MA12.05 Can Tumor Spread through Air Spaces (STAS) in Lung Adenocarcinomas Be Predicted Pre- and Intraoperatively?
Koji KamedaShaohua LuTakashi EguchiNatasha RekhtmanJason C. ChangJoseph MontecalvoDavid R. JonesWilliam D. TravisPrasad S. Adusumilli
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Objective: Normal pathological technique was used to analyze the specimens of electronic bronchoscopy.Methods: All 135 cases of lung cancer were collected,the clinicopathologic literature was received.Results: The age of lung cancer cases ranged from 17-78 years,with a mean of 58 years,the male to female ratio was 2.8∶ 1,the most common place of lung cancer was in the double upper lobes,the most common pathological type was squamous carcinoma,followed by adenocarcinoma,and the last was small cell carcinoma.Conclusion: Electronic bronchoscopy combined pathology could improve the diagnostic rate of lung cancer,which can provide the exam bases for clinical diagnosis and treatment.
Squamous carcinoma
Clinical pathology
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THE OPTIMAL strategy for diagnostic evaluation of patients with suspected pulmonary thromboembolism (PE) is a subject of controversial and often conflicting opinions. If untreated, as many as 30% of patients with PE may die. Conversely, anticoagulant therapy significantly decreases mortality from PE, but bleeding complications occur. Underdiagnosis may result in a preventable death, and overdiagnosis may lead to significant hemorrhage from unnecessary anticoagulant therapy. This article outlines a practical guide for the use of pulmonary ventilation-perfusion (V-P) scintigraphy in patients with suspected PE. The clinical diagnosis of PE is rarely simple and often inaccurate. Autopsy series have disclosed that fatal PE commonly is unrecognized before death, particularly in elderly patients and in patients with congestive heart failure or pneumonia. The symptoms, physical signs, routine laboratory findings, and standard roentgenographic studies of the chest frequently are inconclusive. Dyspnea, pleuritic chest pain, and apprehension are the most common presenting symptoms in patients
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104 total hip replacements were performed for 87 patients since 1973. 60 hips in 47 patients could be evaluated.The cases consist of six males and forty-one females. The mean age was 57 years old (range, 42-73) and the duration of follow-up ranged from 5 years to 15 years (average, 9 years).In the follow-up study, operated hips were evaluated using the JOA score. Radiological examination was performed using postoperative radiological evaluation scale of Kawauchi et al. Results showed that preoperative total average score of 39 points was improved to 72.3 points postoperatively with marked improvement mainly in relief of pain. Revision was done in two cases (2%).Infection and another complications were not noted.
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Acute abdomen
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Background: The majority of people with hip arthritis get significant pain alleviation after undergoing total hip replacement.Objective: Evaluation of both early clinical as well as radiological outcomes of cementless total hip arthroplasty in young adults.Subjects and Methods: This was an interventional clinical trial that included 18 patients who were recruited from Orthopedic Department and had osteoarthritic hip who were treated with total hip arthroplasty (THA).Harris hip score (HHS) was utilized for clinical evaluation at 6 weeks, 3 months, and 6 months after surgery, and radiographs were evaluated for loosening signals at the end of 3 months and 6 months.Results: All HHS items improved significantly from 28.3 ± 15.9 to become 85.9 ± 6.7 with a p-value < 0.001 and the percent of improvement (70.4%) ranged from 43.1% to 89.2%.Postoperative HHS was significantly higher in patients without complications compared to those with complications, among males when compared to females, in cases under the age of 60 compared to those over the age of 60, and in cases with osteoarthritis compared to those who had avascular necrosis.Conclusion: Cementless total hip arthroplasty (THA), offers promising outcomes where it led to pain reduction, functional recovery, and enhanced quality of life.
Hip Arthroplasty
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Background: Obesity is a medical condition, which may lead to serious related diseases, ultimately, resulting in many morbidities and early mortality.Its management involves many approaches of which bariatric surgery is considered nowadays as one of the most effective treatment for it.However, follow up of postoperative complications of this surgery by effective radiological method as computed tomography (CT) is important for assessment of its success.Objective: The aim of this study was to illuminate the radiological signs and features of postoperative complications after non sleeve bariatric procedures and stressing the importance of using multi-slice CT (MSCT), and fluoroscopic study for detection of these complications.Patients and methods: An observational cohort study for 275 patients with suspected complications after non sleeve gastrectomy bariatric procedures, including 195 patients after Roux-en-Y gastric bypass (RYGB), 76 patients after laparoscopic adjustable gastric banding (LAGB) and 4 patients after intragastric balloon placement was done.These patients were subjected to either multi-slice CT and or fluoroscopy.Results: We detected complications in 21 patients out of the 195 patients who underwent RYGB: leakage, abscess, intestinal obstruction, internal hernia, port site ventral hernia, intussusception, fistula between the gastric pouch and the excluded stomach and hiatus hernia.On the other hand, 8 out of 76 patients operated by LAGB developed complications: band slippage, band erosion, pouch dilatation and tubal disconnection.Lastly two out of the 4 patients who placed intragastric balloon encountered other complications: gastric outlet obstruction, spontaneous balloon deflation and distal migration with intestinal obstruction.Conclusion: It could be concluded that bariatric procedures may be followed by many complications and accurate diagnosis of these problems by proper radiological procedures as MSCT is imperative.
Sleeve gastrectomy
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Objective To investigate the association between serum Dickkopf 1(DKK1) level,lung cancer,and its pathological types.Methods 101 patients with lung cancer diagnosed by bronchoscopic biopsy or Pathological section,including 55 cases of squamous cell carcinoma,16 cases of adenocarcinoma and 30 cases of small cell lung cancer,and 102 healthy individuals were enrolled in this study.Serum DKK1 and Cyfra21-1 level of all subjects were measured.Difference comparison of measured data among groups was determined by single factor variance analysis.Results Comparing with the control group,the mean level of DKK1 in patients with lung cancer was significantly higher than the samples in the control group(P0.05).There was no significant difference between different histological types of lung cancer(P0.05).The serum level of DKK1 was the highest in squamous cell carcinoma,followed by adenocarcinoma and small cell lung cancer.Conclusion Serum level of DKK1 is related to the lung cancer but not related to its pathological types.
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Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
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Objective To evaluate the significance of fibrobronchoscopy for the diagnosis of lung cancer and explore the relationship of pathological types of lung cancer with sex, age and clinical diagnosis. Methods The pathological diagnose data of 1470 patients with lung cancer diagnosed by fibrobronchoscopy was retrospectively analyzed. Results Out of the 1470 patients 1007 were male (68.50 per cent), 463 were female (31.50 percent). The age of the eldest patient was 87, the youngest was 17, average age was 57.41. Among the data of pathological diagnose, the percentage of squamous carcinoma was the largest, which was 39.52 percent (581 cases), adenocarcinoma was 25.44 percent (374 cases), small cell lung cancer was 24.35 percent (358 cases), quesonable lung cancer is 5.71 percent (84 cases), lung cancer that difficult to typing was 2.11 percent (31 cases), other pathological types was 2.86 percent (42 cases). The number of male with lung cancer was significantly greater than that of female (P 0.01). Male was susceptible to squamous carcinoma(P 0.01), while female was more susceptible to adenocarcinoma and small cell lung cancer(P 0.01, (P 0.05). Conclusion The fibrobronchoscopic examination is very important in the pathological diagnosis of lung cancer; The pathological type is different in different age and sex.
Squamous carcinoma
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We investigated MRI and X-ray changes in operated discs in patients following percutaneous discectomy.Sixty-six patients were examined by MRI pre and post operatively, and the degree of the herniated disc was measured in sagittal imaging. Reduction of the herniated disc was seen in 49 disc levels (67.1%)The X-rays of forty patients available for follow-up showed disc space narrowing in twenty (42.6%) and four with unstable an intervertebral space (8.5%).However these changes were not well correlated with the clinical results.
Discectomy
Disc herniation
Intervertebral Disc
Intervertebral disk
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