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patology clinic

Vincenzo Nuzzo, Tiziana Attardo, Giuseppe Augello, Davide Brancato, Salvatore Camerlingo, Clelia Canale, Federica Coretti, Alessandro Franco, Francesco Giacometti, Maurizio Gambacorta, Massimo Loreno, Ada Maffettone, Vincenzo Provenzano, Alfonso Zuccoli
Audit is a clinical instrument of government characterized by a whole process of evaluation inter pares to improve medical behaviors in the clinical practice. Different endocrinopathies are underestimated in the clinical and diagnostics practice but they can be a real problem in patients admitted in the departments of Internal Medicine. The Adrenal Incidentaloma (AI) is an accidental discovery with an incidence equal to 4% in radiologic studies but it's rarely considereted in the internal disorders. In the departments of Internal Medicine are hospitalized each year approximately 1...
February 13, 2018: Minerva Endocrinologica
Sabina Beg, Stefano Sansone, Francesco Manguso, John Schembri, Jay Patel, Mo Thoufeeq, Gareth Corbett, Krish Ragunath
OBJECTIVES: A cecal intubation rate (CIR) of >90% is a well-accepted quality indicator of colonoscopy and is consequently monitored within endoscopy units. Endoscopists' desire to meet this target may mean that incomplete colonoscopies are recorded as flexible sigmoidoscopies. The aim of this study was to examine whether the conversion of requested colonoscopies is a clinically significant phenomenon and whether this impacts upon the measurement of quality indicators. METHODS: A retrospective review of all flexible sigmoidoscopies performed between 1 January 2015 and 31 December 2015 at Nottingham University Hospitals, Sheffield Teaching Hospitals, and Cambridge University Hospitals was performed...
October 2017: American Journal of Gastroenterology
Luca Saba
 Background: The Primitive Extratesticular Seminoma is a very rare condition and represents 3% of germ cell tumors; it is an indeterminate origin disease, whose diagnosis is often complicated by a nonspecific and highly variable clinical finding. CASE PRESENTATION: A caucasian 55 years old male, non-smoker, arrived to our centre with cough, severe respiratory distress and dysphagia, in a context of the superior vena cava syndrome. A Computed Tomography was performed, which shows the presence of a mediastinal anterior mass with aorto-pulmonary window and left paracardiac invasion...
April 28, 2017: Acta Bio-medica: Atenei Parmensis
Alper Otunctemur, Murat Dursun, Huseyin Besiroglu, Kutan Ozer, Ozan Horsanali, Emin Ozbek
INTRODUCTION: We investigated the prognostic significance of the neutrophil-to-lymphocyte ratio on tumor stage and Fuhrman nuclear grade in renal cell carcinoma. METHODS: The records of 432 patients with RCC who underwent radical or partial nephrectomy between 2005 and 2014 were retrospectively reviewed. Patients were classified as group lower tumor stage(T1 + T2) and higher(T3 + T4). As like tumor stage, Fuhrman nuclear grade were classified lower (G1+G2) and higher(G3+G4) too...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Milomir Gacević, Milena Jović, Lidija Zolotarevski, Ivan Stanojević, Marijan Novaković, Karolina Miller, Vesna Šuljagić, Željko Mijušković, Danilo Vojvodić
BACKGROUND/AIM: Melanoma is the most aggresive malignant tumor of the skin. Contradictory data was published on vascular endothelial growth factor (VGEF) in tumor samples and its role in skin melanoma progression and prognosis. The aim of this study was to investigate the significance of VEGF expression as a prognostic parameter in melanoma. METHODS: The experimental group included 81 patients with primary skin melanomas treated from 2009 to 2013 at the Military Medical Academy, Belgrade...
May 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Ingrid Bissinger, José Bareño
BACKGROUND: Fungi sensitization correlates with patologies like asthma, rhinitis, conjunctivitis and dermatitis. In general it is associated with other sensitizations. In Medellin the multisystemic pattern is associated with fungi sensitization. OBJECTIVE: To determine the clinical pattern of the fungi sensitization in Medellin. MATERIAL AND METHOD: We reviewed the medical records of 897 patients younger than 70 years old with fungi sensitization in the prick test during the period 1 January 2011 to 31 March 2014 in the allergy facility from 2 clinics...
April 2016: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
Fernando González-Panizo-Tamargo, Álvaro Rojas-Sánchez, Pablo Miranda-García, Diego Juzgado-Lucas, Enrique Vázquez-Sequeiros
BACKGROUND: Overstitch endoscopic suturing system (Apollo Endosurgery. Austin, Texas) was created for NOTES procedures.As it demonstrated to be feasible, secure and effective in this field, further studies have evaluated its use in common gastrointestinal disorders in which current therapeutic tools, endoscopic or not, are not efficient or safe enough. Published results are promising. We present our initial experience with this system in the management of pathologies we usually face in our clinical practice...
June 2014: Revista Española de Enfermedades Digestivas
Łukasz Janeczko, Robert Chrzanowski, Grzegorz Zieliński, Grzegorz Jarosławski
This paper describes two cases of gelatinous cyst of rare location within the peroneal nerve. Clinical picture was different in described patients. The gelatinous cyst was completely resected in both cases. The final diagnosis was established based on the histo-patological examination.
2014: Przegla̧d Lekarski
E Pálová, A Maľová, L Hammerová, M Redecha
The purpose of this study was to determine the frequency, indications, complications and risk factors associated with peripartum hysterectomy carried out at our clinical department between 1st January 2008 and 31th December 2012. Peripartum hysterectomy was defined as a hysterectomy performed less than 48 hours after delivery. Clinical characteristic and obstetric histories were retrospectively reviewed between 5 years. There were 20 emergency peripartum hysterectomies among 13 660 deliveries at our department...
June 2014: Ceská Gynekologie
Ondřej Hloch, Daša Gladišová, Miroslava Horáčková
The urine colour change is an important clinical sign associated with patological process not only in the urinary tract. Apart from the commonest urine colour modifications due to metabolites of haemoglobin, myoglobin and bilirubin one may come accross with some less frequent changes. The violet urine coloration is very rare but represents the important clinical finding that is known as purple urine bag syndrome. The change of colour is made by indirubin and indigo. It is connected all the time with urine tract infection...
May 2014: Vnitr̆ní Lékar̆ství
I Richter, J Dvořák, J Bartoš
Rectal adenocarcinoma, in contrast to colorectal carcinoma, is typical of its high local reccurence rate. Radiotherapy is proved to reduce the incidence of recurrences. Neoadjuvant chemoradiotherapy demonstrated better treatment results than adjuvant chemoradiotherapy. Standard cytotoxic agents involved in combination therapy are 5- flurouracil or capecitabin. Epidermal growth factor receptor (EGFR) is supposed to play an important role in cell- cycle regulation, proliferation, differentiation, and surviving of normal epithelial tissues...
2014: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
Fernanda Marcio, José Vital Filho, Sylvia Regina Temer Cursino, Patrícia Gomes Martins de Sousa, Dino Martini Filho
The purpose of this study is report a child with periorbital liposarcoma describing the clinical, epidemiological and therapeutic aspects. Six-months-old female baby with increasing tumor in the right fronto-zigomatic region wich was submitted to excision and the patologic and immunohistochemistry analisys observed typical findings of lipoblastoma. After that, there were three tumors relapse with the same diagnosis. One year after the last surgery there was a recurrence of the tumor but at this time the diagnosis was lipossarcoma and the patient was referred for additional treatment wilth radiotherapy and chemotherapy no new injuries so far Due to its rarity, liposarcoma usually does not enter the differencial diagnosis in the patients with orbital masses, however because of its local aggressiveess, it's vital the early identification and treatment to provide better therapeutic results and quality of life...
July 2013: Arquivos Brasileiros de Oftalmologia
Daniel I Kim, Roger C Garrison, Gary Thompson
PATIENT: Female, 51 FINAL DIAGNOSIS: Patological skin picking Symptoms: Aphasia • headache • hemiparesis • incontinence MEDICATION: - Clinical Procedure: - Specialty: Dermatology. OBJECTIVE: Challenging differential diagnosis. BACKGROUND: Pathological skin picking (PSP) disorder is characterized by repetitive and compulsive picking of the skin resulting in tissue damage. PSP has been shown to affect 5.4% of a community sample, 4% of college students, and 2% of patients seen in a dermatology clinic...
2013: American Journal of Case Reports
E Târcoveanu, A Vasilescu, N Vlad, D Niculescu, Elena Cotea, Felicia Crumpei, N Dănilă, S Georgescu, Voichiţa Mogoş
UNLABELLED: The term of retrosternal or substernal goiter means that more than 50% of thyroid gland descends in the thorax. MATERIAL AND METHODS: There is a retrospective study on retrosternal and substernal goiter and its patological features among 2482 patients who underwent thyroidectomy between 2000 and 2010 in the First Surgery Clinic of Iaşi. Retrosternal goiter was identified 54 patients (2.17%). All patients were refered to surgery from the Clinic of Endocrinology...
April 2012: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Aron Lazáry, István Béla Bors, Zsolt Szövérfi, Márton Rónai, Péter Pál Varga
AIMS: Primary spinal tumors are rare diseases and there are less objective data in the international literature. We analyzed the epidemiology and clinical consequences of primary spinal tumors based on the clinical experience of the National Center for Spinal Disorders. METHODS: Demographic and clinical data of 300 patients treated in our institute between 1995 and 2007 was collected retrospectively and analysed. RESULTS: Beyond the relatively more frequent pathologies (chordoma, myeloma multiplex) we treated in our hospital some of the very rare types of tumors (spinal leiomyosarcoma, synovial sarcoma)...
May 30, 2012: Ideggyógyászati Szemle
L Martínek, J Dostalík, I Gunka, P Gunková
AIM: Laparoscopic total gastrectomy for cancer have been rarely adopted in Czech Republic. The aim of this study is to assess results of these procedures analyzing our series of patients. MATERIAL AND METHODS: From May 2002 to June 2010 43 laparoscopic total gastrectomies with lymphadenectomy were performed for patients with gastric cancer. Clinical and tumor parameters, perioperative characteristics, short term and long term results were analyzed retrospectively...
July 2011: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Nenad Lucic, Zora Antonic, Vesna Ecim, Slobodan Grahovac, Rosanda Jeftovic, Dragica Draganovic, Branka Cancarevic-Djajic, Aleksandra Rodic
OBJECTIVES: The objective of the study is comparing pathohistological picture and test results of the activity of the enzymes of the anti-oxidative protection -cytoplasmic super-oxide dismutase (CuZnSOD) from the blood and endometrium in the promotion of the progression or regression of the hyperplasia and endometrium carcinoma. MATERIALS AND METHODS: The study has been carried out on 70 patients. We have analysed:The age patients, the supersonic test - transvaginal probe, pathohistological diagnosis (PHD) analysis of the curet of the patient-we have gathered the tissue of the normal and the pathologicaly changed endometrium from the exploratory curretage, determining the CuZnSOD in the blood and in the tissue of the normal and pathological endometrium of the uterus...
2011: Medicinski Arhiv
V K Tashchuk, T O Ilashchuk, S I Hrechko, O Iu Polishchuk, N A Turubarova-Leunova, P R Ivanchuk, O S Polians'ka
Results of clinical and functional studies of 183 patients with organic patology of the cardiovascular system are presented in the article. Coronary reserve peculiarities in women were determined depending on their age. The analysis of dynamics of quantity indicators of myocardium ischemia at hospitalization has shown that patients aged till 45 years have sexual dependence of distribution of changes of repolarization phase, patients older age group it is not so determined. During carrying out of loading tests the percent of the reached loading decreased with age increase, considerably conceding in women, quantitative changes of myocardium ischemia increased with age with an insignificant prevalence in men...
October 2010: Likars'ka Sprava
Snjezana Gverić-Ahmetasević, Ana Colić, Tugomir Gverić, Vesna Elvedi Gasparović, Goran Pavlisa, David Ozretić
Cerebral sinovenous thrombosis in neonatal period may cause neurological impairment, epilepsy, and lead to stroke. It is caused primarily by coagulopathy of numerous reasons, occasionally perinatal asphyxia, traumatic delivery and hyperhomocysteinemia. Dandy-Walker malformation is characterized by agenesis or hypoplasia of the cerebellar vermis, cystic dilatation of the fourth ventricle, and enlargement of the posterior fossa. Dandy-Walker malformation, variant, and mega cisterna magna represent a spectrum of developmental anomalies...
January 2011: Collegium Antropologicum
Vincenzo Villanacci, Paola Ceppa, Enrico Tavani, Carla Vindigni, Umberto Volta
To this day intestinal biopsy is justly considered the "gold standard" for the diagnosis of coeliac disease (CD). The aim of the authors in setting up these guidelines was to assist pathologists in formulating a more precise morphological evaluation of a duodenal biopsy in the light of clinical and laboratory data, to prepare histological samples with correctly oriented biopsies and in the differential diagnosis with other pathological entities and complications of the disease. A further intention was to promote the conviction for the need of a close collaborative relationship between different specialists namely the concept of a "multidisciplinary team"...
March 2011: Digestive and Liver Disease
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