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Journal of Surgical Case Reports最新文献

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Recurrence of malignant insulinoma in the context of multiple endocrine neoplasia type 1: a case report. 多发1型内分泌肿瘤并发恶性胰岛素瘤复发1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf335
Marcela Palomo, Ximena Rivera, Isabella Santamarina
{"title":"Recurrence of malignant insulinoma in the context of multiple endocrine neoplasia type 1: a case report.","authors":"Marcela Palomo, Ximena Rivera, Isabella Santamarina","doi":"10.1093/jscr/rjaf335","DOIUrl":"10.1093/jscr/rjaf335","url":null,"abstract":"<p><p>Insulinomas are rare pancreatic neuroendocrine tumors, typically benign, but in the context of multiple endocrine neoplasia type 1 (MEN1), they can be malignant and recurrent. This case report presents a 58-year-old man with MEN1 who initially underwent partial pancreatectomy for a malignant insulinoma in the pancreatic tail in 2019. Despite recurrence in 2021, the patient declined surgery; however, in 2025, he presented with hypoglycemia and imaging revealed a 3-cm mass in the pancreatic head. He underwent a Whipple procedure, with histopathological analysis confirming the recurrent insulinoma. This case highlights the clinical challenge of managing malignant insulinomas in MEN1, emphasizing the importance of long-term follow-up and staged surgical interventions due to the high risk of recurrence.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf335"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ileal pouch-anal anastomosis in familial adenomatous polyposis and ulcerative colitis with coexisting colorectal cancer: a guideline for treatment. 家族性腺瘤性息肉病和溃疡性结肠炎并发结直肠癌的回肠袋-肛门吻合术：治疗指南。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf332
Mohammed Aldakhil, Nasser Alsanea
{"title":"Ileal pouch-anal anastomosis in familial adenomatous polyposis and ulcerative colitis with coexisting colorectal cancer: a guideline for treatment.","authors":"Mohammed Aldakhil, Nasser Alsanea","doi":"10.1093/jscr/rjaf332","DOIUrl":"10.1093/jscr/rjaf332","url":null,"abstract":"<p><p>Patients with familial adenomatous polyposis (FAP) or ulcerative colitis (UC) are at increased risk of colorectal cancer (CRC), making surgical decision-making complex. This case series reviews six patients with FAP or UC who developed CRC and underwent ileal pouch-anal anastomosis (IPAA). Two patients with stage III CRC developed metastases, while the remaining four with stage I/II had no recurrence. IPAA is feasible in stage I/II CRC regardless of tumor location. For stage III colon cancer, total proctocolectomy (TPC) with IPAA followed by adjuvant chemotherapy is appropriate. In stage III rectal cancer more than 2 cm from the dentate line, IPAA can follow total neoadjuvant treatment (TNT). For tumors within 2 cm of the dentate line, TPC with end ileostomy is advised. IPAA may be contraindicated in cases with severe proctitis due to bleeding risk or radiation intolerance. Overall, IPAA is a suitable option for selected FAP or UC patients with CRC.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf332"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture. 单期内固定联合膝关节置换术：一种治疗并发膝骨关节炎和股骨远端骨折的新方法。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf322
Yinping Liu, Guosong Xu
{"title":"Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture.","authors":"Yinping Liu, Guosong Xu","doi":"10.1093/jscr/rjaf322","DOIUrl":"10.1093/jscr/rjaf322","url":null,"abstract":"<p><p>This study investigates the clinical outcomes of single-stage internal fixation combined with total knee arthroplasty (TKA) for treating distal femoral fractures with concurrent knee osteoarthritis (OA). We report a case of a 68-year-old female patient who sustained a displaced distal femoral spiral fracture (AO/OTA type A1.2) and severe knee OA (Kellgren-Lawrence grade IV). The patient underwent single-stage surgery involving locked compression plating for fracture fixation and primary TKA. Postoperatively, the patient was allowed immediate weight-bearing and aggressive rehabilitation. At 4-year follow-up, the patient demonstrated significant functional improvement, with an Oxford Knee Score of 36.8 and a visual analog scale (VAS) pain score of 1.9. Radiographs showed no implant loosening and normal knee alignment. This case highlights the feasibility and effectiveness of single-stage internal fixation combined with TKA for elderly patients with osteoporotic distal femoral fractures and knee OA, offering a promising treatment option for such complex cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf322"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of proximal closed loop obstruction between gastric band and obstructed ventral hernia. 胃带近端闭合袢梗阻及梗阻性腹疝1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf326
Leonid Drober, Ahmad Assalia, Abd Elkarim Darawsha
{"title":"A rare case of proximal closed loop obstruction between gastric band and obstructed ventral hernia.","authors":"Leonid Drober, Ahmad Assalia, Abd Elkarim Darawsha","doi":"10.1093/jscr/rjaf326","DOIUrl":"10.1093/jscr/rjaf326","url":null,"abstract":"<p><p>A 68-year-old woman with severe obesity presented with abdominal pain, nausea, and dehydration. She had a history of laparoscopic adjustable gastric banding (LAGB). Examination revealed tachycardia, hypotension, a chronic ventral hernia with mild tenderness, no peritonitis, and slight abdominal distension. A computed tomography (CT) scan showed massive gastric and dilation and obstruction at the level of gastro-esophageal junction (Band), proximal small bowel loop dilation, distal bowel collapse, and a ventral hernia involving high-grade obstruction and ischemic bowel. Exploratory laparotomy revealed a \"closed-loop\" obstruction between the gastric band and hernia. Her stomach was dilated and obstructed at the gastroesophageal junction, and ischemia affected 70 cm of the intestine in the hernia sac. This case emphasizes that patients with LAGB may be unable to vomit, and therefore a closed-loop obstruction should not be overlooked even without vomiting. Early diagnosis and timely treatment led to a favorable outcome.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf326"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pancreas-sparing duodenectomy for kissing duodenal ulcers spawned by refractory peptic ulcer disease: case report with technical note and literature review. 保留胰腺的十二指肠切除术治疗难治性消化性溃疡引起的吻合性十二指肠溃疡：附技术说明和文献复习1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf327
Simone Giungato, Concetta Lozito, Romana Palazzo, Camilla Dimito, Angelo Santo Pepe
{"title":"Pancreas-sparing duodenectomy for kissing duodenal ulcers spawned by refractory peptic ulcer disease: case report with technical note and literature review.","authors":"Simone Giungato, Concetta Lozito, Romana Palazzo, Camilla Dimito, Angelo Santo Pepe","doi":"10.1093/jscr/rjaf327","DOIUrl":"10.1093/jscr/rjaf327","url":null,"abstract":"<p><p>Peptic ulcer disease is a common condition that affects ~4 million people worldwide, according to a 1984 estimate. However, concomitant perforation of dual anterior and posterior ulcerations (so-called 'kissing ulcers') is rare and presents significant surgical challenges with high morbidity and mortality. Such scenarios present surgical challenges and impose very high-level morbidity and mortality. A 76-year-old man described herein required emergency treatment for duodenal peptic ulcer perforation. Overall, three operations took place in response to a single anterior peptic ulcer of duodenum that culminated in anterior/posterior kissing ulcers. Pancreas-sparing duodenectomy was performed as a final attempt, along with radiographic localisation of the papilla. This rare instance of duodenal peptic ulceration underscores the feasibility and importance of a more definitive approach after ineffective initial surgical intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf327"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spinal arachnoid cyst among Nigerians. 尼日利亚人的脊髓蛛网膜囊肿。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf331
Toyin A Oyemolade, Augustine A Adeolu, Oluwakemi A Badejo, Olusola K Idowu, Ifeanyi E Iwuagwu
{"title":"Spinal arachnoid cyst among Nigerians.","authors":"Toyin A Oyemolade, Augustine A Adeolu, Oluwakemi A Badejo, Olusola K Idowu, Ifeanyi E Iwuagwu","doi":"10.1093/jscr/rjaf331","DOIUrl":"10.1093/jscr/rjaf331","url":null,"abstract":"<p><p>Spinal arachnoid cysts are rare spinal mass lesions. The pathogenesis is as yet poorly understood but the aetiology can be congenital or secondary to a number of infective and non-infective conditions. They can be extradural or intradural in location. They are characterized by a wide range of clinical manifestations, from asymptomatic lesions to severe myelopathy. Asymptomatic cysts can be managed conservatively while surgery is indicated in symptomatic cases. The operative technique of choice is complete excision of the cyst. The outcome is mainly related to the duration of symptoms, hence the need for early diagnosis and prompt treatment. In this study, we present the clinical profile and outcome of management of four operated cases of spinal arachnoid cysts in a tertiary hospital in Southwestern Nigeria.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf331"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare presentation of high-grade serous ovarian carcinoma with ulcerating inguinal lymph node metastasis: a case report. 罕见的高级别浆液性卵巢癌合并溃疡性腹股沟淋巴结转移一例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf317
Hassan M Latifah, Ruzanah Almarzugi, Hussam Bitar, Mohammad Alyafi, Abdulmalik Abumohssin, Zuhoor Almansouri, Batool Abdulaziz Kabli, Nusaybah A Shafi, Saeed Baradwan
{"title":"A rare presentation of high-grade serous ovarian carcinoma with ulcerating inguinal lymph node metastasis: a case report.","authors":"Hassan M Latifah, Ruzanah Almarzugi, Hussam Bitar, Mohammad Alyafi, Abdulmalik Abumohssin, Zuhoor Almansouri, Batool Abdulaziz Kabli, Nusaybah A Shafi, Saeed Baradwan","doi":"10.1093/jscr/rjaf317","DOIUrl":"10.1093/jscr/rjaf317","url":null,"abstract":"<p><p>High-grade serous ovarian carcinoma (HGSOC) typically spreads within the peritoneal cavity, and metastatic spread to extraperitoneal lymph nodes, particularly the inguinal region, is rare. Herein, we present a case of a 47-year-old premenopausal woman who presented with an enlarging, ulcerating right inguinal mass. Imaging revealed a necrotic inguinal mass, with no significant intra-abdominal findings. Surgical excision was performed, and histopathology confirmed metastatic HGSOC. She then underwent neoadjuvant chemotherapy, followed by radiotherapy. She then underwent robotic-surgical staging. Histopathological analysis showed bilateral ovarian involvement with multiple tumor foci. Genetic testing identified a BRCA1 mutation, leading to adjuvant maintenance therapy with Olaparib. This case emphasizes the importance of considering ovarian carcinoma in the differential diagnosis of unusual inguinal lymph node masses, even without a visible ovarian mass. Early detection, genetic testing, and a multidisciplinary approach are essential for optimizing patient outcomes in advanced HGSOC with atypical metastasis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf317"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of a facial artery aneurysm in sub-Saharan Africa: a rare case report. 手术治疗面动脉瘤在撒哈拉以南非洲：一个罕见的病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf329
Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Ernest Ahounou, Emmanuel Gbessi
{"title":"Surgical management of a facial artery aneurysm in sub-Saharan Africa: a rare case report.","authors":"Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Ernest Ahounou, Emmanuel Gbessi","doi":"10.1093/jscr/rjaf329","DOIUrl":"10.1093/jscr/rjaf329","url":null,"abstract":"<p><p>Facial artery aneurysms are extremely rare. To date, only nine cases have been reported in the literature. We report here the first case in Sub-Saharan Africa, in a 48-year-old male with no significant medical history, who presented with a swelling in the right submandibular region. Following radiological investigations, he underwent successful surgical resection. No complications or recurrence of the aneurysm were noted during a five-year follow-up.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf329"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome: a case report. 经舟状骨半月骨背脱位合并尺桡骨骨折伴前臂隔室综合征1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf314
Liang Zhou, Hao-Jie Guan, Gang-Xiang Wang
{"title":"Trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome: a case report.","authors":"Liang Zhou, Hao-Jie Guan, Gang-Xiang Wang","doi":"10.1093/jscr/rjaf314","DOIUrl":"10.1093/jscr/rjaf314","url":null,"abstract":"<p><p>We reported a case of a 45-year-old male patient with trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome. During the initial surgery, the scaphoid fracture end was mistakenly fixed together with the triquetrum fracture end, leading to an erroneous reduction, which was later identified and corrected through a secondary reduction. It is emphasized that in patients with lunate dislocation and concomitant scaphoid and triquetrum fractures, accurate identification of the fracture ends of both the scaphoid and triquetrum bones is critical to avoid erroneous fixation. Furthermore, the presence of ulnar and radial fractures increases the risk of forearm compartment syndrome.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf314"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful treatment of necrotising fasciitis following cobra bite: a case report. 眼镜蛇咬伤后坏死性筋膜炎的成功治疗一例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf309
Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki
{"title":"Successful treatment of necrotising fasciitis following cobra bite: a case report.","authors":"Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki","doi":"10.1093/jscr/rjaf309","DOIUrl":"10.1093/jscr/rjaf309","url":null,"abstract":"<p><p>Necrotising fasciitis following cobra envenomation is an infrequent but life-threatening complication. We report a case of a 72-year-old woman from Khotang who developed a rapidly progressive, discharging wound on her right foot 3 days after sustaining a cobra bite. Initially treated at a local snakebite center with 30 vials of antivenom, she later presented with tachycardia, low-grade fever, and leukocytosis. Local tissue culture revealed <i>Streptococcus pyogenes</i>, prompting escalation of antibiotics to Piperacillin-Tazobactam. The ensuing extensive tissue necrosis, driven by venom cytotoxicity, facilitated secondary bacterial colonization. Aggressive resuscitation, repeated surgical debridement, and nutritional support with a high-protein diet and multivitamins resulted in robust granulation tissue formation. Definitive reconstruction was achieved with a split-thickness skin graft. This case underscores that while antivenom reverses systemic toxicity, early recognition and prompt surgical intervention are paramount in preventing the devastating progression of local necrosis to necrotising fasciitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf309"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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