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Medical profession is confronted with epidemiology changes,fast innovation in diagnosis and treatment and reform in medical system and management.Therefore,physicians face many new challenges in providing medical and social services.We should enhance doctors' understanding of professional moral,enhance their humanities accomplishment,promote their sense of responsibility,improve their service consciousness and sublimate their values.Meanwhile,we should reiterate the medical professional ethics aiming at boosting the development of medical and health services.
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Objective To discuss the clinical features, diagnosis and therapy of primary adrenal lymphoma (PAL) . Methods Two patients (65-year old and 52-year old respectively) who complained vague pain were analyzed. Occupying lesions in adrenal gland were discovered by computed tomography (CT) and diagnosed by needle biopsy and laparoscopic surgery. Results The two patients in our hospital were diagnosed as nonHodgkin's lymphoma. They were treated with chemotherapy and one of them was partial response. Literatures on PAL were reviewed. In the literature, 7 of the 65 patients achieved complete response, 15 partial response, 43 death or unspecified and the survival duration was 3 days to 26 months. Conclusions Most of PAL are bilateral, without specific clinical characters. Neele biopsy is the first choice to make the diagnosis. The therapeutic modalities for PAL include surgery, chemotherapy, surgery followed by chemotherapy as well as radiation therapy. The prognosis of PAL is poor if other organs are involved.
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1?105/ml。These cases were assigned to A or B group randomly.The management of A group:double-J tubes were placed and retained for 2 weeks again,and used susceptible antibiotics for 2 weeks→ discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks→discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks;the management of B group:double-J tube(sCook,F6,America)were placed again,and used susceptible antibiotics for 2 weeks→discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks,until the infection was cured,the double-J tube was removed after the infection was cured.Results:A group:double-J tubes were retained for 2 weeks additionally;4 patients were cured during the first two-week,2 patients were cured during the second two-week,the cure rate was 40%after two courses,one was cured during the third two-week,the cure rate was 46.7%after three courses.B group:double-J tubes was retained for 4～12 weeks(mean 8 weeks)additionally,3 patients were cured during the first two-week,9 patients were cured during the second two-week,the cure rate was 80%after two courses,2 patients were cured during the third two-week,the cure rate was 93.3%after three courses.The cure rate ofBgroup was significantlyhigher than Agroup after twocourses and three courses,the difference was significan(tP
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Objective: To evaluate the effect of Samarium etramthylene phosphoric acid(153Sm-EDTMP) in the treatment of painful bony metastases from prostate cancer after hormone therapy.Methods: 18 patients after being treated with hormone therapy(excision of testes+flutamide) for 3~6 months and with painful bony metastases from prostate cancer were injected 153Sm-EDTMP(dosage:37MBq/kg),After the patients underwent 1~3 dose treatment.The palliation of pain and change of bone metastases on bone scans were evaluated.Results: A significant decrease of bone pain was achieved,making up 77.8%(14/18) and X ray and bone radionuclide imaging exam showed that 2 patients achieved complete focus disappearance,and 8 patients achieved partial focus disappearance.The response rate is 55.5%.Conclusion: 153Sm-EDTMP radiotherapy is efficacious to the refractory painful bone metastases in prostate cancer.