Cerebellar Hemangioblastomas in a High-risk Pregnancy: A Case Report and Review of Literature.

INTRODUCTION: Hemangioblastomas are highly vascular benign tumors that may increase in size during pregnancy. The concurrence of cerebellar hemangioblastoma in high-risk pregnancy is extremely rare and the treatment in this situation can be challenged. CASE: Here, we report a case of a 30-year-old woman in the 33rd PW who had experienced a severe headache, dizziness, vomiting, and limb weakness. Cesarean section was performed in the 34th PW, followed by neurosurgery under multidisciplinary discussion. DISCUSSION: The pathological exam suggested hemangioblastomas. Finally, both the pregnancy and the fetus had a good outcome. CONCLUSION: This case emphasizes that the timing of surgery should be determined according to the neurological symptoms of the pregnancy and the gestational age (GA) and condition of the fetus.

Malignant Solitary Fibrous Tumor of the Right Cerebellum: A Case Report.

Solitary fibrous tumor is a very rare mesenchymal tumor that occurs mostly in the pleura, and there are few reported cases of a presence in the central nervous system, particularly in the cerebellum. In 2016, the WHO classified solitary fibrous tumors into grade I. In this article, we present a case of malignant solitary fibrous tumor recurring 8 years after surgery in a 63-year-old male. Magnetic resonance imaging showed low to intermediate mixed signal intensity on T1W1. Immunohistochemical staining positivity for Vimentin, CD99, CD34 and Bcl-2, it is consistent with the immunohistochemical characteristics of solitary fibrous tumor. We resected the patient's tumor, and the patient was followed up for 3 months with no signs of recurrence. Solitary fibrous tumors are very rare in the central nervous system. Immunohistochemical staining positivity for CD34 and Bcl-2 is strongly expressed in most solitary fibrous tumor. Surgical resection is the preferred treatment. Due to the small number of cases, the biological behavior and prognosis of this tumor need to be further explored.

Meningiomas with different histological grade in the same patient: Case report.

RATIONALE: Meningiomas are mostly regarded as benign tumors histologically,accounting for 13% to 26% of all primary intracranial tumors.It is testified that multiple meningiomas occur in <10% of cases.A case of concurrent grades I and II in the same patient in our hospital was described. PATIENT CONCERN: A 66-year-old man who was experiencing headache and weakening in the left limbs, which gradually improved.Then, the myodynamia of left limb was weakening to level 3 and the muscular tension of left limbwas too strong for 1 year. Finally the man was admitted to our department of neurosurgery. DIAGNOSES: According the symptoms, signs and imaging data the patient. The 2 masses was diagnosed as the meningioma.Finally the histological examination showed the meningioma located in the right parietal lobe was diagnosed as fibrous meningioma,WHOgrade I, whereas meningioma reaching to the skull as atypical meningioma, WHO grade II. INTERVENTIONS: The 2 masses including the invaded dura mater,parietal skull, and adjacent subcutaneous tissue were excised wholly In the process of surgery. OUTCOMES: There is no sign caused by recurrent tumor. within the half year.The physical of the patient is good LESSONS:: The patient with multicentric meningiomas should keep follow-up closely in case the meningiomas show the malignant characteristics.

[Risk assessment of the farmland and water contamination with the livestock manure in Anhui province].

Basing on the data of livestock in 2001-2009 in Anhui province, the farmland pollution loading and water equal standard pollution loading of livestock manure were calculated utilizing the discharge rate of livestock manure. In addition, the risk assessment was evaluated on the livestock pollution in farmland and water bodies in this province. The industrial production of animal manure of this industry in 2008-2009 in Anhui amounted to 0.67 billion tons, and the averaged farmland loading of livestock manure, N, and P were 16.2 t x hm(-2), 83.8 kg x hm(-2), and 34.5 kg x hm(-2), respectively. The overall averaged risk constant of livestock manure loading in farmland was 0.36 (approximately risk level I). As to the water bodies, the averaged equal standard pollution loading was 7.03. However, significant differences were observed for the farmland and water contamination with livestock manure in different areas of Anhui, suggesting that some areas might receive much higher doses than the averaged amounts. The contamination weakened comparing with that in 2001-2002. But there was a trend of increase for P pollution. According to the information in 2008-2009, the farmland and water bodies in the areas of Hefei, Suzhou, and Bengbu still borne the livestock manure contamination. Results of this work provide some useful information for the water and farmland environmental protection in Huaihe river basin in Anhui province.