tumours of the gallbladder and
báo cáo khoa học: "Synchronous double primary malignant tumor of the gallbladder and liver: a case report" potx
... distended and showed wall thickening There was a palpable mass felt on the surface of the gallbladder neck portion The patient underwent surgical resection of the gallbladder and the left lobe of the ... tumor of the gallbladder and liver: a case report World Journal of Surgical Oncology 2011 9:84 Conclusions We report the first case of synchronous double primary malignancies of gallbladder and ... adenocarcinoma of gallbladder with invasion to the perimuscular connective tissue The patient was diagnosed with synchronous double primary cancer of the gallbladder and liver, so additional resection of...
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Diseases of the Gallbladder and Bile Ducts - part 1 pdf
... the round ligament and umbilical fissure The right lobe is further divided by the gallbladder fossa into the right hemiliver to the right of the gallbladder and the quadrate lobe to the left The ... center of the gallbladder bed to the left border of the inferior vena cava c center of the gallbladder bed to the right border of the middle hepatic vein d center of the gallbladder bed to the left ... and gallbladder, James Toouli and Mayank Bhandari Pathology of the intrahepatic and extrahepatic bile ducts and gallbladder, 21 Kay Washington Epidemiology of diseases of the bile ducts and gallbladder, ...
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Diseases of the Gallbladder and Bile Ducts - part 2 potx
... examination They can Chapter 3: Epidemiology of diseases of the bile ducts and gallbladder be distinguished from stones by their fixed position in the gallbladder and by the lack of an acoustic ... secondary event and not the inciting factor The gallbladder is edematous and congested The mucosa is often but not invariably ulcerated, and there may be areas of granulation tissue and fibroblast ... occurs in approximately 2% of patients with PSC and end stage liver cirrhosis [87] Carcinoma of the gallbladder Carcinoma of the gallbladder is the most common carcinoma of the biliary tree It is...
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Diseases of the Gallbladder and Bile Ducts - part 3 pdf
... profound segmental atrophy, particularly in the anterior segment of the right hepatic lobe and the medial segment of the left hepatic lobe Furthermore, there are often enlarged lymph nodes in the ... includes the rnucosa, the fibromuscularis, and the fibrous layer of the serosa The outer hyperechoic layer corresponds to the subserosal fatty tissue, the serosa, and the interface echo between the ... Involvement of the main trunk of the portal vein Involvement of both branches of the portal vein or bilateral involvement of the hepatic artery and portal vein Vascular involvement on one side of the...
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Diseases of the Gallbladder and Bile Ducts - part 4 pot
... approaches for the biliary tree and gallbladder by irradiation They further characterized the injury as “vacuolation, swelling, and necrosis of the epithelial cells of the ducts, and by a slow and atypical ... al The role of radiation therapy in cancer of the extra-hepatic biliary system: an analysis of thirteen patients and a review of the literature of the effectiveness of surgery, chemotherapy and ... absorption of the majority of their energy at the end of their track range, the so-called Bragg peak The dose unit of charged particles is the Gray Equivalent (GyE) Figure 7.2 demonstrates the energy...
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Diseases of the Gallbladder and Bile Ducts - part 5 potx
... At the time of reconstruction there is often evidence of dissection on the left side of the common duct, even to the point of exposure of the portal vein [12] Sometimes one clip is placed on the ... classical injuries The deceptive flaring appearance is caused by the separation of the cystic and common hepatic ducts or the side of the common hepatic duct and the side of the gallbladder Note ... sheath of the main right portal pedicle Therefore, to find the bile duct within the sheath of the right portal pedicle, the cystic plate must be detached from the anterior surface of the sheath of the...
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Diseases of the Gallbladder and Bile Ducts - part 6 pptx
... intravenously and will normally be taken up by the liver and then the gallbladder Uptake by the liver and excretion into the duodenum without filling of the gallbladder is indicative for occlusion of the ... treatment the gallstone disimpacts and falls back into the gallbladder, which allows emptying of the gallbladder, resulting in reduction of the inflammation The theoretical aim of fasting is to rest the ... to 72 hours from the onset of symptoms With the introduction of laparoscopic cholecystectomy at the beginning of the 1990s the question of timing arose again At the beginning of the decade, acute...
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Diseases of the Gallbladder and Bile Ducts - part 7 pdf
... resection of the gallbladder fossa includes which segments of the liver? a I and IVb b IVb and V c V and VIII d IVb and VIII The term “extended cholecystectomy” may encompass a resection of all of the ... may be the source of CBD stones and cholangitis, and the gallbladder is normal in up to one-third of the patients In the absence of gallbladder stones, cholecystectomy is not indicated and may ... diagnosis of acute cholangitis The choice between ERCP and PTC depends on the availability of local expertise and the nature and level of biliary obstruction Both imaging can define the extent of ductal...
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Diseases of the Gallbladder and Bile Ducts - part 8 pptx
... dilatation of the bile ducts is easily visualized, and the location of the biliary stenosis can be determined At the same time, the patency of the main hepatic artery and portal vein and their branches ... Further investigation to delineate the role of these peptides in the etiology of PSC is required The major criticism of the theories of colonic toxins causing PSC comes from studies looking at the ... histology, there was progression of disease in out of 10 patients on placebo and but in only 11 out of 20 on therapy The incidence of side-effects was relatively low and included paresthesias and hypertrichosis,...
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Diseases of the Gallbladder and Bile Ducts - part 9 potx
... plate excluding the gallbladder, and the fundus of the gallbladder is approximated to the dissection at the hilum of the liver In this way, the gallbladder and bile duct act as the conduit through ... atresia of the gallbladder and all external bile ducts Variants include atresia of the proximal hepatic ducts with patency of the gallbladder and distal duct, or atresia of the distal ducts and patency ... atresia) and that the proximal ducts dilate in response to obstruction [32] The operative strategy required will depend on the age of the child, the size of the ducts, and the location of the perforation...
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Diseases of the Gallbladder and Bile Ducts - part 10 ppsx
... reflects some degree of failure of the normal formation of the interlobular bile ducts, and results in a characteristic portal tract lesion consisting of persistence of some remnant of the ductal plate ... affecting the liver in a number of ways, and often is associated with renal disease of varying severity First described in 1962 [165], the most important features of the disease and the complications ... little to address the fundamental problem of portal hypertension and may exacerbate the bleeding from varices in the stomach and esophagus One of the more intriguing aspects of CHF is the association...
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Báo cáo khoa học: "Primary carcinoid tumor of the gallbladder: A case report and brief review of the literature" potx
... located on the free surface of the body and fundus of the gallbladder Neither metastases nor direct invasion to the liver was found The entire mass and gallbladder were excised and intact Pathological ... body and fundus of the gallbladder (Fig 3) Histologically, the tumor was seen infiltrating into the mucosa extensively, and some penetrated the muscular layer but not through the serosa of the gallbladder ... Journal of Surgical Oncology 2010, 8:12 http://www.wjso.com/content/8/1/12 Page of Figure Resected specimen of the gallbladder presenting a tumor (arrow) in the body and fundus of the gallbladder gallbladder...
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báo cáo khoa học: "Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature" potx
... KP, NGS, AT, and ETP edited and wrote part of the manuscript KB and GNM were major contributors to the review and editing of the manuscript NF was the main pathologist and revised the manuscript ... normal gallbladder, a distended gallbladder, and alcohol ingestion, the last of which increases the tone of sphincter of Oddi and the biliary tract pressure Our patient had a history of chronic ... low cost and the ability to perform the test at the bedside in the emergency department Non-visualization of the gallbladder at ultrasonography should raise the suspicion of a traumatic gallbladder...
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Báo cáo y học: "Neuroendocrine tumors of the gallbladder: a case report and review of the literature" docx
... suggestive of an NET tumor The determination of the histological type of the tumor and differential diagnosis from GB adenocarcinoma are often difficult The identification of neuroendocrine cells and the ... indicating the lack of metastases and the successful surgical treatment of a “typical” carcinoid of the GB Indeed, in one study, 82.4% of GB carcinoids remained localized and only 11.8% of patients ... differentiation, the tumor size, the absence of angioinvasion and infiltrative growth, and the immunohistochemical staining supported the final diagnosis of a “typical” rather than of an “atypical” NET tumor...
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Báo cáo y học: "Undifferentiated giant cell type carcinoma of the gallbladder with sarcomatoid dedifferentiation: a case report and review of the literature" ppsx
... in the neck of the gallbladder, thus leading to the clinical presentation and the imaging and intra-operative findings of gallbladder empyema in our patient Incidental finding of gallbladder ... preoperative and postoperative management of the patient and to critical review of the manuscript GA and HG carried out the histopathologic evaluation and contributed to writing of the manuscript ... the operation and contributed to acquisition of consent and critical review of the manuscript MG contributed to manuscript conception, research, acquisition of data, drafting and writing of the...
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Báo cáo y học: "980 nm diode lasers in oral and facial practice: current state of the science and art"
... Following the suggestions of scientific literature on the advantages of the compactness, reliability, ease of use and affordability of the 980 nm Diode Lasers, we evaluated the efficacy and safety of ... are reduced [17,18] The lasers normally adopted offer the enormous advantage of being conveyed in a fibre, which serves as the working tip at the end of the handpiece The use of flexible, length-adjustable ... question the efficacy of the 980nm Laser for photosclerosis of lesions and areas with little melanin and hemoglobin pigmentation [7] Furthermore, to avoid exaggerated fluences and thermal damage to the...
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Evolution of the Earth and its Atmosphere and its Atmosphere
... (CO2), ammonia (NH3) and methane (CH4) into the atmosphere ♦ Most of the H2O vapor condensed to form the oceans ♦ As a result of three key processes (outlined on the next slide), the air ended up ... grew much warmer, thereby preventing freezing and accelerating surface “weathering” Except for Oxygen, almost all of the Earth’s atmosphere today Evolution of the Earth Process and Equation” its ... Multi-celled organisms appeared, and some of these evolved into soft-bodied worm-like animals with a variety of organs, and still later into the first hard-shelled creatures capable of leaving fossils ♦...
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DEVELOPMENT OF THE OZONIZER AND OZONATION TECHNOLOGY FOR WATERWORKS IN JAPAN
... techniques The report then describes the recent status of each of the issues RESEARCH AND DEVELOPMENT IN INCREASING OZONE CONCENTRATION Ozone generation Method and scale of use Table summarizes the ... concentration and decomposition RESEARCH AND DEVELOPMENT IN OZONATION TECHNOLOGY Objectives of ozonation The main objectives of ozonation are to reduce trihalomethane and to remove taste and odor These ... treate the cryptosporidium parvum by chlorine disinfection, the turbidity at the exit of the sand filtration basin is set to a turbidity of 0.1 degrees or less However, this method is neither safe...
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Evaluation of the Effects and the Programming of ‘Water Conservation Plan’ (WCP) for Total Water Resources Management in Tokyo
... proposed the necessity of city-wide recycling system and other measures The fluctuation of water consumption in this period reflects the people’s consideration on the WCP introduced The people ... relocation of large-scale factories in Tokyo such as Toyosu Gas, Ebisu Brewery, Kirin Beer and others to the outskirts of Tokyo Another major factor was the reduction of water use in the factory ... conservation They also continuously make efforts to promote the utilization of SWT devices including the distribution of free SWT-tap developed by them as shown in Fig.7 On the other hand, for triggering...
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Overview of the PSTN and Comparisons to voice over IP
... through the flow of the call: I pick up the phone and send an off-hook indication to the end office switch The switch sends back a dial tone I dial the digits to call Grandma's house (they are ... with the SS7 network and the IN and can tell the gateways or endpoints how and when to set up the call To understand Figure 1-14 in greater detail, all the various components must be described The ... park on her line and have the PSTN call me back after she got off the phone Now that you have a basic understanding of how the PSTN functions, the next section discusses services and applications...
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Tìm thêm: xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo gắn với các giáo trình cụ thể xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ lồng sóc mở máy động cơ rôto dây quấn hệ số công suất cosp fi p2 đặc tuyến hiệu suất h fi p2 đặc tuyến tốc độ rôto n fi p2 đặc tuyến dòng điện stato i1 fi p2 thông tin liên lạc và các dịch vụ từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose