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Medicine (Baltimore)

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January 2019: Medicine (Baltimore)
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No abstract text is available yet for this article.
January 2019: Medicine (Baltimore)
Mehmet Bankir, Hilmi Erdem Sumbul, Ayse Selcan Koc, Derya Demirtas, Fettah Acibucu
Elastography is a method to examine the increase in solid organs stiffness (SOS), and there is no data in the literature regarding to its use in patients with acromegaly. In this study, we aimed to investigate the change of SOS in patients with acromegaly and to determine the parameters closely related to SOS in same patient groups.We included 40 subjects with acromegaly and 40 healthy control subjects. In addition to routine renal, liver and thyroid ultrasonography (USG), SOS for 3 solid organs were measured by elastography...
January 2019: Medicine (Baltimore)
Shuai Zhao, Fan Chen, Dunwei Wang, Hongdan Wang, Wei Han, Yuan Zhang
OBJECTIVE: To investigate the effect of smoking cessation before surgery on postoperative pain and analgesic consumption after thoracoscopic radical resection of lung cancer in elderly patients with high nicotine dependence. METHODS: A total of 107 male patients, ages 60 to 70 years, undergoing elective thoracoscopic radical lung cancer surgery from July 2017 to July 2018 were enrolled into 3 groups: group A (highly nicotine-dependent and discontinued smoking <3 weeks before surgery, n = 36), group B (highly nicotine-dependent and discontinued smoking >3 weeks before surgery, n = 38), and group C (nonsmokers, n = 33)...
January 2019: Medicine (Baltimore)
Taisuke Yokota, Joho Tokumine, Alan Kawarai Lefor, Ayako Hasegawa, Tomoko Yorozu, Takayuki Asao
RATIONALE: Obtaining venous access in a patient with extensive postburn scar contractures is a challenge. PATIENT CONCERNS: A 39-year-old woman suffered a burn 2 years previously with a total body surface area burn of 93%, and a burn index of 85. Reconstructive surgery was previously performed 39 times. Split-thickness skin grafting to the neck was planned. She had no accessible peripheral veins. DIAGNOSIS: Difficult venous access due to excessive burn scar contractures...
January 2019: Medicine (Baltimore)
Wenwu Ling, Changli Lu, He Huang, Tingting Qiu, Qiang Lu, Chengwu Huang, Ping Gong, Yan Luo, Shigao Chen
RATIONALE: Epstein-Barr virus (EBV)-related lymphoepithelioma-like cholangiocarcinoma (LELCC) is an extremely rare primary liver tumor with nonspecific clinical manifestations. The clinicopathological features of EBV-associated LELCC have been reported in a few cases. But reports of the tumor's imaging characteristics, particularly ultrasonographic findings, are very rare. PATIENT CONCERNS: The first patient was a 64-year-old man with left upper quadrant pain and no nausea and dizziness for about 3 months...
January 2019: Medicine (Baltimore)
Xin Wang, Yunqiang Cai, Wei Zhao, Pan Gao, Yongbin Li, Xubao Liu, Bing Peng
RATIONALE: With the development of laparoscopic techniques, laparoscopic pancreatoduodenectomy was applied in various indications including pancreatic cancer. Here, we share our experience of venous resection and reconstruction with interposition graft in laparoscopic pancreatoduodenectomy in these patients. PATIENT CONCERNS: We reviewed data of laparoscopic pancreatoduodenectomy with venous resection and reconstruction in patients with pancreatic cancer between the dates of October 2010 and November 2017...
January 2019: Medicine (Baltimore)
Shuzhong Liu, Xi Zhou, An Song, Zhen Huo, William A Li, Radhika Rastogi, Yipeng Wang, Yong Liu
RATIONALE: Metastatic thymic carcinoma in the spine is a rare disease with no standard curative managements yet. The objective of this study is to report a very rare case of spinal metastases of thymic carcinoma successfully operated by combination of instrumentation and cement augmentation together with adjuvant treatment. The management of these unique cases has yet to be well-documented. PATIENT CONCERNS: A 57-year-old man presented with a 6-month history of continuous and progressive back pain...
January 2019: Medicine (Baltimore)
I-Chen Chen, Shih-Chia Yang, Kuan-Ting Liu, Yen-Hung Wu
RATIONALE: Double-lumen hemodialysis catheters are commonly used as temporary hemodialysis routes. Complications include infection, thrombosis, cardiac arrhythmia, entrapped guide wire, and malposition. We report a rare complication of delayed hemodialysis catheter malposition that caused retroperitoneal hemorrhage and hypovolemic shock during hemodialysis. PATIENT CONCERNS: A 72-year-old female patient who was receiving hemodialysis was referred to our emergency department because of general discomfort and decreased blood pressure (BP) after her regular hemodialysis...
January 2019: Medicine (Baltimore)
Jeongah Shin, Ho Ra, Chang Rae Rho
RATIONALE: To report a case of herpes simplex virus (HSV) linear endotheliitis in a 57-year-old male who had underwent keratoplasty 10 years ago. The characteristic linear keratic precipitates (KPs) resembled the Khodadoust line in graft rejection. The differential diagnosis is essential, because the treatment regimen is different between HSV linear endotheliitis and graft rejection. PATIENT CONCERNS: The patient developed a sudden onset of ocular pain and a decrease in visual acuity in his right eye...
January 2019: Medicine (Baltimore)
Jinming Zhang, Ze Li, Xiaotong Ma, Helin Feng
RATIONALE: Cervical cancer is one of the most common gynecologic malignancies worldwide, and it spreads mainly through direct extension. Distinct metastases are less common and usually spread to distant lymph nodes, lungs, and bones. Bone metastases from cervical cancer are most commonly observed in the pelvis and spine. Thus, a pathological toe fracture as the initial presentation of cervical cancer is extremely rare. PATIENT CONCERNS: We report a patient with a toe metastasis that first presented with pain caused by a pathological fracture...
January 2019: Medicine (Baltimore)
Shan Deng, Yida Xing, Hongjiang Wang, Xiaodan Kong
RATIONALE: The precise cause of granulomatosis with polyangiitis (GPA) remains unclear. Herein we present a case of refractory GPA occurring after trauma. PATIENT CONCERNS: A 43-year-old man suffered fractures of the left orbital in an accident, and then received surgical repair. At a postoperative follow-up, he developed maxillary sinusitis. Seven months later, he was hospitalized with symptoms of cough, high-grade fever, and loss of weight. DIAGNOSIS: He was diagnosed with GPA based on the symptoms of upper and lower respiratory tract involvement, granulomas in a lung biopsy specimen, and presence of PR3-ANCA...
January 2019: Medicine (Baltimore)
Mitsuharu Fukazawa, Hiroshi Koga, Shoji Hiroshige, Toshifumi Matsumoto, Yuichi Nakazono, Yasuji Yoshikawa
BACKGROUND: Plexiform fibromyxoma (PF) is a rare gastric mesenchymal tumor, with approximately 80 cases reported to date. Gastrointestinal stromal tumor, the most common primary mesenchymal tumor of the stomach, shows different biological and clinical characteristics between adult and pediatric patients. OBJECTIVES: This systematic literature review was conducted to elucidate the pathological and clinical features of pediatric PF compared to adult PF. METHODS: MEDLINE (1948 to March 2018) and EMBASE (1947 to March 2018) were searched, and all English articles that reported clinical data on PF patients were identified...
January 2019: Medicine (Baltimore)
Xiangyu Zheng, Zan Wang, Chang Liu, Minghui Hu, Yudan Lv
RATIONALE: The diagnosis of myoclonic epilepsy and the classification of generalized or partial type may be challenging, especially when the scalp electroencephalogram (EEG) is normal. In such situation, how to apply another electrophysiological technique to begin the diagnosis and classification? The utility of Jerk-locked back averaging technique has been described in our case. PATIENT CONCERNS: A Chinese patient (male, 21 years old) presented with frequent unilateral or bilateral shoulder-jerking...
January 2019: Medicine (Baltimore)
Jung Soo Lee, Yeo Hyung Kim
Hand injuries are common and have a significant impact on daily life. However, the factors associated with functional outcome after hand injuries are not well established. The purpose of this study was to identify factors that are independently associated with hand total active motion (TAM).A total of 50 patients with unilateral complex hand injury were included in this study. The associations between various demographic, injury-related, and clinical assessment factors and TAM were determined by univariate and multivariate linear regression analyses...
January 2019: Medicine (Baltimore)
Shu Liu, Yanru Zhao, Miaojing Li, Jieying Xi, Bingyin Shi, Huachao Zhu
RATIONALE: Papillary thyroid carcinoma (PTC) is the most common endocrine malignancy. However, the simultaneous occurrence of PTC and Hodgkin Lymphoma (HL) was rarely reported. PATIENT CONCERNS: We present a case of simultaneous BRAF-positive PTC and HL in a 17-year-old female. DIAGNOSIS: She was referred to our clinic with a painless lump in her left neck. A highly suspicious thyroid nodule and multiple enlarged lymph nodes in the neck were found by ultrasonography examination...
January 2019: Medicine (Baltimore)
Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang, Kaixuan Wang, Zhendong Jin, Zhaoshen Li
Although endoscopic ultrasound (EUS)-guided transmural drainage of pancreatic fluid collections with metal stents is generally preferred over plastic stents, its superiority among different types of metal stents has not yet been well studied. We conducted this study to compare clinical outcomes and complications of a novel self-expanding biflanged metal stent (BFMS) and a traditional-shaped tubular metal stent (TMS) in treating pancreatic pseudocyst (PPC).This was a retrospective analysis on consecutive patients with PPC underwent EUS-guided transmural drainage with either TMS or BFMS in a single tertiary center with expertise in management of complex biliary and pancreatic problems...
January 2019: Medicine (Baltimore)
Jun Lu, Yun Dai, Hua-Long Zheng, Jian-Wei Xie, Jia-Bin Wang, Jian-Xian Lin, Qi-Yue Chen, Long-Long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ju-Li Lin, Ping Li, Chang-Ming Huang, Chao-Hui Zheng
In gastrointestinal stromal tumors (GISTs), rupture is a high-risk feature; however, "tumor rupture" is inconsistently defined, and its prognostic value remains controversial.Six hundred ninety-one patients undergoing surgery for primary nonmetastatic GISTs from 2003 to 2015 at our institution were enrolled. The strict definitions of "tumor rupture" according to the Kinki GIST Study Group (KGSG) were used.The median follow-up time was 64 months. The 5-year recurrence-free survival (RFS) and overall survival (OS) rates in the entire group were 79...
January 2019: Medicine (Baltimore)
Yingyi Zhou, Xuan Du, Chao Chen, Bimin Shi, Ke Chen
RATIONALE: Marfan syndrome (MFS) is a genetic disorder of the connective tissue. MFS has an incidence of about 2 to 3 persons per 10,000 population. MFS is characterized majorly by the involvement of the eyes, skeletal muscles, and cardiovascular system. There are limited case reports of co-existence of MFS and type 2 diabetes mellitus (T2DM). PATIENT CONCERNS: A 16-year-old male patient who got admitted to our hospital with complaints of loss of vision from left eye for the last 3 days...
January 2019: Medicine (Baltimore)
Yonghua Bi, Jianzhuang Ren, Hongmei Chen, Liangliang Bai, Xinwei Han, Gang Wu
We aimed to evaluate the safety and efficacy of combined airway and esophageal stents under fluoroscopy guidance and local anesthesia for patients with malignant tracheobronchial and esophageal disease. This retrospective analysis included 35 consecutive patients underwent combined stenting from March 2012 to August 2016. All patients underwent chest computed tomography scans before stenting and during follow-up. Thirty-nine airway stents and 43 esophageal covered stents were implanted. The indication of stenting, technical success and postinterventional complications were collected and analyzed...
January 2019: Medicine (Baltimore)
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