Volume 96  ·   Issue 11  ·  1983

The diagnosis and treatment of cerebrospinal rhinorrhea are discussed with special emphasis oLn diagnostic methods by nasal endoscopy and colistrin-boric acid powder intranasal spray to locate the fistula Treatments by simple methods such as watchful waiting, intranasal medication, intranasal surgery, external sinusotomy and tympanomastoidectomy are also presented. Of the 10 cases, 8 were cured by rhinologic procedures, 1 associated with intracranial tumor was treated by craniotomy.

Basing upon a review of the literature and the study of 150 cadavers (the regional anatomy of the third portion of the common bile duct) as well as personal experience the author stresses that while the common bile duct passes downward on the back of the pancreatic head it leaves behind a groove from the edge of which the pancreatic tissue covering the duct appears as the lingula and suggest that this part of the common bile duct be retropancreatic. The lingula of the pancreas can be elevated by dissecting through a cleavage to approach the common bile duct, then the bile duct and the adjacent pancreas can be explored under direct view with safety and dependability. This is believed to be helpful in preventing misdiagnosis and erroneous operative treatment.

Five chondrosarcoma cases are observed by scanning electron microscope. Its surface ultrastrucural charateristics are discussed.

An 8-year-old boy with left thumb loss and scar contracture of the first web, index and middle finger caused by electric injury, was successfully treated by free second toe transplantation for thumb reconstruction. Following-up two and half years, roentgenograms showed the enlargement of the epiphysis and bone development. It is considered that the method is effective in the treatment of pediatric and adult cases. Early repair is thought to be good not only for the child's local bone growth and deveolpment but for restoration of reconstructed thumb function.

Cellular immunity is determined in 81 cases of recurrent herpetic simplex keratitis (HSK) by E-rosette forming count (E-RFC). Their mean E-RFC levels were lower than normal, this almost normalized in 30 treated with transfer factor (TF). Results were satisfactory. The advantages, mechanism and recurrence with TF treatment are presented.

Gastric mucosa cell cycle parameters in 102 patients with different diseases are measured by 3H-TdR autoradiography in vitro incubation, proliferative zones were also observed. The relationship between gastric cancer and precancerous lesions is discussed. It is suggested that the study of cytokinetics may contribute to early gastric carcinoma diagnosis.

A method of examining living, intact bone marrow segment and bone marrOw deep structure such as central veins and arterioles microscopically is described. This technic contributes much to the detection of the original marrow architecture, especially the communication between the central vein and sinusoids and the relationship between the central vein and arterioles.

The normal values of 10 dermatoglyphic parameters in 180 males and 160 females of the Yi nationality are determined and the result compared with the people of Minnesota, USA as well as with some other Chinese nationalities. The frequencies of Yi fingerprint patterns are Lu>W>Lr>A, being similar to that of whites and differing with the Chinese Tu, Sala and Han nationalities except for Hans of Shanghai. The total frequencies of transverse patterns in the Yi are higher than in other Chinese nationalities. White male total fingerprint ridge count is higher than in the female as in most Chinese nationalities, but in the Yi nationality the opposite is true. This indicates that Yi hand dermatoglyphic parameters are somewhat specific.

10 rare cases of retroperitoneal malignant fibrous histiocytoma (MFH) are reported. About 60-70 cases are reported in the world literature and 13 in the Chinese literature. According to the literature, the cases of this series, are classified into 4 types. General type: pleomorphic subtype 2 cases and storiform subtype 4 cases; inflammatory type conforming to the old terms xanthogranuloma (XG): tumor cells with no atypicality 2 cases and tumor cells with atypicality conforming to the old terms malignant xanthogranuloma and xanthosarcoma 2 cases; myxoid and giant cell tumor types, none. The authors point out that the retroperitoneal space is rather large and the nature of vascular endothelium may be altered. Tumor myoangioma-like endothelium with lipid leaking results in inflammatory change masking the true nature of the tumor mass. Although some of these tumors are benign XG histologically, in this location they all end up malignant clinically. As to the histogenesis, as in Case 2 both storiform MFH type and leiomyoma existed in the same tumor mass, this strongly supports the theory that MFH is derived from the primary mesenchymal cells. The treatment and prognosis are discussed.

This paper analyzes EEG findings in 52 patients of Wilson's disease seen from 1955 to 1980. 54.7% of our patients had abnormal EEGs. Of a total of 75 tracings 31 were rated as normal, 3 borderline, 28 mildly, 8 moderately and 5 maximally abnormal The abnormal features including generalized or focal slow waves which occurred continuously or paroxysmally and occasional sharp transients were nonspecific. The degree of abnormality is not directly related to the level of ceruloplasmin nor is it correlated with age of onset and duration of illness, but it varies with the severity and course development of disease. With the exception of 1 of 8 asymptomatic siblings of 4 affected families, all seem to have the same degree of EEG (mild) abnormality, as that of their diseased relatives. EEG evaluation appears to be useful in detecting cerebral involvement and treatment assessment.