ABSTRACT
Objective To explore the MSCT characteristics of adhesive abdominal internal hernias and its complication of strangulated intestinal necrosis.Methods The CT data of 21 cases with adhesive abdominal internal hernias proved by operation were analyzed retrospectively.Raw data of CT images were reconstructed with MPR and/or CTA procedure for visualizing the hernia ring, intestinal mesentery and ansa interstinalis.Results Adhesive bands (hernia ring), crowding of distended and fluid-filled bowel loops with an abnormal location was visualized in 19 cases, among which the transitional segment from stenosis to dilation of the intestine was visualized in 17 cases.The crowded and engorged mesenteric vessels, edematous mesentery were visualized in 17 cases,among which mesenteric torsion was visualized in 11 cases.Varying amounts of ascites was visualized in 15 cases.All adhesive abdominal internal hernias in our study were classified according to their image manifestation.Dilated intestinal loop with thickened bowel wall was classified to type Ⅰ (7 cases).Dilated intestinal loop with normal bowel wall was classified to type Ⅱ (9 cases).Normal size of the intestinal loop with thickened bowel wall was classified to type Ⅲ (5 cases).The difference of CT values of the intestinal wall on non-contrast CT,enhancement CT values in arterial and portal phase of contrast-enhanced CT among three types of adhesive abdominal internal hernias showed statistical significance (P0.05).8 cases of adhesive abdominal internal hernias were accompanied by intestinal necrosis (5 cases for type Ⅰ,3 cases for type Ⅲ).The necrotic intestine loop manifested as markedly thickened and blurred bowel wall with reduced enhancement, while thrombosis embolism of SMV was visualized in 4 cases and thrombosis embolism of SMA in 3 cases,respectively.Massive ascites was visualized in 8 cases.Conclusion The adhesion bands,transitional segment of small intestine,gathered and translocated intestinal loops are the clue to the diagnosis of adhesive abdominal internal hernias.Edema of mesentery, gathered and engorged mesenteric vessels, occlusion of SMV or SMA and the conspicuously thickened bowel wall with reduced enhancement are the image characteristics of intestinal necrosis.
ABSTRACT
Objective] Differentiate and analyse the asthenia or sthenia attribute about the cold attribute of true cold and pseudo hot syndrome, further to simply make a summary.[Method] In order to compare with other doctor’s viewpoint and prove the opinion from the etiology and pathogenesis, clinical symptoms, clinical application and so on, by researching the related literature and theoretical works.[Result]Pathological condition of inner true cold and outer false heat appears because Yang deficiency of spleen and kidney is so long that yin exopathogen is in stasis and yang fails to transport and transform ying, further to repel yang outside in the etiology and pathogenesis. Clinical symptoms show that the red zygomas looking like being made up, low spirit, coldblooded and huddling up body, chilly limbs, drinking much and hot, diarrhea with undigested food in the stool and extreme weak pulse and even no feelings. In clinical application, the prescription is sini tang and the main medicines are fuzi and ganjiang which restore yang and get rid of cold. [Conclusion]True cold and pseudo hot syndrome belongs to asthenia-cold. And no matter in disease diagnosis even in clinical treatment, it has an important theoretical and practical significance to distinguish and clear the asthenia or sthenia attribute.
ABSTRACT
On the basis of defining the philosophical topic essence of“inside diseases show signs outside”and affirming its TCM application value, from the philosophical and clinical angles, it ful y analyses its limitations, i.e. unification is just one aspect of co-relation between inside and outside, appearance and essence, both opposition and integration are al and the essence of their relation, this is why the condition“inside diseases show signs outside”exists in clin-ic;on the other side, the integration of inside and outside, appearance and essence has complex to some extent, the TCM with prerequisite of “inside dis-eases show signs outside”and the method of “knowing inside with outer signs”have their own shortcomings and advantages, doctors shal foster the strengths and circumvent the weakness.
ABSTRACT
PURPOSE: To investigate the distribution of CD44+/CD24- cells in breast cancers in relation to tumor size before and after the administration of neoadjuvant chemotherapy. METHODS: CD44+/CD24- tumor cells obtained from breast cancer specimens were characterized in vivo and in vitro using tumor formation assays and mammosphere generation assays, respectively. The distribution of CD44+/CD24- tumor cells in 78 breast cancer specimens following administration of neoadjuvant chemotherapy was also evaluated using immunofluorescence assays, and this distribution was compared with the extent of tumor invasion predicted by Response Evaluation Criteria in Solid Tumours (RECIST). RESULTS: In 27/78 cases, complete remission (CR) was identified using RECIST. However, 18 of these CR cases were associated with a scattered distribution of tumor stem cells in the outline of the original tumor prior to neoadjuvant chemotherapy. After neoadjuvant chemotherapy, 24 cases involved cancer cells that were confined to the tumor outline, and 21 cases had tumor cells or tumor stem cells overlapping the tumor outline. In addition, there were 6 patients who were insensitive to chemotherapy, and in these cases, both cancer cells and stem cells were detected outside the contours of the tumor volume imaged prior to chemotherapy. CONCLUSION: CD44+/CD24- tumor cells may be an additional parameter to evaluate when determining the extent of breast cancer invasion.
Subject(s)
Humans , Breast , Breast Neoplasms , Fluorescent Antibody Technique , Neoplasm Invasiveness , Neoplastic Stem Cells , Stem Cells , Tumor BurdenABSTRACT
This artile mainly discusses about the congenital body marks such as invisible innateness, invisible innateness including water and fire, innateness without sthenia syndrome, innateness with five elements, innateness without relationship between zang and fu, innateness without meridians, relationship among the innateness and the memory, body fluid, and so on, from which analyzes that vital gate being congenital origin. This article concludes that the gate of life is congenital and points out that the gate of life is the sixth organ besides heart,liver,spleen,lung and kidney.
ABSTRACT
This paper aims to discuss that the origin of the concept “physique existing with spirit” is the starting point of the origino logical study of “will stored in the kidney, corresponding to fear”, the definition of “physique existing with spirit” factually is one of many detailed reflections of TCM returning and suing for peace to traditional culture, its originological basis lies in “knowing interior from exterior” and the observation to the life course of “birth, growth, strength, senior, death”; “will” has broad and narrow meanings, the one I'n Classics has the narrow meaning, I. E. , will and memory ; the origin of “will stored in the kidney” is based on the theory of “essence of life stored in the kidney”, which depending on “subject thinking” method grasping the relatin of will and action, meanwhile, the antiproof of treatment to amnesia can also be induced to the basis of “will stored in the kidney”; “fear” belongs to the kidney, the basis of the theory “kidney corresponding to fear” comes from the observation to the symptoms caused by too much fear, and the interpromoting relationship of feeling and will practice to the reasonable and scientific matching proof of kidney-fear.