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Beijing Journal of
Traditional Chinese Medicine

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2018 Vol. 10, No. 4  Published: 20 August 2018
2018, 10(4): 205-211  
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With the popularization of lowdose spiral CT in lung cancer screening, the detection rate of ground glass nodules (GGN) was significantly increased. Experts at home and abroad agree that it is closely related to early lung cancer. However, there is no unified conclusion on the standardized management of GGN, especially the followup and treatment of focal lung frosted glass nodule (fGGN). Reviewing the literatures at home and abroad in recent years, the definition of GGN, imaging features, identification of benign and malignant, followup management of fGGN, surgical timing, positioning methods and selection of surgical methods were reviewed.
2018, 10(4): 212-216  
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The evaluation in clinical application of adaptive statistical iterative reconstruction low-dose in ground-glass opacity
2018, 10(4): 217-220  
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Purpose: To compare ability for display, radiation dose and image quality on low-dose CT images reconstructed with adaptive statistical iterative reconstruction (ASIR) and conventional dose CT images. Methods: Among the 510 asymptomatic volunteers, 31 cases were found with ground-glass opacity (GGO) by low-dose CT examination, reviewed by conventional CT examination after 3-6 months. Compared radiation dose and lesions nose with two examinations, and analyzed the display of number and signs of GGO, including lobulation, speculation, cavitation, bronchus sign, and pleural indentation. Results: The CT dose index volume(CTDIvol) of low-dose CT were (3.16~3.6) mGy, and that of the conventional CT were (12.88~24.44) mGy. low-dose CT examination reconstructed with ASIR greatly reduced CT dose index volume (CTDIvol) compared with conventional CT examination; but low-dose CT increased lesions nose, especially on mediastinal window, apex pulmonis on lung window was a little obvious, the noise inside the lesion were 47~265Hu. But the noise of conventional CT inside the lesion were 14~99.4Hu, lower than the low-dose CT (P<0.05). Display the number and the sign of GGO inside or periphery, had no different between two examinations (P>0.05). Conclusion: Low-dose CT examination reconstructed with ASIR lowers radiation dose, increases lesion nose, but dose not affect the display of signs of GGO. It may be appropriate on healthful examination and following up GGO.
2018, 10(4): 221-224  
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Effect of respiratory function exercises on pulmonary function of Perioperative patients with lung cancer
2018, 10(4): 225-227  
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Quantitative technique of shear wave elastography in diagnosing benign and malignant breast tumors.
2018, 10(4): 228-232  
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[Abstract]Objective: Shearwaveelastography(SWE) was used to quantitatively measure the elastic modulus of benign and malignant breast tumors and evaluate its diagnostic valueand clinical significance in breast cancer.Method:The maximum modulus of elasticity (Emax) and the average modulus of elasticity (Emean) were measured in 415 cases of female tumor in our hospital.,and to analyze their correlation with different clinical stages, grades, and tumor sizes of breast cancer.The receiver operating characteristic (ROC) curve is drawn and the area under curve (AUC) is calculated.Results:Emax and Emean were significantly higher in the breast cancer group than in the benign tumor group (P<0.05); Emax and Emean were significantly higher in the late (Ⅲ+IV) period than in the early (stages I and II),The stage Ⅱ was higher than stage I;and the well-differentiatedgroup(gradeI) was significantlylower than the moderately-differentiated group (grades Ⅱ and Ⅲ). The difference was statistically significant (P< 0.05);Tumor size was significantly correlated with Emax and Emean, and positively correlated;The ROC curve showed that the critical values of Emax and Emean in the diagnosis of benign and malignant tumors were 60.5kPa and 31.5kPa respectively. The sensitivity, specificity and accuracy of the diagnosis were 90.8%, 96.2%, 93.5% and 89.9%, 91.9% and 90.8% respectively.?Conclusion:Shear wave elastography quantitative technique is of great value and clinical significance in the diagnosis of benign and malignant breast tumors.
To evaluate the efficacy of 125I particle stent combined with transcatheter artery chemotherapy (TAC) for patients with advanced or unresectable esophageal cancer.
2018, 10(4): 233-236  
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Abstract: Objective: To evaluate the efficacy of 125I particle stent combined with transcatheter artery chemotherapy (TAC) for patients with advanced or unresectable esophageal cancer. Methods: a total of 46 cases were collected in our hospital from January 2013 to January 2016, all cases were confirmed by pathology. Under digital subtraction angiography (DSA), 125I particle coated esophageal stents were implanted. Transcatheter artery chemotherapy(TAC) was done 5 to 7 days after stent implantation. Chemotherapy regimens were 5-fluorouracil + cisplatin + doxorubicin or epirubicin. SPSS 19. 0 software was used to analyze the patients' KPS score, stooler swallowing grading, tumor treatment efficiency and 1 year survival rate. Results: The KPS score was significantly improved, the function of swallowing was significantly improved, and the tumor control rate was considerable. 1-year survival rate was 71.7%. Conclusion: the clinical symptoms and quality of life of advanced esophageal cancer can be significantly improved by the combination of 125I seeds stents combined with TAC. In conclusion, it is an effective minimally invasive treatment for advanced esophageal cancer.
2018, 10(4): 237-240  
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2018, 10(4): 241-244  
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Curative effect observation of preoperative neoadjuvant chemotherapy combined with surgical resection for locally advanced esophageal cancer
2018, 10(4): 245-247  
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【ABSTRACT】Objective: To study the effect of preoperative neoadjuvant chemotherapy with paclitaxel plus cisplatin regimen combined with surgical resection in the treatment of locally advanced esophageal cancer. Methods: From Jan 2014 to Dec 2016 in our hospital in the treatment of locally advanced esophageal cancer in 60 cases,were randomly divided into two groups,30 patients in the control group were given after chemotherapy treatment,the observation group of 30 cases before surgery using neoadjuvant chemotherapy with paclitaxel plus cisplatin regimen treatment,and surgical treatment esophageal cancer,the complete resection rate and the 1 year recurrence rate of two groups were compared. Results: The complete resection rate of esophageal cancer in the observation group was significantly higher than that in the control group,the 1 year recurrence rate was lower than that of the control group,the differences were statistically significant (P < 0. 05).Conclusion: The clinical application of preoperative neoadjuvant chemotherapy with paclitaxel plus cisplatin regimen combined with surgical resection in the treatment of locally advanced esophageal cancer is ideal.
One Case Report of Bone Marrow Metastasis of Triple Negative Breast Cancer with Unidentified Fever and Clinical Diagnostic Thinking Analysis
2018, 10(4): 248-250  
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[Objective] To investigate the clinical features of breast cancer bone marrow metastasis and clinical diagnostic thinking process. [Methods] Report a case of bone marrow metastasis of breast cancer. Analysis of the clinical data in the collection, analysis, judgment and treatment of the shortcomings, and review the relevant literature. [Results] In this case, the first symptom of fever was unexplained. Through the hollow needle puncture method clear pathology of breast cancer. However, patients continued to suffer from fever, multi-line antibiotic therapy ineffective. During treatment, patients with thrombocytopenia and hemoglobin decreased and the phenomenon of systemic bone pain. After bone scan, bone marrow biopsy diagnosed as breast cancer bone marrow metastasis. Given paclitaxel + carboplatin single-week regimen chemotherapy, body temperature returned to normal after a course of treatment. [Conclusion] Early breast cancer bone marrow metastasis easily overlooked. When patients have bone pain and sudden unexplained anemia and thrombocytopenia, the possibility of bone marrow metastasis should be considered. Bone marrow aspiration is a simple and effective diagnostic tool.
chen yali
2018, 10(4): 251-253  
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2018, 10(4): 254-256  
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To investigate the clinical effect of laparoscopic nerve-sparing radical hysterectomy in cervical cancer Methods From January 2015 to October 2017 in our hospital,50 cases of cervical cancer were randomly divided into laparoscopic nerve-sparing radical hysterectomy group(LNSRH) and conventional laparoscopic radical hysterectomy group (LRH), 25 cases in each group, compared the clinical effect of patients in two groups. Results All 50 cases were successful,There showed no obvious complications of all patients during and after operation .Intraoperative blood loss, the postoperative exhaust time, defecation time and catheter time of patients in LNSRH group was less than that in LRH group, there was significant difference between two groups (P<0.05).Conclusion Laparoscopic nerve sparing radical hysterectomy is safe and feasible for the treatment of cervical cancer, Obviously improve the quality of life after surgery.
Long-term Efficacy Analysis of Transurethral Resection and Open Surgery of Operating Ureteral Orifice in the Treatment of Upper Urinary Tract Tumors
2018, 10(4): 257-259  
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2018, 10(4): 260-264  
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yu junshi
2018, 10(4): 265-268  
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Abstract:Lynch syndrome (LS), also known as hereditary non-polyposis colorectal cancer syndrome, is made up of DNA mismatch repair (MMR) gene mutation caused by a group of autosomal dominant genetic disease. Lynch syndrome patients often suffer from a variety of primary tumor, in women with endometrial carcinoma most closely with them, we called Lynch syndrome related endometrial cancer. At present, the endometrial cancer have no correlation with Lynch syndrome of large sample data research, lack of a unified strategy for the screening and follow-up. In this paper, the correlation of Lynch syndrome endometrial cancer pathogenesis, clinical pathological characteristics, diagnostic factors, screening and treatment were reviewed.
2018, 10(4): 269-270  
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2018, 10(4): 271-272  
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