Objective To explore the experience in removing the axillary accessary breast by Mammotome system.Methods Axillary accessary breasts of 23 patients were removed by Mammotome system .Results The pa-thology of the 23 patients was accessary breast .There are no accessary breast by checking axillary by ultrasonic or mammography postoperative 3 months.Conclusion It is feasible and safe to remove axillary accessary breast surgery by Mammotome system method .
目的 探讨非哺乳期乳腺炎患者外周血T淋巴细胞、免疫球蛋白及补体水平的变化情况.方法 选择2010年3月至2013年2月我院接诊的60例非哺乳期乳腺炎患者与30例正常人进行研究.结果 非哺乳期乳腺炎组患者的CD3+、CD8+的数目明显低于正常组(P<0.05).非哺乳期乳腺炎组患者的CD56+CD16+ NK的数目、IgM的水平明显高于正常组(P<0.05).非哺乳期乳腺炎患者的C3、C4及B因子明显高于正常组(P<0.01).结论 非哺乳期乳腺炎患者外周血T淋巴细胞、免疫球蛋白及补体水平与正常人有显著性差异.
Objective To investigate the impact of concurrent versus sequential use of radiotherapy and endocrine therapy on the prognosis of breast cancer patients after operation so as to provide guidance for clinical treatment.Methods 169 cases of breast cancer patients underwent surgery in our hospital from July,2004 to July,2010 with positive estrogen and progesterone receptor were selected as the subjects and divided into synchronous group(given synchronous endocrine therapy) and sequential group(given sequential endocrine therapy)according to the order of postoperative radiotherapy and endocrine therapy.The efficacy and side effects of two groups were compared after treatment.Results ① After the treatment,there was no significant difference between the two groups in the aspect of clinical efficacy such as the total survival rate,recurrence rate and distant metastasis rate and so on(P0.05); ② There were no significant differences between the two groups in adverse reactions occurred after the treatment such as radioactive skin fibrosis,radioactive pulmonary fibrosis,radiation pneumonitis and so forth(P0.05).Conclusion Concurrent versus sequential use of radiotherapy and endocrine therapy have similar effects on treating breast cancer patients after operation, but we should not ignore the systemic cure when the radiotherapy underwent.
Squamous cell carcinoma of the breast (SCCB) is an extremely rare malignant neoplasm. The diagnosis is established when the malignant cells are entirely of squamous type, and overlying skin malignancies or other primary sites of squamous cell carcinoma have been excluded. These tumors are extremely aggressive and refractory to treatment. We report a case of a 58 year old white female with SCCB managed to date successfully with a extensive partial mastectomy and close observation.
目的:探讨彩超引导下麦默通微创旋切技术在乳腺诊治中的应用方法和经验。方法:在彩超引导下,利用麦默通系统对200例乳腺肿物患者进行微创旋除术。结果:200例患者的乳腺病灶被准确切除,术后获得明确病理诊断,良性病变同时获得治疗,无并发症。结论:麦默通微创旋切技术是一项准确有效、安全、微创的诊治技术。突出优点是微创、准确、安全、无需缝合,住院时间短,康复快,术后无明显瘢痕,集治疗、诊断与美容于一体。
目的总结东莞地区解脲脲原体(UU)与人型支原体(MH)对9种抗生素的耐药性。方法男性尿道拭子、女性宫颈拭子进行UU和MH检测和药物敏感性试验。结果263例患者共检测到病原体303株,UU247株,MH56株,UU最敏感的是强力霉素和美满霉素,最耐药的是司帕沙星;MH最敏感的也是强力霉素和美满霉素,最耐药的是罗红霉素。UU和MH对9种抗菌素的总体耐药性有统计学意义(χ2=342.63,P=0.000),二者对强力霉素和美满霉素的耐药性无统计学意义(P>0.05),但对其他7种大环内酯类和喹诺酮类的耐药性有统计学意义(P<0.01),MH的耐药性高于UU。结论支原体对多种抗菌素有不同程度的耐药性,MH对强力霉素和美满霉素的耐药性和UU相似,但对其他7种大环内酯类和喹诺酮类药物的耐药性高于UU,治疗MH要尽可能避免使用大环内酯类。
目的:了解东莞地区泌尿生殖道支原体的感染状况以及支原体对不同药物的体外敏感性,以指导在临床工作中合理用药。方法:用男性尿道拭子、女性宫颈拭子采集标本,同时进行解脲支原体、人型支原体培养。结果:256例患者共检测到解脲支原体236株,人型支原体59株;对9种抗生素药物耐药性依次为:氧氟沙星(54.58%)、罗红霉素(36.27%)、左氧氟沙星(33.56%)、克拉霉素(23.73%)、阿奇霉素(22.71%)、司帕沙星(22.37%)、交沙霉素(21.36%),多西环素和米诺环素最低(9.49%)。结论:支原体对常用多种抗生素有不同程度的耐药性,应根据药物的敏感性合理选用抗生素。