ABSTRACT
A 49-year-old male was admitted to Peking Union Medical College Hospital presented with fever for more than half a year. The patient was diagnosed as Sjogren′s syndrome at local hospital. After oral prednisone 60 mg per day was given, the fever alleviated, but recurred after prednisone tapered to 40 mg/d. Both blood culture and stool culture were positive for Salmonella enteritidis. Antibiotics including ceftazidime, ceftriaxone, cilastatin-imipenem were sequentially administrated for 4 weeks, yet not effective. Although there were not respiratory symptoms or certain abnormalities on high-resolution chest CT, arterial blood gas indicated hypoxemia. Serum lactate dehydrogenase and β2 micro-globulin were elevated, and the lung function test demonstrated significant impairment of diffusion function. Positron emission tomography-computed tomography (PET/CT)scan suggested that high fluorodeoxyglucose uptake was diffusely seen in both lungs. The patient was finally diagnosed as pulmonary intravascular large B-cell lymphoma (IVLBCL) by transbronchial lung biopsy. This case aims to emphasize the differentiation diagnoses of pulmonary intravascular lymphoma from common situations.
ABSTRACT
This paper on the basis of the quality of life,evaluation,comparison of esophagectomy by different surgical procedures including different surgery path,the path of esophageal reconstruction,and anastomosis site,consistent way and replacement organs influence on postoperative quality of life,to seek treatment for esophageal cancer the best surgical procedure.Esophagectomy was performed by esophageal cancer,and quality of life for search keywords,retrieve the knowledge network,a database of ten thousand,China Medline,Embase and Cochrane database,get the related literature,behind the articles listed in the references are reviewed as a supplement.Since this review is not systematic,only 54 key literatures are included in the analysis and discussion.