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Pelvis discontinuity

Metin Gündüz, Tamer Sekmenli, İlhan Ciftci, Ahmet Midhat Elmacı
PURPOSE: We aimed to evaluate the effects of preoperative urinary catheterization in nephrolithiasis treatment with extracorporeal shock wave lithotripsy (SWL). METHODS: Patients admitted to the Department of Pediatric Surgery for renal stones between June 2012 and June 2014 were evaluated retrospectively. Patients were divided into 2 groups based on JJ stent placements. Group 1 did not receive JJ stents, while group 2 did. The recorded demographic data for each group included age, gender, stone size, location, sessions, and complications...
October 26, 2016: Urologia Internationalis
Ei-Ichiro Takaoka, Jun Miyazaki, Hitoshi Ishikawa, Koji Kawai, Tomokazu Kimura, Ryutaro Ishitsuka, Takahiro Kojima, Reiko Kanuma, Daichi Takizawa, Toshiyuki Okumura, Hideyuki Sakurai, Hiroyuki Nishiyama
OBJECTIVE: We retrospectively elucidated the oncological outcomes, prognostic factors and toxicities of proton beam therapy in trimodal bladder-preserving therapy for muscle-invasive bladder cancer at our institution. METHODS: From 1990 to 2015, 70 patients with cT2-3N0M0 muscle-invasive bladder cancer underwent trimodal bladder-preserving therapy consisting of maximal transurethral resection of the bladder tumor, small pelvis photon irradiation, intra-arterial chemotherapy and proton beam therapy...
October 13, 2016: Japanese Journal of Clinical Oncology
Padmanee Sharma, Margaret K Callahan, Petri Bono, Joseph Kim, Pavlina Spiliopoulou, Emiliano Calvo, Rathi N Pillai, Patrick A Ott, Filippo de Braud, Michael Morse, Dung T Le, Dirk Jaeger, Emily Chan, Chris Harbison, Chen-Sheng Lin, Marina Tschaika, Alex Azrilevich, Jonathan E Rosenberg
BACKGROUND: Few effective treatments exist for patients with advanced urothelial carcinoma that has progressed after platinum-based chemotherapy. We assessed the activity and safety of nivolumab in patients with locally advanced or metastatic urothelial carcinoma whose disease progressed after previous platinum-based chemotherapy. METHODS: In this phase 1/2, multicentre, open-label study, we enrolled patients (age ≥18 years) with urothelial carcinoma of the renal pelvis, ureter, bladder, or urethra at 16 sites in Finland, Germany, Spain, the UK, and the USA...
October 7, 2016: Lancet Oncology
Steve Malangone, Christopher J Campen
A 60-year-old man initially presented with pain in the right upper quadrant in October 2010. A computed tomography (CT) scan of the abdomen pelvis completed at that time showed a mass at the junction of the body and tail of the pancreas and multiple large liver lesions. A CT-guided liver biopsy revealed low-grade neuroendocrine carcinoma. The patient was initially started on systemic treatment with sunitinib (Sutent) and octreotide. He developed intolerable side effects, including nausea and migraine. Therapy was discontinued in October 2011, when a CT scan revealed evidence of disease progression...
November 2015: Journal of the Advanced Practitioner in Oncology
Keith A Fehring, Benjamin M Howe, John R Martin, Michael J Taunton, Daniel J Berry
BACKGROUND: The identification of suspected pelvic discontinuity is important for preoperative planning in revision hip arthroplasty. Computed tomography (CT) of the pelvis with reconstructions in the axial, sagittal, and coronal planes has been previously described for the identification of pelvic discontinuity but fails to show some discontinuities. The purpose of this study was to determine whether reformatted 45° oblique CT scans of the pelvis, similar in projection to Judet views on plain films, provide advantages in detecting pelvic discontinuity preoperatively over standard reconstruction CT scans...
October 2016: Journal of Arthroplasty
Walter Lemmo
A 66-year-old patient presented with acute recurrent metastatic estrogen and progesterone receptor-positive, Her-2/neu-negative breast cancer, bone lesions (lumbar spine, pelvis), pulmonary nodules, hepatic metastasis, elevated cancer antigen 15 and liver enzymes, dyspepsia, and diarrhea. The patient had been taking raloxifene for approximately 8 years. After discontinuation, clinical parameters and symptoms improved rapidly without oncological therapy or other forms of treatment. Three months after raloxifene discontinuation, capecitabine was initiated by the treating oncologist who deemed an anti-estrogen withdrawal effect (AEWE) implausible...
September 2016: Integrative Cancer Therapies
Jacob P Hoogendam, Irene M L Kalleveen, Catalina S Arteaga de Castro, Alexander J E Raaijmakers, René H M Verheijen, Maurice A A J van den Bosch, Dennis W J Klomp, Ronald P Zweemer, Wouter B Veldhuis
OBJECTIVES: We studied the feasibility of high-resolution T2-weighted cervical cancer imaging on an ultra-high-field 7.0-T magnetic resonance imaging (MRI) system using an endorectal antenna of 4.7-mm thickness. METHODS: A feasibility study on 20 stage IB1-IIB cervical cancer patients was conducted. All underwent pre-treatment 1.5-T MRI. At 7.0-T MRI, an external transmit/receive array with seven dipole antennae and a single endorectal monopole receive antenna were used...
May 31, 2016: European Radiology
Maitham A Moslim, Thomas C Sodeman, Ali T Nawras
Drug-induced acute pancreatitis (DIP) is uncommon and may account for 2%-5% of cases, although the incidence may be increasing nowadays. DIP has been documented for more than 160 drugs in the literature. The most common nonsteroidal anti-inflammatory drugs (NSAIDs) that have been reported to cause pancreatitis are sulindac and salicylates. In this report, we present a case of probable ibuprofen-induced pancreatitis. A 60-year-old white woman presented with the sudden onset of mild acute pancreatitis (AP) 5 hours following the ingestion of 6 tablets of ibuprofen (Advil) 200 mg (equivalent to 20...
April 12, 2016: American Journal of Therapeutics
Satoshi Sugimoto, Yasuaki Miyazaki, Sou Hirose, Toshiya Michiura, Shigeo Fujita, Kazuo Yamabe, Satoru Miyazaki, Makio Nagaoka
A 78 -year-old man with rectal cancer underwent abdominoperineal resection of the rectum. In the postoperative period, the patient experienced wound infection, leading to an abdominal wall hernia. Two years following surgery, a rise in the serum CEA level was seen. A metastatic tumor was detected in the right lung on chest CT. VATS right lung inferior lobe segmental resection was performed. After lobectomy, the serum CEA level continued to increase. Another metastatic tumor was detected in the right lung on chest CT...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
J Ryan Martin, Ian J Barrett, Rafael J Sierra, David G Lewallen, Daniel J Berry
BACKGROUND: Pelvic discontinuity (PD) is a rare but devastating mechanism of failure in total hip arthroplasty. Radiographic findings have been described for the identification of PD. However, no study has specifically examined radiographic parameters and the utility of specific views in the preoperative identification of PD. METHODS: We performed a retrospective review of 133 patients who underwent acetabular revision for PD. Preoperative radiographic studies were reviewed including anteroposterior pelvis (AP; n = 133), true lateral hip (n = 132), Judet (n = 47), false profile (n = 4), and computed tomography scans (n = 14)...
May 2016: Journal of Arthroplasty
Femke Ariën, Jacomijntje M Aleman, Bart Op de Beeck, Wiebren A A Tjalma
BACKGROUND: Fibromatosis is a rare, noninvasive but aggressive tumor. The tumor displaces tissue by "pushing" the normal structures aside. Optimal treatment should be individualized. CASE: A 35-year-old woman presented with a recurrent fibromatosis, which filled the vagina and extended into the pelvis. The classical surgical removal would have had a high morbidity. Therefore, it was decided, after shared decision-making, to opt for treatment with interferon. The side effects of the therapy were tolerable, and a complete regression of the fibromatosis was achieved...
December 2015: Obstetrics and Gynecology
M K Vickaryous, G Meldrum, A P Russell
Osteoderms are bone-rich organs found in the dermis of many scleroglossan lizards sensu lato, but are only known for two genera of gekkotans (geckos): Tarentola and Gekko. Here, we investigate their sequence of appearance, mode of development, structural diversity and ability to regenerate following tail loss. Osteoderms were present in all species of Tarentola sampled (Tarentola annularis, T. mauritanica, T. americana, T. crombei, T. chazaliae) as well as Gekko gecko, but not G. smithii. Gekkotan osteoderms first appear within the integument dorsal to the frontal bone or within the supraocular scales...
November 2015: Journal of Morphology
M K Vickaryous, G Meldrum, A P Russell
Osteoderms are bone-rich organs found in the dermis of many scleroglossan lizards sensu lato, but are only known for two genera of gekkotans (geckos): Tarentola and Gekko. Here, we investigate their sequence of appearance, mode of development, structural diversity and ability to regenerate following tail loss. Osteoderms were present in all species of Tarentola sampled (Tarentola annularis, T. mauritanica, T. americana, T. crombei, T. chazaliae) as well as Gekko gecko, but not G. smithii. Gekkotan osteoderms first appear within the integument dorsal to the frontal bone or within the supraocular scales...
November 2015: Journal of Morphology
Uma Mahadevan, Rebecca Matro
Inflammatory bowel disease affects women in their peak reproductive years. Patients and physicians often have questions regarding the effect of inflammatory bowel disease on a woman's ability to conceive and to carry a pregnancy safely to term as well as the effect of inflammatory bowel disease and the medications used to treat it on pregnancy outcomes. Women with inflammatory bowel disease have the same rates of fertility as women without inflammatory bowel disease unless they have had prior surgery in the pelvis or active disease...
August 2015: Obstetrics and Gynecology
Inacelli Queiroz de Souza Caires, Karla Teixeira Souza, Marcelo Vailati Negrão, Julia Andrade de Oliveira, Romualdo Barroso-Sousa, Rafael Caires Alvino de Lima, Paulo Marcelo Gehm Hoff, Maria del Pilar Estevez Diz
BACKGROUND: Cervical cancer (CC) is the second most common cancer in Brazilian women, and approximately 10% of cases occur in elderly patients (pts). In this age group, disease is usually diagnosed in more advanced stages and oncological therapies are usually less intensive, due to comorbidities and impaired performance status. METHODS: Retrospective analysis of pts ≥65 years old with CC admitted at a Brazilian University Cancer Center from August 2008 to February 2012...
September 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Abdullah Alabousi, Michael N Patlas, Niv Sne, Douglas S Katz
PURPOSE: The purpose of our study was to validate the hypothesis that eliminating the use of oral contrast for multidetector computed tomography (MDCT) would not affect the detection of acute abdominal abnormalities in emergency room patients. METHODS: We conducted a retrospective study to assess the effect of discontinuing oral contrast use for MDCT scans of the abdomen and pelvis for patients presenting with acute abdominal pain and body mass index (BMI) >25...
November 2015: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
S Brousmiche, K Souris, J Orban de Xivry, J Lee, B Macq, J Seco
PURPOSE: To demonstrate that the discontinuous nature of the CT number to stopping power ratio (SPR) calibration curve, combined with the presence of uncorrelated zero-mean Gaussian CT noise, leads to non-negligible and tissue-dependent systematic errors in SPRs and proton range, typically not taken into account in usual safety margins for proton therapy. METHODS: Increased systematic errors with noise standard deviation have first been observed in proton range Monte-Carlo simulations with stoichiometric calibrations, whereas only zero-mean random errors were expected...
June 2015: Medical Physics
Eugene M Tan, Jasmine R Marcelin, Rizwan Sohail, Kannan Ramar
A 26-year-old woman with paranoid schizophrenia was admitted to the medical intensive care unit with septic shock requiring intubation and mechanical ventilation. The source of septic shock was not identified despite obtaining CT of the chest/abdomen/pelvis, bronchoalveolar lavage and microbiological results for tracheal secretions, blood, urine and cervix. An indium-111 tagged white cell count scan was subsequently performed, revealing increased right anterior deltoid uptake. Owing to serial increases (up to 1310 U/L) in serum creatine kinase and a history of local intramuscular paliperidone injections for management of schizophrenia, surgical exploration was performed and identified necrotising skeletal muscle inflammation and extensive fat necrosis with an organising abscess, consistent with pyomyositis...
2015: BMJ Case Reports
H Joensuu, J Martin-Broto, T Nishida, P Reichardt, P Schöffski, R G Maki
BACKGROUND: Patients with gastrointestinal stromal tumour (GIST) are often followed up after surgery with longitudinally repeated imaging examinations to detect recurrence early. Studies on follow-up of GIST patients are few, the optimal follow-up methods are unknown and the recommendations for follow-up vary in guidelines. METHODS: We reviewed the current evidence for follow-up of patients treated with surgery alone and of patients who were treated with adjuvant or neoadjuvant imatinib...
August 2015: European Journal of Cancer
Krzysztof Kmieć, Tomasz Dorman, Grzegorzewski Andrzej, Marek Synder, Piotr Kozłowski, Marcin Sibiński
BACKGROUND: Hip arthroplasty is one of the most frequently performed orthopedic procedures with high scores of success while its most common complication is aseptic loosening of the acetabular component, which may result from host bone loss or even from pelvis discontinuity. The purpose of the study was to evaluate results in patients after revision acetabular arthroplasty with reconstruction rings and allografts. MATERIALS AND METHODS: Retrospective data was collected from 69 revisions of acetabular components, performed in a group of 69 treated patients (the mean age 65...
May 2015: Indian Journal of Orthopaedics
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