the treatment of *** SUMMARY The patient was admitted to the hospital with"abdominal pain for half a month and bloody stool with mucous and pus for 3 d"and was diagnosed with"IC".Symptomatic and supportive treatment,such as antibiotics(levofloxacin),acid inhibition and stomach protection,fluid replenishment,and intravenous nutrition,was *** patient's colonic ulcers were considered to be related to the oral administration of platelet(PLT)-raising capsules;the patient was asked to stop PLT-raising drugs for selective review via colonoscopy,and antibiotics and mesalazine enteric-coated tablets were *** the guidance of hematology consultation,60 mg of methylprednisolone was given in combination with PLT infusion to increase the *** treatment,the patient's condition stabilized,the patient’s stool turned yellow,the patient’s symptoms improved,and the patient was allowed to leave the *** PLT-raising capsules can lead to IC,so clinicians should have a full understanding of the application of these drugs in the treatment of various causes of thrombocyt-INTRODUCTION Ischemic colitis(IC)is also known as colon ischemia(CI)and is caused by colon vascular occlusion or nonocclusion,which results in a reduced blood supply to the colon;this process is not significant enough to maintai

关键词： Platelet-raising capsule Ischemic colitis Drug-related Colonic ulcer Case report

Diagnostic aids for detection of oral precancerous conditions

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International Journal of oral Science 2013年第2期5卷 59-65页

作者： Diana V Messadi Division of oral Biology and medicine School of DentistryUniversity of California Los Angeles

oral cancer has a tendency to be detected at late stage which is detrimental to the patients because of its high mortality and morbidity rates. Early detection of oral cancer is therefore important to reduce the burden of this devastating disease. In this review article, the most common oral precancerous lesions are discussed and the importance of early diagnosis is emphasized. In addition, the most common non-invasive oral cancer devices that can aid the general practitioners in early diagnosis are also discussed.

关键词： early diagnosis non-invasive detection tools oral precancerous lesions

Hepatitis B surface antigen levels during natural history of chronic hepatitis B: A Chinese perspective study

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World Journal of Gastroenterology 2014年第27期20卷 9178-9184页

作者： Lin-Yan Zeng Jiang-Shan Lian Jian-Yang Chen Hong-Yu Jia Yi-Min Zhang Dai-Rong Xiang Liang Yu Jian-Hua Hu Ying-Feng Lu Lin Zheng Lan-Juan Li Yi-Da Yang State Key Laboratory for diagnosis and Treatment of Infectious Diseases the First Affiliated Hospital of Zhejiang University School of Medicine

AIM: To determine the baseline hepatitis B surface antigen (HBsAg) levels during the different phases of chronic hepatitis B (CHB) patients in China.

关键词： Hepatitis B surface antigen quantification Chronic hepatitis B Natural history Perspective

Angiosarcoma of the scalp diagnosed by the presence of neck inflammation:a case report

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International Journal of oral Science 2012年第3期4卷 166-169页

作者： Rei Karube Hiroyoshi Sasaki Keiji Shinozuka Yasuhiro Fujisawa Toru Yanagawa Kenji Yamagata Kojiro Onizawa Fujio Otsuka Hiroki Bukawa Department of oral and Maxillofacial Surgery Faculty of MedicineUniversity of Tsukuba Department of Dermatology Faculty of MedicineUniversity of Tsukuba

Angiosarcoma is an uncommon malignancy, which spread out from the endothelial cells of vessels. Scalp angiosarcoma with cervical lymph node metastasis is particularly rare. This article describes a rare case of angiosarcoma of the scalp, presenting as neck inflammation. Imaging procedures such as computed tomography （CT）, magnetic resonance image （MRI） and ultrasonography （US） were not sufficient to diagnose this case. A needle biopsy provided an effective and accurate diagnosis of cervical lymph node metastasis. Additional observation and physical examination was required to diagnose the origin of the primary cancerous lesion. Once the angiosarcoma diagnosis was confirmed histologically, sequential weekly and monthly docetaxel （DTX） treatment was effective in preventing reoccurrence. Nonetheless, the optimization of angiosarcoma treatment remains a future goal. Although patients generally describe pain and swelling at the primary lesion site, this patient complained only of painful neck inflammation, without any indication of pain or swelling of the scalp. A revised diagnostic protocol should note that cervical lymph node metastasis of unknown primary origin may result from angiosarcoma of the scalp.

关键词： angiosarcoma docetaxel neck inflammation needle biopsy scalp