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Wysłany: Czw 12:33, 03 Mar 2011
Temat postu: Analysis of 180 cases of coronary angiography DSA
DSA analysis of 180 cases of coronary angiography
Radiology, 1995,29 【9) :585-587.4 Jiangyun Yi, Zhuo-like arms, wiping down scared Bo selective coronary angiography in 304 Clinical Radiology. 1995,14 【4) :209-2Ii. i Au Yong, editor of casual word subtraction angiography Diagnostics Beijing: People's Medical Publishing House. 200 (I.1692 Xu Hongqing. Qian Bing Kun, Zhang Xi Road,
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, L ~ DSA coronary heart disease diagnosis. Practical Radiology. I996, 12 (1) :17-20 Ba Elly, LIU Xiu-jie bian editor of Diagnostic Imaging of modern coronary Beijing : cartridge Medical Press, 1998,
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,59. (Received :2001-03-04 Revised: 200i A 06-04) renal CT analysis of clinical and Vice adrenal Qiaoying Mali Gong, Vice adrenal rare kidney, we have come 2 cases. One was a normal adrenal tissue, and the other down a non-functional adrenal cortical adenoma, were confirmed by surgery, are reported as follows: Example 1 female, 32 years old hospitalized due to acute pancreatitis, B-found occupying the right kidney lesions. were usually healthy, low back pain and blood feces history. check no percussion pain kidney area. BP12.O/B.0kPa. Laboratory tests: blood, urine, and liver and kidney function is normal, no significant IVP exception. cT check: scan the front of the upper pole of right kidney shadow density protrusion see first-class, enhanced scanning see the triangular shadow, density was significantly lower than the enhancement of the renal parenchyma. lesion cr value with no significant change plain. Ping plain and enhanced lesions were uniform density, the maximum diameter of about 24cm × 28era, curved leading edge protrusion (Fig. 1). cT diagnosis of benign space-occupying the upper pole of right kidney. operative findings: the tumor in the right kidney on the vote About 2cmx2cmx22cm size, embedded in the renal parenchyma. surface coating membrane of renal arrows. encapsulated, no adhesion with the surrounding organs. pathologic findings: diffuse distribution in the kidney cortex of adrenal gland cells transparent. tissue was normal. cytoplasm rich . was kind of lipid-like cells, stromal expansion contains a large number of blood vessels. surface encapsulated. pathologic diagnosis: kidney cut the adrenal cortex. * Short reports Case 2, male. 64 years old. 2 gross hematuria 1 month ago times, as the whole dark red. without any treatment of blood feces go away. usually more than the number of night feces, about 4-5 times per night examination: kidney area no tenderness and percussion pain. blind cowpea to the gland Ⅱ. increases quality hard. blood pressure is normal, blood, feces routine, urine VMA, 17 corticosteroids and a hydroxyl l7 determination of a steroid ketones were within the normal range. B-ultrasound showed enlarged prostate, occupying the right kidney, renal cell carcinoma may . cT findings: plain outside the rear of the right kidney in the panel saw a size of about 6cm × 7.5cm high density soft tissue mass in the internal density is uneven. Center, see sheet low density. edge clear but not regular,
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, showing shallow section of lobulated renal pelvis and arrows to highlight the peritoneal membrane capsule was no significantly enlarged lymph nodes after the film, after the mass is not enhanced significantly enhanced scan. CT Diagnosis: Right renal cell carcinoma: (Figure 2,3) intraoperative findings: Tumor located in the posterolateral right kidney in a very about 6cm × 6cm × 5cm size,
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, surface with a complete capsule, and renal tight adhesion around the tumor to the renal parenchyma and renal pelvis conflict. with normal renal clear boundaries.} Xia tumor necrosis within the see of District pathology light microscope findings: a transparent cell-based tumor cell large polygon: cytoplasmic vacuolization. cells arranged in cords and nests. tumor cells and blood vessels of the garden separated the fiber. encapsulated. pathological diagnosis: {right kidney) Vice adrenal cortical adenoma. Side of a size of about 6cm × 75cm high density soft tissue mass shaggy. See sheet density shaggy center circle the block 3 no significant enhancement scan enhanced arsenic Discussion: Vice-adrenal cortex primordium by a splinter organization, usually located in the vicinity such as the kidneys of normal adrenal Jue liver capsule, gallbladder,
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, spleen, peritoneal and genitals after attachment. The Vice-adrenal tissue, generally only the cortex, but steps can associate with the adrenal cortex and medulla in the kidney, clinically different rare. Example 1 generally no obvious symptoms occasionally found due to other diseases. Non-functional adrenal cortical adenoma in the kidney vary more rare, there have been few cases in the literature reported. The 2 patients with the disease could reverse adrenal gland showed normal morphology of the adrenal gland, so the disease diagnostic imaging alone has some difficulties, but check the positioning accuracy of CT, showing tumor size, margin and around the relationship clear set of age support surgery program is very helpful. (Received :2000-09 A I5 Revised: such as 00-1I-1
Author: 529,200 members of the public hospital wide table of Radiology, Taishan (Joe stars): Qinghai Medical Imaging Center with the hospital (Mali Gong)
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