多原发癌

目的:探讨多原发癌的病因、临床特点及其诊治。方法:回顾性总结分析了一组普通外科多原发癌病人的资料,并结合文献进行了分析。结果:本组77例多原发癌,占同期普通外科住院病人的1.33%(77/5768),半数以上发生于65岁及以上的老年人。胃肠道多原发癌占81.8%。其发生主要与下列因素有关:基因缺陷因素(遗传易感性)、环境因素、治疗所致(如放、化疗)、免疫缺陷、老龄。结论:多原发癌近年呈增加趋势,对于肿瘤病人的诊治,不要忽略了同时性癌的可能;手术仍是多原发癌实体瘤主要而有效的治疗手段。     

Multiple sclerosis

Levels of 35 elements have been measured in whole blood and ultrasonically washed scalp hair from multiple sclerosis patients and matched control subjects from Oxford, England. Among the significant differences found, the low levels of vanadium and the high levels of barium in the patients were most marked and consistent. Although the etiological significance of the observations is unknown, the low hair-vanadium levels are in qualitative agreement with a previous Canadian report. Hair- and blood-lead levels in the patients and the controls were virtually identical.