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治疗恶性肿瘤寒凉药不可多
为什么治疗恶性肿瘤寒凉药不可多用,其原因有二,一是恶性肿瘤的发病及发展中、或在手术后、放化疗、介入等方法治疗后,会产生气血津液大量的亏损,甚至逐渐形成阳虚。二是患者素体阳虚或感受寒邪的入侵而造成恶性肿瘤。总结了该病虚寒者多,实热者少,正虚邪实者多,单独邪实者少,所以治疗该病是扶正祛邪者多,单独泻实者少,可以看到,伤气、伤阳的寒凉药即不可多用了。文中分别列有温阳兼解毒法、温阳兼化痰法、温阳兼化瘀法、温阳兼软坚散结法的不同应用,其中列举了四种方法中的佳常用药物,后以温阳法治疗胃癌手术后,中阳损伤的实际案例。
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老年消化道多原发癌的早期诊断及综合治疗
目的:探讨老年人消化道多原发癌早期诊断及综合治疗经验.方法:回顾分析1980-2002年收治的59例老年消化道恶性肿瘤的多原发癌早期诊断、肿瘤的间隔时间及内镜、手术、放射治疗的5、10 a生存率.结果:同时癌11例,异时癌48例.首癌至次癌中位间隔48 mo,次癌至第三癌中位间隔时间60mo.双原发、三原发癌早期诊断分别为58%、38%.内镜治疗12例,手术治疗21例,放射治疗11例,5 a生存率分别为75%、67%、64%.10a生存率分别为41%、38%、27%.内镜治疗中位生存104 mo,取得了与手术治疗中位生存109 mo相同的远期效果.结论:早期多原发癌适当治疗可以提高病患的5 a生存率,内镜治疗早期消化道中瘤值得推荐.
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恶性肿瘤骨转移及骨损伤分子机制的研究进展
转移性骨肿瘤是原发于其他脏器而转移到骨组织的肿瘤.肿瘤的骨转移发生率非常高,在某些肿瘤中可达60%,是临床中存在的一个突出问题.肿瘤的转移是多个因素共同作用的结果,这些环节包括肿瘤细胞间失去粘附能力、肿瘤细胞对基底组织的侵蚀和进入特定组织的归巢能力,肿瘤细胞还通过对骨微环境的影响而产生成骨性和破骨性骨损伤.本综述主要从分子水平阐述肿瘤骨转移过程中涉及到的关键性机制及肿瘤细胞与成骨细胞和破骨细胞之间的相互作用.
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中国澳门特区恶性肿瘤流行的现状和预防对策
中国癌症研究基金会(CCRF)公布的数据显示,中国癌症发病世界调整死亡率男性为(143.9~359.7)/10万人口(以下略去"人口"),女性为(48.1~219.1)/10万;世界调整死亡率男性为(99.0~285.0)/10万,女性为(47.9~157.5)/10万.
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Objective: To introduce the method of a modified transcranial approach for resection of paranasal sinuses tumors involving the anterior skull base and to address our experience with the approach. Patients and Methods: Ten cases were operated by the approach. Among them, 4 suffered from benign meningeomas, 6 with malignant tumors included one chondrosarcoma, two malignant meningeomas, two olfactory neuroblastomas, and one squamous sarcoma. Of the patients, 4 cases had primary tumor and 6 cases had recurrent tumors. Result: All of the ten cases underwent operation and no postopertion complication occurred. 7 cases have survived for one to four years without tumor recurrence. 3 cases with malignant tumor died of tumor relapse in one to two years. Conclusion: This method significantly has helped to reduce the persistence and recurrence of the disease.
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Itis rare for a primary tumor to occur in an ileal conduit,although it has been used for urinary diversion for more than four decades. Most malignant tumors that have been reported in ileal conduits have been adenocarcinomas. 1,2 To our knowledge, squamous cell carcinoma in an orthotopic and continent ileal neobladder has not been reported. We report here a case of squamous cell carcinoma and calculi in an ileal neobladder 6 years after a cystectomy and an ileal neobladder diversion for transitional cell carcinoma of the bladder and also review the literature.
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Lymphoma and leukemia are common malignant tumors in theblood system.
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食管与胃重复癌1例
重复癌即多原发性恶性肿瘤(multiple primary malignant tumors, MPMT),是指同一器官或多个器官、组织,同时或先后发生的两种或两种以上的恶性肿瘤.近年来,国内外学者对重复癌日益重视,临床报告也逐年增多.我院于2009年9月对患者行胃镜检查时发现食管与胃重复癌1例,现报道如下.
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妇科恶性肿瘤患者41例术后性生活分析
Gynecological malignant tumors can affect female characteristics in women.Although the malignant tumors might attack different parts or cause different lesions they have similar effects on the patients. The patients feel that they don't have sexual attractive force any longer and have hyposexuality.The purpose of the present article is to study the sexual life in patients with gynecological malignant tumors after operation so that the clinicians could grasp physiological and psychological conditions of the patients and improve their quality of life.
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博宁联合化疗治疗恶性肿瘤骨转称疼痛
Objective To investigate the effect of Boning on pain due to bone metastases from malignant tumors. Method From December,1998 to December,2000,86 patients with pathologically proved bone metastases from malignant tumors were randomly divided into two groups, study group(combined chemotherapy with boning),control group(simple chemotherapy).Boning (60 mg) dissolved in saline solution(500 ml) were given IV for consecutive 3 days. Then 60 mg Boning was given every half month .Patients in control group accepted simple chemotherapy. Results Efficacy in study group was 88.37% which was significantly superior to that in control group (66.47% ).Boning could repair injured bone. Adverse reaction associated with Boning was weak. Boning quickly relieved symptoms for a long time. Conclusion Effect of large dose Boning for relieving pain due to bone metastases from malignant tumors is satisfying. At the same time, Boning play important role in repair of destructed bone.
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妊娠合并妇科恶性肿瘤分娩方式的选择
在正常妊娠的情况下,分娩的方式可分为两类:自然生产和剖宫产.产妇和胎儿都具有潜力能主动参与并完成生产过程,而且绝大多数都可以以自然生产而告终,剖宫产是一种万不得已的分娩方式.
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妊娠合并卵巢恶性肿瘤的诊断及处理
在妊娠合并妇科恶性肿瘤中,卵巢恶性肿瘤居第2位,据报道妊娠合并卵巢肿瘤的比例为0.19%,其中恶性肿瘤占0.93%~3.00%不等,而在非妊娠期卵巢肿瘤患者中,恶性肿瘤可高达18%~21%[1-3].
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妇科恶性肿瘤的动脉灌注化疗
动脉内药物灌注(arterial infusion)这一方法可追溯至本世纪初,1921年Biechroder首先报道了经动脉灌注药物治疗产妇脓毒血症.1950年Klopp等将此方法用于恶性肿瘤的治疗,灌注药物为氮芥[1].1952年Cromer等首先报道了动脉灌注氮芥治疗晚期宫颈癌及阴道癌的经验[2].60~70年代,欧美虽有较多妇科恶性肿瘤动脉灌注化疗的报告,但总体效果并不很肯定,有些灌注方法所需器械复杂,操作较麻烦,故临床上意见并不很一致[3~5].60年代后,日本学者在妇科恶性肿瘤的介入治疗方面做了深入研究,并且不断改进动脉灌注方法,取得了明显的疗效[6~8].我国于80年代初开展该方面的工作,随着介入放射学的日益普及,妇科恶性肿瘤的介入治疗作为综合治疗的一个重要组成部分,已经得到广泛应用,并且取得了令人满意的疗效[9~12].
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乳腺癌转移至颌骨5例报告
Breast carcinomas metastatic to the jaws report of five casesMetastases of malignant tumors is uncommonly seen in the oral cavity. Reported frequencies range from 1%[1~4] to 8%[5].
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颅颌面联合切除术在颌面部恶性肿瘤治疗中的应用
颅颌面联合切除手术是对已侵犯到颅底或颅骨的原发于颌面部的晚期恶性肿瘤,以及原发于颅底下组织的癌瘤的一种治疗方法.早在30多年前,Ketcham和Terz就分别进行了颅前凹、颅中凹的颅颌面联合切除术,并作出了初步评价.以后被推广用于临床,促成了颅颌面联合切除术在晚期颌面部恶性肿瘤治疗中的发展[1,2].
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妇科恶性肿瘤的介入治疗规范化讨论
经导管动脉内介入化疗或化疗性栓塞术因其创伤小、局部疗效较好,近些,年更为临床所重视.介入治疗为姑息治疗手段之一,与放、化疗配合应用,亦可作为手术前辅助治疗手段,对于少数病种可作为根治性治疗手段.
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老年恶性肿瘤血液流变性及血小板的变化
近年来老年人肿瘤的发病率有增高的趋势,老年人因患肿瘤死亡者占很大比例,因而肿瘤的早期发现、早期治疗就显得非常重要.本文观察98例老年恶性肿瘤患者血液流变学参数及血小板计数、纤维蛋白原的变化,旨在协助临床早期诊断、判定预后、指导治疗.结果报道如下.
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泌尿生殖系多原发性恶性肿瘤20例
多原发性恶性肿瘤(multiple primary malignant tumors,MPMT)国内外近年常有报道,但发生在泌尿生殖系的MPMT报道甚少.我院1963年9月~1998年10月共收治泌尿生殖系恶性肿瘤1 156例,其中MPMT 20例,报告如下.
关键词: 泌尿生殖系 多原发性恶性肿瘤 malignant tumors 国内 报告 -
常温下血管阻断肿瘤切除术(附10例报告)
本文报道了10例在常温下阻断腹主动脉,切除了用常规方法难以切除或无法切除的肿瘤的手术经验,结合14只犬的动物实验数据,提出常温下血管阻断的可行性及注意事项.
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小儿腹膜后恶性肿瘤的血清、头发、肿瘤组织内锌铜铁的测定
我们对17例小儿腹膜后恶性肿瘤患儿的血清、头发及肿瘤组织中锌、铜、铁含量进行了测定.结果表明肿瘤组发铜明显高于血铜,血锌明显低于对照组、瘤组织及头发.肿瘤组血清铜/锌比值明显高于对照组,与文献报告一致.