ABSTRACT
Objective To raise final diagnosis of infant' tuberculosis of lungs and toreduce misdiagnosis by approaching baby' imaging appearance.Methods Analyzing 12 cases of infant' tuberculosis of lungs of final diagnosis during near two yeas.Results In 12 cases,8 cases were to cough up phlegm,5 cases were being breathlessness and to gasp for breath,10 cases have a temperature,hyperthermia was understanding 40 ℃,minimum was 38 ℃,4 cases have night sweat,5 cases were being symptomsis,5cases have symptom of nervous system, there were 3 cases with headache and hyperspasmia,1 case with conscious disturbance;All cases were examined by normal side projection,among these there are 6 cases were examined by plain scan and enhancement scanning of CT;There were 7cases with acute miliary tuberculosis,3 cases with primary complex,2 cases with mediastinal lymphadenectasis, 1case with pure mediastinal lymphadenectasis;1 case with secnd pulmonary tuberculosis,1 case with superior' pulmonary atelectasis lobe of left lung;3 cases with tuberculous meningoencephalitis,1 case with spinal tuberculosis,1 case with Tuberculous abdominal cavity,3 cases with pleural fluid and pleural thickening among 12 cases.Conclusion Earlier diagnosis can be reached according by Baby' imaging appearance and clinical symptom, to treat in time.
ABSTRACT
Objective To discuss the DSA characteristics of primary hepatocellular carcinoma (HCC) and to investigate the relationship between the DSA findings and the expression of tumor’s vascular endothelial growth factor (VEGF). Methods Fifty-four patients with pathologically-proved primary HCC were enrolled in this study. The DSA findings, including tumor’s size, lesion’s number, lesion’s margin, the degree of blood supply, the presence or absence of artreiovnous shunting (AVS), etc. were observed and analyzed. The qualitative test of VEGF of HCC tissue was made by using Elivision TMplus method, and based on the stain degree and the percentage of the positive cells a comprehensive analyse was carried out. With HE stain the pathologic classification was conducted by using Edmmond method. In this study, grade I and II were regarded as well-differentiated group and grade III and IV were regarded as poorly-differentiated group. The data were processed by software SPSSS13.0 and the results were statistically analyzed. Results The expression degree of VEGF in HCC tissue was related to the blood supply pattern, the lesion’s number, the integrity of the tumor’s border and the degree of differentiation (P 0.05). Conclusion Some DSA manifestations of primary HCC bear a certain relationship to the VEGF content in the tumor tissue. Through observing the DSA characteristics, the assessment of the invasion and metastasis of HCC can be well made, which will afford the clinical physicians a useful reference in making individualized therapeutic schedule and in estimating the prognosis.