1.Peripheral primitive neuroectodermal tumor arising from the seminal vesicle: a report of one case and literature review
Yishuai ZHANG ; Yanxin ZHUANG ; Ying WANG ; Hua LIANG ; Yue ZHANG ; Jin ZENG
Journal of Modern Urology 2024;29(12):1088-1091
[Objective] To explore the clinical diagnostic and therapeutic characteristics of peripheral primitive neuroectodermal tumor (PNET). [Methods] A retrospective analysis was conducted on the clinicopathological data of a patient diagnosed with seminal vesicle PNET treated in our hospital.Relevant literature was retrieved in PubMed, Web of Science, and CNKI.The clinical features, pathological results, and treatment methods were reviewed. [Results] Including this case, a total of 6 cases were collected.This case underwent a radical cystectomy with transabdominal approach, bilateral seminal vesicle resection, pelvic tumor resection, and ileal bladder surgery.Postoperative pathology confirmed PNET.During the follow-up of 32 months, no local recurrence or distant metastasis recurred. [Conclusion] Seminal vesicle PNET is a rare tumor with high malignancy, rapid progression, and poor prognosis.The current diagnosis mainly relies on pathological biopsy and immunohistochemistry.Surgery is an effective treatment method.
2.The effect of negative pressure closed drainage on wound healing and Th1/Th2 expression in tuberculosis surgery infected wounds
Lei ZHANG ; Xuebo QIN ; Junpeng FENG ; Xiaoliang DUAN ; Yishuai LI ; Qingsong HAN
Journal of Chinese Physician 2023;25(10):1502-1505
Objective:To analyze the application value of negative pressure closed drainage in tuberculous surgery infected wounds and its effect on wound healing and Th1/Th2 expression.Methods:A prospective study was conducted on 120 patients with tuberculous surgery infected wounds admitted to Hebei Provincial Chest Hospital from January 2019 to June 2021. The patients were divided into observation group and control group according to the random envelope method, with 60 cases in each group. The control group received conventional suture drainage tube intervention, while the observation group received negative pressure closed drainage intervention. The survival rate of skin grafting at 2 weeks after operation, the wound healing rate at 8 weeks after operation, and the pain situation during the first 3 dressing changes were observed. The levels of interferon γ (IFN-γ), interleukin 2 (IL-2), tumor necrosis factor α (TNF-α), IL-6, alkaline phosphatase (ALP), phosphorus (P), calcium (Ca), Th1 and Th2 in serum were detected before treatment and 14 days after treatment.Results:The survival rate of skin grafting at 2 weeks and the wound healing rate at 8 weeks in the observation group were significantly higher than those in the control group, with statistically significant differences (all P<0.05). The Visual Analog Scale (VAS) scores of the observation group were significantly lower than those of the control group during the second and third dressing changes (all P<0.05). At 14 days after treatment, the serum levels of Th1 and Th2 in the observation group were significantly higher than those in the control group, while the levels of IFN-γ, IL-2, TNF-α, IL-6, ALP, P, Ca, Th1/Th2 in serum were significantly lower than those in the control group (all P<0.05). Conclusions:Using negative pressure closed drainage technology can effectively promote wound healing in patients with tuberculous surgery infected wounds and improve the balance of Th1/Th2 in blood.

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