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Chronic acalculous cholecystitis:correlation of clinical assessment,laboratory data and final histopathology 被引量:4
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作者 Yan Jianjun Zhu Qian Shen Jun Zhou Feiguo Huang Liang Liu Caifeng Zhang Xianghua Cong Wenming Yan Yiqun 《Journal of Medical Colleges of PLA(China)》 CAS 2012年第2期101-112,共12页
Objective:To summarize and analyze the clinical and histopathological features of chronic acalculous cholecystitis (CAC) and to investigate the diagnosis and surgical treatment of chronic acalculous cholecystit.Method... Objective:To summarize and analyze the clinical and histopathological features of chronic acalculous cholecystitis (CAC) and to investigate the diagnosis and surgical treatment of chronic acalculous cholecystit.Methods:The study subjects were 39 patients with chronic biliary symptoms but no evidence of stones in the gallbladder by B ultrasonography and magnetic resonance cholopancreatography (MRCP) (CAC group).The CCC group consisted of 66 patients taken randomly from concurrent all patients of chronic calculous cholecystitis (CCC).All patients accepted fibergastroscopy,B ultrasonography,MRCP,laboratory examination preoperatively.We retrospectively analyzed the clinical features,B ultrasonography and MRCP findings,histopathological results and clinical outcomes between the two groups.Results:All the 39 patients were diagnosed by clinical symptoms,B ultrasonography,fatty meal gallbladder contractability studies under ultrasound,fibergastroscopy and magnetic resonance cholangiopancreatography (MRCP),what's more,they were pathologically verified postoperatively.In all patients,there was a complete absence of gallbladder wall contractability.Mucosa epithelial defect was found in 21 patients in CAC group (53.8%) and 16 patients in CCC group (24.2%) respectively (P<0.005).Thickened arteriole wall was found in 29 patients in CAC group (74.4%) and none patient in CCC group (P<0.0001).Thickened gallbladder wall (4 mm or more in thickness) was found in 33 patients in CAC group (84.6%) and 28 patients in CCC group (42.4%) respectively (P<0.005).Bile stasis was found in 23 patients in CAC group (59.0%) and 14 patients in CCC group (21.2%) respectively by ultrasonography preoperatively and confirmed in operation (P<0.005).The outcomes of cholecystectomy,expressed as total or near total relief,was similar in the two groups.No statistically significant differences were observed between patients with CAC (90%) and CCC (80%),the P-value >0.05.Conclusion:Chronic acalculous cholecystitis could be diagnosed by symptoms,ultrasound,fatty meal gallbladder contractability studies under untrasoundand MRCP.The optimal treatment of chronic acalculous cholecystitis characterized by thickened arteriole wall and mucosa epithelial defect is cholecystectomy. 展开更多
关键词 CHOLECYSTITIS histopathology CHOLECYSTECTOMY Gallbladder contractability Magnetic resonance cholangiopancreatography
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Study on histopathology of nuclear polyhedrosis virus ofZethenia rufescentaria Motsch
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作者 林代彬 王志英 +6 位作者 岳华 胡晓颖 黄先锋 谢淑萍 刘家志 栾新大 牟宗海 《Journal of Forestry Research》 SCIE CAS CSCD 1999年第1期51-54,共4页
This paper reports the histological observation of larvae ofZethenia rufescentaria Motsch. after infection by ZrNPV. Histopathologic study revealed that ZrNPV were multiplied within the nuclear of fat body, epidermis ... This paper reports the histological observation of larvae ofZethenia rufescentaria Motsch. after infection by ZrNPV. Histopathologic study revealed that ZrNPV were multiplied within the nuclear of fat body, epidermis cell, midgut cell, tracheal matrix and blood cell. These cells showed obvious cytopathic effects. The nucleus of infected cells underwent swelled. Under electron microscope, virus and polyhedral of ZrNPV were clearly observed in these nucleus of infected cells. The nucleus of susceptible tissues were fulfilled with polyhedra after 70–140 h. 展开更多
关键词 Zethenia rufescentaria NUCLEAR polyhedrosis VIRUS histopathology
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Expression of high mobility group protein B1 in the lungs of rats with sepsis 被引量:7
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作者 Qiao-meng Qiu Zhong-wang Li +5 位作者 Lu-ming Tang Qi Sun Zhong-qiu Lu Huan Liang Guang-liang Hong Meng-fang Li 《World Journal of Emergency Medicine》 SCIE CAS 2011年第4期302-306,共5页
BACKGROUND: Vibrio vulnifi cus inside the body could activate the NF-!B signaling pathwayand initiate the inflammatory cascade. The lung is one of the earliest organs affected by sepsisassociated with acute lung inju... BACKGROUND: Vibrio vulnifi cus inside the body could activate the NF-!B signaling pathwayand initiate the inflammatory cascade. The lung is one of the earliest organs affected by sepsisassociated with acute lung injury. High mobility group protein B1 (HMGB1) is an important late-actingpro-infl ammatory cytokine involving in the pathophysiology of sepsis. It is also involved in the injuryprocess in the lung, liver and intestine. There has been no report on the involvement of HMGB1 inVibrio vulnifi cus sepsis-induced lung injury.METHODS: Sixty rats were randomly divided into a normal control group (group A, n=10) anda Vibrio vulnificus sepsis group (group B, n=50). Sepsis was induced in the rats by subcutaneousinjection of Vibrio vulnificus (concentration 6×108 cfu/mL, volume 0.1 mL/100g)) into the left lowerlimbs. The rats in group B were sacrifi ced separately 1, 6, 12, 24, and 48 hours after the infection.Their lungs were stored as specimens, lung water content was measured, and lung pathology wasobserved under a light microscope. The expressions of the HMGB1 gene and protein in the lungswere detected by RT-PCR and Western blot. Data were analyzed with one-way analysis of variance(ANOVA) and the LSD method for pair-wise comparison between the two groups. P〈0.05 wasconsidered statistically signifi cant.RESULTS: Compared to group A (0.652±0.177), HMGB1 mRNA expression in the lungs ofgroup B was signifi cantly higher at 0 hour (1.161±0.358, P=0.013), 24 hours (1.679±0.235, P=0.000),and 48 hours (1.258±0.274, P=0.004) (P〈0.05), and peaked at 24 hours. Compared to group A(0.594±0.190), HMGB1 protein expression at 6 hours (1.408±0.567, P=0.026) after infection wassignificantly increased (P〈0. 05), and peaked at 24 hours (2.415±1.064, P=0.000) after infection.Compared to group A (0.699±0.054), lung water content was significantly increased at 6 hours(0.759±0.030, P=0.001),12 hours (0.767±0.023, P=0.000), 24 hours (0.771±0.043, P=0.000) and 48hours (0.789±0.137, P=0.000) after infection (P〈0.05). Compared to group A, pathological changesat 12 hours in group B indicate marked pulmonary vascular congestion, interstitial edema andinfl ammatory infi ltration. Alveolar cavity collapse and boundaries of the alveolar septum could not beclearly identifi ed.CONCLUSION: Vibrio vulnifi cus sepsis can lead to injury in rat lungs, and increased HMGB1expression in lung tissue may be one of the mechanisms for injury from Vibrio vulnifi cus sepsis. 展开更多
关键词 VIBRIO VULNIFICUS SEPSIS LUNG injury High mobility group protein B1 REVERSETRANSCRIPTION polymerase chain reaction Western blot LUNG water content histopathology
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Clinical Features and Prognosis in 21 Patients with Extrinsic Allergic Alveolitis 被引量:5
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作者 Ping Wang Zuo-jun Xu +4 位作者 Wen-bing Xu Ju-hong Shi Xin-lun Tian Rui-e Feng Yuan-jue Zhu 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第4期202-207,共6页
Objective To assess the spectrum of causes, clinical features, differences between disease phases, and prognosis of extrinsic allergic alveolitis (EAA). Methods Patients with EAA diagnosed at Peking Union Medical C... Objective To assess the spectrum of causes, clinical features, differences between disease phases, and prognosis of extrinsic allergic alveolitis (EAA). Methods Patients with EAA diagnosed at Peking Union Medical College Hospital from August 1983 to May 2007 were analyzed retrospectively. Their medical records were examined to gather clinical, laboratorial, radiological, and histopathological data. Patients were divided to three phases (acute, subacute, and chronic) according to clinical presentations. Follow-up data regarding treatment response, subsequent radio- logical and pulmonary function studies, and clinical outcomes were collected. Results A total of 21 cases were enrolled. Among them, 11 were subacute, 10 were chronic. The most common exposure was pet birds (6 cases, 28.6%). The primary abnormality of pulmonary function was restriction and/or reduction in diffusing capacity (12 cases, 63.2%). The most common findings on high-resolution computed tomography (HRCT) were ground-glass opacities (13 cases, 68.4%) and centri- lobular nodules (8 cases, 42.1%). Airway obstruction in pulmonary function test, emphysema, hmg cysts, and fibrosis on HRCT were more frequently seen in chronic than in subacute patients, though the differences were not statistically significant. Bronchoalveolar lavage fluid (BALF) showed lymphocytosis. The total'cell count and the percentage of neutrophils were significantly higher in subacute than in chronic patients (P〈0.05). Nonnecrotizing granulomas were seen in 8 (47.1%) cases. Improvement or normalization in symptoms, radiography, and pulmonary function test after treatment were seen in all 18 patients with avail- able follow-up data. Five patients recurred. Conclusions The characteristic abnormalities of pulmonary function, findings on HRCT, and pa- thology are essential for all phases of EAA, and the atypical manifestations such as obstruction and fibrosis can also be present frequently, particularly in chronic cases. Differential cell counts of BALF are related to the phase of the disease. The treatment response and prognosis of EAA are good. 展开更多
关键词 extrinsic allergic alveolitis bronchoalveolar lavage fluid RADIOGRAPHY histopathology PROGNOSIS
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Inflammatory Myofibroblastic Tumor Mimicking Malignant Meningioma in the Middle Cranial Fossa:a Case Report 被引量:1
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作者 Ming-chao Fan Lei Cheng +1 位作者 Dong-liang Lin Peng Sun 《Chinese Medical Sciences Journal》 CAS CSCD 2012年第3期185-187,共3页
INFLAMMATORY myofibroblastic tumor(IMT),alsoknown as inflammatory pseudotumor or plasma cellgranulomas,is an uncommon fibro-inflammatorylesion which is composed of inflammatory cells andmyofibroblastic spindle cells... INFLAMMATORY myofibroblastic tumor(IMT),alsoknown as inflammatory pseudotumor or plasma cellgranulomas,is an uncommon fibro-inflammatorylesion which is composed of inflammatory cells andmyofibroblastic spindle cells.1Its pathogenesis is still un-known.The tumor commonly occurs in the lung,upperrespiratory tract,live,orbit,abdominal membrane,retro-peritoneum,and genitourinary tract.2-4It rarely involvesthe central nerve system,5, 展开更多
关键词 inflammatory myofibroblastic tumor middle cranial fossa histopathology CRANIOTOMY
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Experimental replacement of thoracic esophageal segment with a biomaterial artificial esophagus in dogs 被引量:1
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作者 Zhang Lanjun Rong Tiehua +5 位作者 Su Xiaodong Wu Qiuliang Xu Guoliang Lin Peng Long Hao FU Jianhua 《Journal of Medical Colleges of PLA(China)》 CAS 2008年第1期1-8,共8页
Objective:To implant 80 mm-long artificial esophagi constructed of biomaterial in dogs, observe the perioperative survival rates and the incidence of postoperative complications, and study the mechanisms of postopera... Objective:To implant 80 mm-long artificial esophagi constructed of biomaterial in dogs, observe the perioperative survival rates and the incidence of postoperative complications, and study the mechanisms of postoperative healing. Methods: Specimens of the implanted esophagus, the "neo-esophagi", were taken for histopathologic study 1, 3, 6, 12, 24 months after operation. Results: The incidence of anastomotic leakage after the artificial esophagus implantation was 3.33%. The perioperative survival rate was 96.67%. The incidence of postoperative stenosis in the "neo-esophagi" was 81.48%; the stenoses were treated by expanding with esophagoscopy and implanting a stent. Epithelization of the mucosa in the "neo-esophagi" was completed in 3 to 6 months after surgery Structures such as submucosal muscle layers, mucous glands, nerve fibers, capillaries, etc. were regenerated after 12 months, and then reconstruction of the fibrous connective tissue layer was completed. Conclusion: Implanting a biomaterial artificial esophagus accomplishes safe reconstruction of defects in the esophagus. Advanced cellular structure of "neo-esophagus" can be regenerated after 1 year. Postoperative stenosis, which is related to hyperplasia and retraction of scar tissue, is still the most common complications which limiting the clinical application of the artificial esophagus. 展开更多
关键词 Artificial esophagus Gross-giant specimens Postoperative stenosis Anastomotic leakage histopathology
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Primary Meningeal Melanocytoma Located in Foramen Magnum:a Case Report and Review of the Literatures
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作者 Ming-chao Fan Jing-feng Wang +3 位作者 Wei-wei Fu Ke Liu Lian-di Li Peng Sun 《Chinese Medical Sciences Journal》 CAS CSCD 2012年第2期115-120,共6页
LIMAS and Tio1 proposed the term meningeal melanocytoma first time in 1972 to describe a primary melanotic tumor of the leptomeninges with prolonged clinical course and benign histology.Meningeal melanocytoma of the c... LIMAS and Tio1 proposed the term meningeal melanocytoma first time in 1972 to describe a primary melanotic tumor of the leptomeninges with prolonged clinical course and benign histology.Meningeal melanocytoma of the central nervous system is rare and benign primary meningeal melanocytoma (PMM) is more exceptional,and also less usual than the malignant types.2 This rare tumor falls under the subclassification of primary melanocytic lesions in the World Health Organization's classification of central nervous system tumors.3 PMM located in the foramen magnum region is an unusual cause of bulbus medullae and fourth ventricle compression.Here we report a 48-year-old man with a PMM which is located in the foramen magnum inducing supratentorial obstructive hydrocephalus. 展开更多
关键词 foramen magnum meningeal melanocytoma histopathology NEUROIMAGING obstructive hydrocephalus
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PATHOLOGICAL CHARACTERISTICS OF GONADS IN NINE PATIENTS WITH TRUE HERMAPHRODITISM
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作者 郭丽娜 刘彤华 田秦杰 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第2期103-106,共4页
The gonadal histopathology, and its correlation with the clinical features has been investigated in 9 true hermaphroditism patients, aged 5-21 yr. Seven of 9 patients had been raised as females, of which the chromosom... The gonadal histopathology, and its correlation with the clinical features has been investigated in 9 true hermaphroditism patients, aged 5-21 yr. Seven of 9 patients had been raised as females, of which the chromosomal karyotype was 46XX in 5 cases, 46XX/46XY and 46XX/47XXY in 2 cases. Two of 9 pa- tients were raised as males, the chromosomal karyotypes being 46XX and 46XX/46XY. All 9 patients had testicular tissue excised, and biopsies of the conserved ovarian tissue were performed. Ovotestis was the most common form of the abnormal gonads; two of 9 patients had bilateral ovotestes, seven had unilateral ovotestes (5 in right side, 2 in left side). In seven patients with a unilateral ovotestis, 6 had a contralateral ovary and one had a contralateral testis. Microscopically, the ovarian tissue of 11 ovotestes, including 6 biopsies from contealateral ovaris, were normal, with many primordal follicles and a few growing follicles. In two of the patients, aged over 15 years, evidence of ovulation was observed. In comparison, the testicu- lar tissue of the ovotestis and the one left inguinal testis was histologically abnormal, with immature semi- niferous tubules, most of which filled with Sertoli cells only. Three of 9 patients married after surgical treatment. Two of these subsequently conceived and delivered of normal infants by cesarean section. 展开更多
关键词 true hermaphroditism GONAD histopathology
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Cystic adenoid trichoepithelioma occurring in mother and daughter: Case report
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作者 Yu Chunshui Zhou Jingguo Liu Jianping Su Jiangwei 《Journal of Medical Colleges of PLA(China)》 CAS 2009年第5期309-310,共2页
Multiple familial trichoepithelioma is a rare autosomal predominantly on the face. They are benign skin tumours trichoepithelioma occurring in two members of the same family dominant skin disease that presents as many... Multiple familial trichoepithelioma is a rare autosomal predominantly on the face. They are benign skin tumours trichoepithelioma occurring in two members of the same family dominant skin disease that presents as many small tumours of hair follicle differentiation. We report multiple familial 展开更多
关键词 TRICHOEPITHELIOMA histopathology
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Protective Effects of Qingshen Compound on Experimental Masugi Nephritis Model in Rats
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作者 李岩 辛念 《Journal of Beijing Institute of Technology》 EI CAS 2010年第1期103-108,共6页
To study protective effects of Qingshen Compound on experimental anti-glomerular basement membrane antibody (AGBM-Ab) nephritis model in rats,an experimental Masugi nephritis model was established in Sprague-Dawley... To study protective effects of Qingshen Compound on experimental anti-glomerular basement membrane antibody (AGBM-Ab) nephritis model in rats,an experimental Masugi nephritis model was established in Sprague-Dawley(SD) rats by a single-dose injection of prepared rabbit anti-rat glomerular basement membrane(GBM) serum into sublingual vein and then effects of Qingshen Compound on urine volume,urinary protein level,blood urea nitrogen (BUN),creatinine (Cr),albumin (Alb),triglycerides (TG),cholesterol (CHO) and histopathological changes were investigated.After successive daily three-dosage oral administration to rat groups (9.4,4.7,2.3 g·kg-1) for 8 weeks,Qingshen Compound was proved effective on increasing urine volume and Alb content,and decreasing levels of urinary protein,BUN,Cr and TG.Furthermore,high and middle dosages (9.4,4.7 g·kg-1) could improve histopathological healing of the model.In summary,Qingshen Compound has shown protective effects on experimental Masugi nephritis model in rats. 展开更多
关键词 Qingshen Compound Masugi nephritis GBM histopathological change
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