Medical Illustration

医学插图
  • 文章类型: Journal Article
    骨化性肌炎(MO)是一种良性,自我限制,涉及骨骼肌或软组织的非肿瘤性病变,很少发生在头部和颈部。在临床实践中相对罕见,很难区分特定病例和肌肉骨骼疾病,这对临床诊断和治疗提出了独特的挑战。我们报告说,一个9岁的男孩患有斜方肌的局部和非创伤性MO。鉴于这种情况很少见,本文详细介绍了这种罕见病例的诊断和治疗,并回顾了有关MO的相关文献,专注于临床,病态,和MO的射线照相特征。值得注意的是,这些研究旨在提高临床医生对该疾病的认识并提高诊断准确性.
    Myositis ossificans (MO) is a benign, self-limiting, and nonneoplastic lesion involving the skeletal muscle or soft tissue, rarely occurring in the head and neck. It is relatively rare in clinical practice, and it is difficult to distinguish specific cases from musculoskeletal conditions, which poses unique challenges for clinical diagnosis and treatment. We reported that a 9-year-old boy suffered from local and nontraumatic MO of the trapezius muscle. Given the rarity of this case, the present article detailed the diagnosis and treatment of this rare case and reviewed the relevant literature on MO, focusing on the clinical, pathological, and radiographic characteristics of MO. Notably, these investigations aimed to enhance clinicians\' understanding of the disease and improve diagnostic accuracy.
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  • 文章类型: Case Reports
    人乳头瘤病毒(HPV)相关的多表型鼻腔鼻窦癌(HMSC)是最近描述的仅在鼻腔鼻道中存在的肿瘤实体。组织学上,它表现出表面衍生癌和唾液腺癌的特征,并与高危型HPV有关,特别是HPV33型。尽管大多数病例表现出高级别组织学特征,HMSC矛盾地表现为相对惰性的方式。将HMSC与其他组织病理学模拟物区分开来是重要且有意义的,因为临床特征和管理是独特的。一名64岁的妇女出现间歇性左侧鼻出血和进行性鼻塞。一个定义明确的,孤独,在左鼻腔的后部发现了具有不规则表面的易碎物质,接触时容易流血。对源自左鼻中隔的肿瘤进行内镜切除,并确认肿瘤为HMSC。手术后,在28个部分中进行了确定性放疗。HMSC是一种很少报道的组织病理学类型,因此我们通过文献复习来报道该病例。
    Human papillomavirus (HPV)-related multiphenotypic sinonasal carcinoma (HMSC) is a recently described neoplasm entity that presents only in the sinonasal tract. Histologically, it displays features of both a surface-derived carcinoma and a salivary gland carcinoma, and is associated with high-risk HPV, specifically HPV type 33. Whereas majority of the cases display high-grade histologic features, HMSC paradoxically behaves in a relatively indolent fashion. It is important and meaningful to distinguish HMSC from other histopathologic mimickers as the clinical features and management are distinctive. A 64-year-old woman presented having intermittent left-side epistaxis and progressive nasal obstruction. A well-defined, solitary, friable mass with an irregular surface that easily bled upon contact was found in the posterior part of the left nasal cavity. Endoscopic excision of the tumor which was originated from left nasal septum was done and the tumor was confirmed as HMSC. After surgery, definitive radiotherapy was performed in 28 fractions. HMSC is a histopathological type that has been rarely reported so that we report this case with literature review.
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  • 文章类型: Historical Article
    AndreasVesalius最初接受了Galen关于人类真实奇迹的想法。1538年,Vesalius绘制了人类retemirabile图,作为颈动脉的丛状终止,生命精神转化为动物精神,在从大脑沿着神经分布到身体之前。1540年,Vesalius在公共解剖中展示了奇迹,使用绵羊的头(由于他的新生意识到他无法在人类尸体中充分证明这一点,可能引发嘲笑)。到1543年,Vesalius完全改变了自己,否认人类存在真实的奇迹,并谴责自己之前未能认识到盖伦作品中的这个错误。尽管如此,Vesalius还是说明了人类对毛毛虫的Galenic概念以及有蹄类动物毛毛虫的示意图。他打算将1543年的人类retemirabile图作为一个错误的例子,该错误是由于Galen过度依赖动物作为人体解剖学模型而造成的。然而,尽管Vesalius的意图,一个多世纪之后,他的身影一再被Galenic学说的拥护者反常地剽窃,他们滥用它作为人体解剖学的现实代表,并且通常忽略了BerengariodaCarpi和Vesalius的相反观点。在现存的印刷插图中长期使用对奇迹的刻板印象,为16世纪和17世纪的解剖学思想停滞提供了切实的文献。
    Andreas Vesalius initially accepted Galen\'s ideas concerning the rete mirabile in humans. In 1538, Vesalius drew a diagram of the human rete mirabile as a plexiform termination of the carotid arteries, where the vital spirit is transformed into the animal spirit, before being distributed from the brain along the nerves to the body. In 1540, Vesalius demonstrated the rete mirabile at a public anatomy, using a sheep\'s head (due to his nascent realization that he could not demonstrate this adequately in a human cadaver, potentially eliciting ridicule). By 1543, Vesalius had fully reversed himself, denied the existence of the rete mirabile in humans, and castigated himself for his prior failure to recognize this error in Galen\'s works. Vesalius nevertheless illustrated both the Galenic conception of the rete mirabile in humans and a schematic of the rete mirabile in ungulates. He intended the 1543 diagram of the human rete mirabile as an example of a mistake that resulted from Galen\'s overreliance on animals as models of human anatomy. However, in spite of Vesalius\'s intentions, for more than a century afterward, his figure was repeatedly and perversely plagiarized by advocates for Galenic doctrine, who misused it as a purportedly realistic representation of human anatomy and generally omitted the contrary opinions of Berengario da Carpi and Vesalius. The protracted use of stereotyped representations of the rete mirabile in extant printed illustrations provides tangible documentation of the stagnation in anatomical thought in the sixteenth and seventeenth centuries.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
    炎性肌纤维母细胞瘤(IMT)是已发现的最复杂和罕见的肿瘤之一。在不同的情况下有不同的行为。它们主要出现在胸腔和腹腔,肺,腹膜后,和四肢。它们也可以在头部和颈部区域被检测到。IMT没有年龄或性别偏好,这使得他们更难预测。头颈部IMT是良性肿瘤,具有局部攻击行为,转移扩散的风险较低。他们的病因不明,放射学上类似于恶性病变。在这个案例报告中,我们将回顾一例40岁女性上颌窦IMT异常的病例,这对诊断和治疗提出了挑战.
    Inflammatory myofibroblastic tumors (IMTs) are one of the most complex and rare neoplasms that have been discovered, with varying behavior in different cases. They mostly arise in the thoracic and abdominal cavity, the lungs, retroperitoneum, and extremities. They can also be detected in the head and neck area. IMTs have no age or gender preference which makes them tougher to anticipate. Head and neck IMTs are benign neoplasms with locally aggressive behavior and a low risk of metastatic spread. They have an unknown etiology, and they resemble malignant lesions radiologically. In this case report, we will review the case of a 40-year-old woman with an unusual IMT in the maxillary sinus that presented as a challenge in diagnosis and management.
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  • 文章类型: Case Reports
    神经鞘瘤是来源于雪旺氏细胞鞘的良性肿瘤。尽管在头部和颈部区域常见的是神经鞘瘤,耳廓神经鞘瘤很少见,只有少数病例报道。没有明显的临床发现或图像;因此,组织病理学诊断是强制性的.我们用临床图片描述了一例耳廓神经鞘瘤,并根据组织病理学发现讨论了鉴别诊断。
    Schwannomas are benign tumors derived from the sheath of Schwann cells. Though it is common to see schwannomas in the head and neck region, auricular schwannomas are rare and only few cases have been reported. There are no distinguishing clinical findings or images; therefore, the histopathological diagnosis is mandatory. We describe a case of auricular schwannoma with clinical pictures and discuss the differential diagnoses according to histopathologic findings.
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  • 文章类型: Case Reports
    腭扁桃体的脂肪瘤是临床实践中罕见的良性肿瘤。我们介绍了一名50岁的中国男性pat扁桃体纤维血管脂肪瘤的病例,该病例有背部和四肢多发性脂肪瘤的病史。根据组织学检查和综合分析诊断。扁桃体切除术后6个月内,伤口愈合良好,无复发迹象。本文还对扁桃体良性肿瘤的鉴别诊断进行了关注,并对近期相关文献进行了综述。
    Lipomas of the palatine tonsil are rare benign neoplasms in clinical practice. We present a case of palatine tonsillar fibroangiolipoma in a 50-year-old Chinese male with a history of multiple lipomas on the back and extremities. It was diagnosed based on histological examination and integrated analysis. Good wound healing and no evidence of recurrence were noted within 6 months follow-up after tonsillectomy. This article also puts a spotlight on the differential diagnosis of benign tonsillar tumors and reviewed recent relevant literature.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
    炎性肌纤维母细胞瘤(IMT)是由分化的肌纤维母细胞纺锤形细胞组成的肿瘤。它发生在腹部和肺部的软组织中,在蝶窦非常罕见。诊断取决于组织病理学和免疫组织化学,很容易被误诊.虽然转移是罕见的,复发率高。手术切除是首选的治疗方法,在难以完全切除的地方,放射治疗,激素治疗,或分子靶向药物治疗。我们报告了一例罕见的IMT,主要起源于蝶窦,经鼻内镜完全切除,并经组织学检查证实。
    Inflammatory myofibroblastic tumor (IMT) is a tumor composed of differentiated myofibroblastic spindle-shaped cells. It occurs in the soft tissues of the abdomen and lungs, and is very rare in the sphenoid sinus. The diagnosis depends on histopathology and immunohistochemistry, and is easily misdiagnosed. Although metastasis is rare, the recurrence rate is high. Surgical resection is the treatment of choice, and where complete resection is difficult, radiation therapy, hormonal therapy, or molecular targeted drug therapy can be administered. We report a rare case of IMT with a primary origin in the sphenoid sinus, which was entirely resected by nasal endoscopy and confirmed by histological examination.
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  • 文章类型: Case Reports
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