1.Mammography Study of Breast Fibroadenoma
Dongn WANG ; Lanfang BAO ; Aichun YANG
Journal of Practical Radiology 2001;0(09):-
Objective To study the imaging characteristics of breast fibroadenoma on mammograms.Methods Mammograms of 81 cases with breast fibroadenoma confirmed by operation and pathology were reviewed retrospectively. Results Fifty-four cases had isodense masses;11 cases with highdense masses;13 cases with phyllodes masses.“Membranoid sign” can be seen in 44 cases,19 cases with indistinct margin,6 cases with benign calcifications. Accurate preoperative diagnoses were made in 65 cases. Eight cases were misdiagnosed as breast carcinoma or adenosis respectively.The diagnosis of “no malignant lesions” was made in 8 cases.Conclusion The recognition of typical and atypical X-ray findings of breast fibroaderoma is very important,mammography is a good methods in detecting and differentiating breast diseases.
3.Post-infectious bronchiolitis obliterans in children: clinical features and bronchoalveolar lavage therapy
Yongxing ZHONG ; Meiping LU ; Zhimin CHEN ; Xinger BAO ; Lianxiang CHEN ; Lanfang TANG ; Guohong ZHU
Chinese Journal of Emergency Medicine 2010;19(11):1188-1192
Objective To investigate the clinical features and bronchoalveolar lavage (BAL)therapy of postinfectious bronchiolitis obliterans (BO) in children. Method Ten children, who had post-infectious BO from February 2009 to February 2010, received BAL therapy, and were retrospectively analyzed. The data included pathology,chnical feature,chest HRCT scan, BALF cellular, levels of blood T cell subtypes and outcome of BAL therapy. Results Adenoviruses or mycoplasma pneumoniae were the most common etiologic agents (4/10, respectively). All patients presented persistent or recurrent dyspneic respirations and wheezing since the initial lung infection. The findings of HRCT included mosaic pattern of perfusion (6/10), accompanied by gas retention,bronchiectasis, atelectasis and bronchial wall thickening. The percentage of neutrophils in BALF was significantly increased in all cases (10/10). There were predominance of CD8+ T cell subtype (9/10) and lower ratio of CD4 +/CD8+ ( 10/10)in blood. Reduced symptoms and shortened hospital stay of BO in 9 of all 10 cases were observed after BAL therapy. Conclusions Severe adenovirus or mycoplasma pneunoniae bronchiolitis and/or pneumonia has higher risk for developing BO in children. Increased percentage of neutrophils in BALF and predominance of CD8 +T cell subtype may play an important role in the mechanism of BO. BAL therepy can reduce the respiratory symptoms of BO in children.