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Paliative care

L Slovacek
Merkel cell carcinoma is a highly aggressive neuroendocrine skin tumor. This type of tumor is primarily based on Merkel cells located in the basal layer of the epidermis. The tumor occurs predominantly in elderly individuals (average age 69 years) and has a strong tendency to local recurrence and locoregional metastasis. Diagnosis of the tumor is based on histological and immunohistochemical examination. The therapy is radical surgery followed by adjuvant radiotherapy to the site of the primary tumor and regional lymph nodes...
2014: Bratislavské Lekárske Listy
Dana Aline Pérez Camargo, Silvia R Allende Pérez, Abelardo Meneses García, Luigina De Nicola Delfin, Erika Thalía Copca Mendoza, Miriam S Sánchez López, Martha Karen Flores García, Emma Verástegui Avilés
BACKGROUND: Anorexia-cachexia is a frequent syndrome among cancer patients, specially in late stages: the global prevalence of para-neoplastic anorexia-cachexia ranges between 20-40% in the diagnostic stage and between 70-80% in the late stage of the disease. The co-existence of functional or structural digestive abnormalities is frequently observed among cancer patients; this is a consequence of the tumor growth and of those systemic phenomena related to metabolism, which are affected by the relationship tumor-host specific to anorexia- cachexia...
2014: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Rosa Maria Ortiz Comino, Noemi Burgos Guadix, Rosa Lina De Los Santos de Lopez, Ana Dolores Romero Ortiz, Manuel De Vega
SESSION TITLE: Lung Cancer Posters IISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Lung cancer remains the leading cause of cancer deaths wordlwide. There is a limited data evaluating overall five years lung cancer survival. The aim of this study is to describe the characteristics of our patients with lung cancer and the five years survival rate in our hospital. METHODS: This is a retrospective analysis of all patients who had lung cancer from Jan 2004 to Dec 2007 at Hospital Virgen de las Nieves in Granada...
March 1, 2014: Chest
Bernardo Pereira, Tiago Silva, Henrique Luiz, Isabel Manita, Luísa Raimundo, Jorge Portugal
An 82-year-old patient presented a progressively growing hard thyroid nodule, and left ptosis. Additionally, ophthalmologic evaluation revealed ipsilateral miosis, diagnostic findings of Horner syndrome. Computerized tomography revealed a 7.5-cm thyroid mass infiltrating the main neck vessels. Although clinical and imaging data were suggestive of poorly differentiated thyroid carcinoma, fine-needle aspiration led to the diagnosis of papillary carcinoma. Paliative care was proposed to the patient due to the advanced stage of the neoplasm and to significant comorbidities...
August 2013: Arquivos Brasileiros de Endocrinologia e Metabologia
Andrzej Fedak, Wojciech Uchto, Andrzej Urbanik
The aim of the study is determine, that transhepatic,transcutaneal drainage of the bile ducts is the method of palliative treatment of inoperative liver hilum tumours. In the years 1998-2011, 211 patients with malignant obturation of the liver hilum were palliative treated by transcutanel, transhepatic drainage with US control. Patients with inoperative, malignant tumours of liver hilum in terminal state were included. More than 5 mm, minimal wideness of bile duct was the main term of qualification to procedure...
2013: Przegla̧d Lekarski
Ricardo Alejandro Lara-Aguilar, Clara Ibet Juárez-Vázquez, Claudina Medina-Lozano
Lysosomal storage diseases (LSD) are caused by monogenic mutations in genes coding for multiple aberrant proteins involved in the catabolism of complex lipids, glycosaminoglycans, oligosaccharides, or nucleic acids. The pathophysiology of the LSD is due to abnormal accumulation of non-hydrolyzed substrate in the lysosomes, affecting the architecture and function of cells, tissues and organs. Due to their genic and allelic heterogeneity the LSD present a wide clinical spectrum in severity of symptoms, evolution and age of onset...
November 2011: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
Indra Wijaya, Murdani Abdullah
Cholangiocarcinoma is a rare and very aggressive neoplasm that arises from the biliary epithelium, constitutes approximately 2% of all reported cancer, and accounts for about 3% of all gastrointestinal malignancies. Up to date, there are many modalities to diagnosis and treat with a range of sensitivity and specificity, and also the advantage and disadvantage of its modality. As a physician, we should be able to assess and choose promptly which modality is best for our patient, even for paliative care. Treatment modalities are surgery and non-surgery like adjuvant chemotherapy, radiation, chemoradiation, radiotherapy, TACE, 5-FU chemoinfusion, intralesion PEI, photodynamic therapy, liver transplantation, and paliative therapy...
July 2011: Acta Medica Indonesiana
L Hrabálek, J Bacovský, V Scudla, T Wanek, O Kalita
INTRODUCTION AND AIM: The management of spinal multiple myeloma (MM) is a complex process, including causal treatment (i.e. efforts to suppress the tumor clone), as well as supportive therapy, including surgery. The aim of this article is to present retrospective evaluation of surgical indications in patients with MM or solitary spinal plasmocytoma. MATERIAL: A total of 10 patients (8 males and 2 females) aged from 32 to 74 years (the mean age of 53.3) were included in the study...
May 2011: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Jacek Smigielski, Jarosław Hołyński, Maciej Kococik, Zbigniew Kococik, Mariusz Balcerczak, Janusz Sztompka, Jerzy Wojtysiak, Rafał Drozda, Renata Talar-Wojnarowska, Marek Pazurek, Ewa Małecka-Panas, Krzysztof Kołomecki, Marian Brocki
UNLABELLED: Cholangiocarcinomas have been often met in daily practice. Biliar tract neoplasmas are the most important group in adenomas and papillomas. There is the medical and social problem with cancer patients because they call doctor too late when cancer changes reach a high level and only paliative procedures are recommended. In the most cases the prothesis implanted by ERCP and surgical digestive bypasses are applied. AIM OF THE STUDY: was to evaluate some therapeutic methods in paliative treatment applied in patients with biliary tract cancer...
May 2009: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
R Vrba, C Neoral, R Aujeský, T Malý, M Lovecek
Gastric carcinoma is a malignancy, frequently manifesting itself in late stages, with metastatic spread into lymph nodes. Resection is the only curative therapy. A total of 149 gastric carcinoma patients were operated in the Ist Surgical Clinic during the studied five- year period. The pre-operative disease staging included the PET-CT examination, as a standard. Total gastrectomy (GE) was completed in 109 subjects, while 12 subjects underwent subtotal GE. The both procedures included D2 lymphadenectomy. In selected cases, the surgery included upper polar resection (7 subjects)...
February 2009: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
O Sláma, J Novák
No abstract text is available yet for this article.
2008: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
M Sviteková, L Minár, Z Pacovský
AIM: This case study reports an occurence of a mammary gland carcinoma in woman during her pregnancy and puerperium. CASE REPORT: Patient was 29 years old woman, without any familiar or personal history of cancer or cancer risk factors. There was a finding of palpable resistance in the lateral superior quadrant of right breast in 30 week of gestation, which was considered to be hormonal changes in pregnancy. The third day after delivery a breast ultrasonography was performed because of persisting mastodynia, moderate oedema in described area and resistance nonresponding to the typical finding in period of incipient lactation...
2008: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
J Tvrdon, T Harustiak, A Pazdro, T Tersíp, P Pafko
The authors present their experience with endoscopic introduction of stents into esophagus and cardia based on data collected from a group of 520 patients. Their study included both paliative management of stenoses in carcinomas of the esophagus and cardia, as well as management of other esophageal conditions, including fistules, perforations and various types of stenoses, including the use of novel absorbable stents.
July 2008: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
N Iarŭmov, S Toshev
Paliative surgery in carcinoma of the head of the pancreas have thoroughly task to carry out decompression of biliar tract, remove duodenal impassability and reduce the pain. Numerous variants for decompression of biliar tract were recommended, but stil now there is no agreement about optimal approach. As method of choise for decompression of biliar tract in patients with cancer our first alternative is making safeless, with little traumatic and easy performance anastomosis. Duodenostasis in patients with carcinoma of the head of the pancreas was determinated clinicly in 40-60% of casees...
2005: Khirurgiia
Łukasz Piskorz, Marian Brocki, Tomasz Lesiak, Leszek Kutwin, Sławomir Jabłonski, Edyta J Santorek-Strumiłło, Szymon Wcisło, Jacek Kordiak
UNLABELLED: Pancreatic cancer is a great surgical problem. Clinical observations confirm 10-15% level of R0 resection ability. Dissatisfying treatment effects results from: lach of simple screening tests, low specificity of methods used to diagnose less than 2 cm lesions, low availability of advanced diagnostic methods (endoscopic ultrasonography), anatomy of pancreatoduodenic area, ability of infiltration adhering structures and causing metastatic tumors. AIM: Retrospective evaluation of treatment methods administered to patients with pancreatic cancer according to different clinical stages...
May 2007: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
John D Spiliotis, Anastasios C Datsis, Nikolaos V Michalopoulos, Spyros P Kekelos, Arhontia Vaxevanidou, Athanasios G Rogdakis, Athina N Christopoulou
BACKGROUND AND AIM: The aim of this study is to identify the benefit acquired by the use of radiofrequency ablation in parallel to palliative therapy in patients with advanced cancer of the pancreas. MATERIALS AND METHODS: Data on 25 consecutive patients who underwent palliative therapy with or without radiofrequency ablation for unresectable pancreatic cancer were included in this retrospective review. Thirteen patients received palliative therapy alone, whereas 12 patients received palliative therapy plus radiofrequency ablation...
January 2007: Langenbeck's Archives of Surgery
P Vyhnálek, J Hájek, K Havlícek, L Sákra, J Siller
INTRODUCTION AND AIM: The authors discuss paliative treatment using coated and bare metallic stents in a prospective randomized study for inoperable oesophageal carcinomas. The aim of this study is to assess the following parameters in both treatment groups: duration of the stents functionality, survival rates, complications rates and histological findings. METHODS: From 1999 to 2003, the total of 60 patients with oesophageal and cardial carcinomas were randomized...
July 2006: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
O Polanecký, A Pazdro, J Tvrdon, T Tersíp, P Smejkal, M Smejkal, P Hladík, P Pafko
The authors of this presentation explain their experience with methods of paliative care of oesophagus carcinoma. The indication criteria are described and compared advantages and disadvantages of those methods. There is an accent in most frequent method--oesophagus stent implementation. The results in the group of patients after the stent implementation are described, also complications and other solutions.
April 2006: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Yoshikazu Ashino
No abstract text is available yet for this article.
August 2004: Nihon Geka Gakkai Zasshi
D Chlapík
AIM: A retrospective assessment of the post-surgical and long-term results of the high biliodigestive anastomoses constructed using the authors' own technique modification. METHODOLOGY: This study evaluates 25 patient cases during an 8-year-period. The patients had high biliodigestive anastomosis affixed due to the clinically manifested obstructive icterus or due to repetitive attacks of cholangitides. The underlying causes of the attacks were malignancies of the ductus hepatocholedochus in 13 cases, a stricture of the ductus hepatocholedochus following the drainage according to Kehr in 1 case, an inflammative stenosis of the ductus hepatocholedochus during choledocholithiasis in 1 case, the Mirizzi syndrome in 2 cases, a cyst of the ductus hepatocholedochus in 2 cases, a stricture of the ductus hepatocholedochus following choledochoduodenoanastomosis in 4 cases, hepaticolithiasis in 1 case, a status after cholecystogastrostomy in 1 case, and a status after ductus hepatocholedochus contusion in 1 case...
May 2004: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
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