The Changhua Journal of Medicine最新文献_第7页

Nonunion of Osteoporotic Hip Fracture Successfully Treated with Teriparatide 特立帕肽成功治疗骨质疏松性髋部骨折不愈合

The Changhua Journal of Medicine Pub Date : 2014-09-01 DOI: 10.6501/CJM.1203.004

Chia-Chieh Wu, Chen-Pu Hsieh, Shuoyin Huang

引用次数: 0

Intranodal Palisaded Myofibroblastoma: First Case Report in Taiwan and Review of the Literature 结内栅栏性肌成纤维细胞瘤:台湾首例报告及文献复习

The Changhua Journal of Medicine Pub Date : 2014-09-01 DOI: 10.6501/CJM.1203.002

Yi-Hsin Lee, Ying-Tai Jin, Chaoping Wu, C. Yue, Shiu-Feng Huang

{"title":"Intranodal Palisaded Myofibroblastoma: First Case Report in Taiwan and Review of the Literature","authors":"Yi-Hsin Lee, Ying-Tai Jin, Chaoping Wu, C. Yue, Shiu-Feng Huang","doi":"10.6501/CJM.1203.002","DOIUrl":"https://doi.org/10.6501/CJM.1203.002","url":null,"abstract":"Intranodal palisaded myofibroblastoma (IPM) is a very rare primary mesenchymal tumor arising from the lymph nodes. Only around 70 tumors have been reported in the English literatures. Most tumors were found in adult patients and were located in inguinal lymph nodes. IPM is a benign tumor; no malignant changes nor metastases have been reported and surgical resection is sufficient for treatment. However, this tumor is easily misdiagnosed as a metastatic malignant tumor, such as Kaposi’s sarcoma, melanoma, or leiomyosarcoma. Here we report the first incidence of IPM in Taiwan. A 40-year-old male patient presented with a painless, elastic nodule in the right inguinal region that had persisted for a long period of time. Excision biopsy was performed to investigate a suspected lymphadenopathy. Microscopically, the tumor was composed of interlacing bundles of spindle cells with nuclear palisading, focal hemorrhage, hemosiderin deposition, and the presence of amianthoid fibers. The latter is characteristic of IPM. A rim of remnant lymphoid tissue was observed at the tumor border. The tumor cells were positive for smooth muscle actin and cyclin D1, but negative for desmin, CD34, S-100 and CD117 by immunohistochemical staining . The patient had no tumor recurrence 3 years after resection. Since primary mesenchymal tumors in the lymph node are rare, it is important to avoid misdiagnosis of IPM as a metastatic malignant tumor, as this can result in inappropriate treatment.","PeriodicalId":404480,"journal":{"name":"The Changhua Journal of Medicine","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121306184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing a Rare Sphenoid Sinus Neuroendocrine Malignancy with ^(18)F-FDG PET/CT 用^(18)F-FDG PET/CT评估罕见的蝶窦神经内分泌恶性肿瘤

The Changhua Journal of Medicine Pub Date : 2014-09-01 DOI: 10.6501/CJM.1203.005

Shang-Yi Li, Kwo-whei Lee, Chih-Jung Chen, Liang-Yuan Wong, Wenlin Huang, Mu-Kuan Chen

引用次数: 0

5-Fluorouracil (5-FU)-Induced Sinus Bradycardia: A Case Report 5-氟尿嘧啶(5-FU)致窦性心动过缓1例

The Changhua Journal of Medicine Pub Date : 2014-09-01 DOI: 10.6501/CJM.1203.003

Chi-Nan Chang, Kai-Chen Wang

引用次数: 0

Cerebral Infarction due to Cardiogenic Emboli Originating from Atrial Myxoma: A Case Report 心房黏液瘤源性心源性栓塞所致脑梗死1例

The Changhua Journal of Medicine Pub Date : 2014-06-01 DOI: 10.6501/CJM.1202.006

S. Yuan

{"title":"Cerebral Infarction due to Cardiogenic Emboli Originating from Atrial Myxoma: A Case Report","authors":"S. Yuan","doi":"10.6501/CJM.1202.006","DOIUrl":"https://doi.org/10.6501/CJM.1202.006","url":null,"abstract":"Cardiogenic embolism due to atrial myxoma is a rare cause of cerebral infarction. A 51-year-old woman presented to a hospital elsewhere with sudden onset of vision loss, loss of consciousness and subsequent circulatory collapse. Computed tomography and magnetic resonance imaging of brain revealed a rostral brainstem infarction, cerebral angiography showed evidence of occlusion of the left posterior cerebral artery, and echocardiographic examination revealed the presence of a mass in the left atrium. The patient received palliative care and was discharged. Four months later, she presented with muscle weakness in both legs and was unable to walk. Ultrasonography revealed atherosclerotic plaques in the left and right carotid arteries and multiple segmental emboli in the lower extremities. In addition, physical examination revealed bilateral blepharoptosis, poor pupillary reaction to light, deficient upward and downward eye movements and limited adduction. Anticoagulants and blood-lipid lowering drugs were administered. Auscultation of the precordium revealed systolic murmurs when the patient was in a sitting position. Echocardiographic examination and computed tomography of the chest disclosed a mass in the left atrium. The patient underwent surgical resection of the atrial mass. Histopathological examination of the resected tumor revealed a glandular cardiac myxoma. At four-month follow-up, there was some improvement in neurological symptoms. A cardiac origin of cerebral infarction should be suspected in middleaged patients who present with cardiac myxoma. Early surgical resection of the cardiac myxoma is important to prevent further embolic events.","PeriodicalId":404480,"journal":{"name":"The Changhua Journal of Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131677576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

A Retrospective Demographic Analysis of Patients with Coronary Slow Flow Phenomenon Presented with Severe Myocardial Ischemia 严重心肌缺血并发冠状动脉慢血流现象的回顾性人口学分析

The Changhua Journal of Medicine Pub Date : 2014-06-01 DOI: 10.6501/CJM.1202.002

Li-Sian Lin, Ching-Pei Chen

{"title":"A Retrospective Demographic Analysis of Patients with Coronary Slow Flow Phenomenon Presented with Severe Myocardial Ischemia","authors":"Li-Sian Lin, Ching-Pei Chen","doi":"10.6501/CJM.1202.002","DOIUrl":"https://doi.org/10.6501/CJM.1202.002","url":null,"abstract":"Background: The related literature has shown a higher prevalence of definitively positive exercise testing in patients with coronary slow flow phenomenon (CSFP). But there was no similar study to analyze the conventional risk factors of coronary artery disease with the patients of CSFP in our review. We retrospective analyzed patients presented with severe myocardial ischemia which documented by strongly positive Treadmill test, also accepted coronary angiography, and tried to delineate differences in the cardiac risk profile among the patients of significant coronary heart disease (SCHD), CSFP and normal coronary artery groups. Methods: We retrospectively recruited 139 patients presented with severe myocardial ischemia which documented by strongly positive Treadmill test. All patients received coronary angiography at Changhua Christian Hospital Taiwan, from November, 2008 to August, 2010. There were classified into three groups; SCHD (97 patients); CSFP (32 patients); and normal coronary angiography results (10 patients). All cardiac risk factors were recorded and analyzed. Results: The average age in CSFP group is younger than the SCHD group's (56.53 years: 62.57 years, p＜0.025) and normal group's (56.53 years: 64.80 years, p＜0.05). Although the difference of sex between these three groups was not statistically significant, but the percentage of women in the CSFP group is higher than the SCHD group's (37.50%: 28.87%, p=0.19). The most difference of the CAD risk factors between the CSFP and SCHD group is in DM (9.38%: 37.11%, p＜0.025) and hypertension (43.75%: 69.07%, p＜0.025). Conclusion: In our retrospective analysis, the data suggest that the younger females without definite type 2 DM and hypertension, whose Treadmill test showed strong positive, had higher opportunity to suffer from CSFP than SCHD.","PeriodicalId":404480,"journal":{"name":"The Changhua Journal of Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129554454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Vaginal Repair of Mesh Contraction Using a Xenograft 异种移植成功修复阴道补片收缩

The Changhua Journal of Medicine Pub Date : 2014-06-01 DOI: 10.6501/CJM.1202.004

Chih-Cheng Huang, Mou-Jong Sun

引用次数: 0

PET-CT Imaging for Radiotherapy: From Clinical Biologic Target Definition to Translational Research 放射治疗的PET-CT成像:从临床生物学靶标定义到转化研究

The Changhua Journal of Medicine Pub Date : 2014-06-01 DOI: 10.6501/CJM.1202.001

O. Wong, Tung-hao Chang, C. Pi, Lien-Yen Wang, Mucang Liu, Mu-Kuan Chen, S. Kuo, Wenlin Huang

引用次数: 0

Systemic Lupus Erythematosus Misdiagnosed as HIV Infection in a Teenager: A Case Report 青少年系统性红斑狼疮误诊为HIV感染1例

The Changhua Journal of Medicine Pub Date : 2014-06-01 DOI: 10.6501/CJM.1202.005

Jun-Kai Kao, Chunguang Fu, Ming-Sheng Lee, J. Shieh, Shun-Cheng Yang

引用次数: 0