Coronary artery fistula misdiagnosed 12 cases of coronary heart disease and literature review


Angina-like chest pain misdiagnosed crown 0 disease [J]. Misdiagnosis, 2002,2 (9) :1289-1290. [73 Chengshu Liang Ji Zhong Jun, Li Bing. Chest pain misdiagnosed as angina pectoris 32 cases [J]. Misdiagnosis, 2001,1 (11) :1708-1709. [83 Chen Yun. Non-coronary heart disease misdiagnosed l2 cases of coronary heart disease [J]. Chinese Journal of Misdiagnosis, 2002,2 (10): l554. [9] Shi Dongmei, Zhang Weijun, into a roaring, coronary artery fistula misdiagnosed five cases analysis [J], Chinese Journal of Misdiagnosis, 2001,1 (2); 291-292. Date Received; 2004-03-12; Editor of the Revised :2004-04-29; Hsu Weizhou of primary pulmonary leiomyosarcoma pleural metastasis one cases of Wu Ning Ge Rong Nanjing Military Region, Nanjing General Hospital of old age three, Nanjing 210002, [case report 【Key words Lung Neoplasms / pathology; leiomyosarcoma / secondary; tumor of the pleura / secondary [CLC] R734, 2 [-D [Article ID] 1009-6647 (2004) 06 -0809 a Ol1 case reports of primary pulmonary leiomyosarcoma (Primaryleiomyosarcomaofthe male,nike free, 6l-year-old with high fever cough, expectoration half 1d 1999-02-07 admission. examination: t39.5 ° C, the right upper lung breathing low tone Superficial lymph nodes small, liver and spleen not palpable. check blood Tips WB.6 × 1O / L, NO.85 given intravenous Zinacef treatment temperature is normal,mbt outlet, after X-ray chest showed huge mass in the right upper lung, about m the × l0am size bronchoscopy see the surface of the right upper lobe openings of new biological white film covering, not falling, the organization is relatively soft,abercrombie fitch paris, easy bleeding biopsy failed clinical diagnosis: right upper lung neoplastic lesions. 1999-02-16 lines of the right upper lobe resection surgery in the mass lesion in the right upper lobe was solid. pathology: tumor size the 9am × m × m cut surface of the gray light yellow, tumor tissues were spindle weaving like arrangement of cells in ill-defined, abundant cytoplasm. nuclear rod-shaped, staining was coarse granular, pathological karyokinesis is easy to see the blood vessels within the tumor tissue, necrosis and large areas of the organization rich in lymphocytes, tumor tissue and lung organizational boundaries is unclear, and hilar lymph nodes, 1/6 tumor metastasis. pathological diagnosis: pulmonary leiomyosarcoma, postoperative radiotherapy, chemotherapy, regular follow-up, and use of immunomodulatory agents, generally followed up 2.5a, in 2001-09-10 placeholder of the right chest wall re-admitted for surgery see a lump in the upper right chest wall 4 to 6 ribs, about m x m x m size, quality hard surface is still smooth,moncler outlet, the surface of the tumor and the ribs and lung adhesion, be the removal of tumor pathologically confirmed metastatic leiomyosarcoma, postoperative follow-up since the two discuss the lung) is a rare malignant lung tumors. 1907 Davisoho report. Pulmonary leiomyosarcoma in each age group can occur, but more than 4O ~ 50-year-old, male to female ratio of 2:1. Symptoms and tumor size and the complications caused. Early may be asymptomatic, common symptoms are cough, hemoptysis, chest pain, chest tightness, increased with the mass, but generally lighter. Cause atelectasis or secondary infection may have symptoms of high fever, chest pain, chest tightness, breathing difficulties can also occur in the pleural effusion, superior vena cava syndrome [i]. Preoperative diagnosis of this disease more difficult, the X-line characteristics were similar to the benign tumors and erefore,moncler jakke dame, regular chest X-ray examination, when the lungs> 2am mass should think of the possibility of this disease. is disease is not sensitive to chemotherapy and radiotherapy, L2,]. Early surgery, combined with enhanced immune therapy is the most effective way for the disease. Fewer distant metastases, postoperative recurrence rarely reported in the literature intrapulmonary lymph nodes and pleural metastasis rare. Hilar lymph nodes in the first operation in this case 1/6 tumor metastasis. 2.5a and found pleural metastasis. Recommended periodic review after early detection of metastases. [
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