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Mature Cystic Teratoma of the Suprasternal Fossa in an Adult: Report of Case
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作者 Jiangjiang Liu xiaojie ang +2 位作者 Xingpo Guo Yu Feng Haitao Ma 《Case Reports in Clinical Medicine》 2020年第12期385-391,共7页
Teratomas have been reported to occur in multiple organ regions, and are less common in non-gonadal regions, such as the neck and chest, than in gonadal and midline regions of the body, such as ovaries and testis. Cas... Teratomas have been reported to occur in multiple organ regions, and are less common in non-gonadal regions, such as the neck and chest, than in gonadal and midline regions of the body, such as ovaries and testis. Cases have been reported of a large teratoma of the anterior mediastinum extending to the neck, causing symptoms such as dyspnea, which can be quickly detected by Ultrasound, and patients can be quickly treated. In adults, primary teratoma at the suprasternal foss that not accumulate thyroid gland upward and not invade the mediastinum are rare, usually have no obvious clinical symptoms and are found in most patients by chance. In this literature, we report a rare case of mature cystic teratoma in the suprasternal fossa of a 33-year-old male. Preoperative ultrasonography showed a superior sternal fossa tumor with less calcification and more adipose tissue. The final pathologic diagnosis was mature cystic teratoma through open surgery of the suprasternal neck incision. The patient was followed up for 9 months and there was no recurrence. We believe that the suprasternal notch approach is a safe and effective method for the treatment of mature teratoma without protruding into the superior mediastinum. 展开更多
关键词 Total Surgical-Resection Case Report Suprasternal Fossa Mature Cystic Teratoma ADULT ULTRASOUND
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复合手术治疗5例Riles 1A型颈总动脉闭塞 被引量:1
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作者 姜世豪 夏源 +10 位作者 苏日青 卡合尔曼·卡德尔 阿西木江·阿西尔 王凯 尼扎米丁江·热夏提 李映婷 麦麦提亚生·麦麦提吐尔逊 艾孜买提江·吐尔逊 王增亮 买买提力·艾沙 成晓江 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2023年第8期456-461,共6页
目的探讨复合手术在治疗Riles 1A型颈总动脉闭塞(common carotid artery occlusion,CCAO)患者中的技术要点、疗效及特殊案例分析。方法回顾性收集2021年6月至2022年6月应用复合手术技术开通的5例Riles 1A型CCAO患者的临床资料,记录围手... 目的探讨复合手术在治疗Riles 1A型颈总动脉闭塞(common carotid artery occlusion,CCAO)患者中的技术要点、疗效及特殊案例分析。方法回顾性收集2021年6月至2022年6月应用复合手术技术开通的5例Riles 1A型CCAO患者的临床资料,记录围手术期并发症,术后3个月、6个月复查头颈部CTA及DSA观察颈部血管重建情况,采用改良Rankin评分量表(mRS)评估临床预后。结果5例患者病因均为动脉粥样硬化,且均完成手术,4例患者成功开通闭塞血管,1例患者导丝无法突破纤维帽开通失败。所有患者术后临床症状均得到改善。1例患者术后发生高灌注综合征,表现为患侧头痛、恶心、呕吐、血压升高,积极控制血压,给予少量镇痛镇静类药物及甘露醇静脉滴注等后病情好转出院。无患者新发卒中事件,无患者死亡。5例患者均随访6个月,无再狭窄及其他并发症发生,mRS评分平均为0.4分。结论复合手术治疗Riles 1A型CCAO患者安全可行,可能是该类患者的理想手术方案,短期疗效满意。 展开更多
关键词 颈总动脉闭塞 内膜剥脱术 支架 复合手术 疗效 围手术期 高灌注综合征
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