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Diagnosis anda management

Victor Emanuel Stoenescu, Mihaela Niculescu, Liliana Novac, Maria Magdalena Manolea, Paul Ioan Tomescu, Anda Lorena Dijmărescu, Marius Bogdan Novac, Ştefania Tudorache, Dominic Gabriel Iliescu
The histopathological and immunohistochemical diagnosis of endometrial biopsies is used for estimating the risk of progression in endometrial hyperplastic lesions in carcinoma and for guiding the clinical management. The objective of this study was to evaluate the immunohistochemical expression of the estrogen receptor (ER) and progesterone receptor (PR), p14, p53, phosphatase and tensin homolog (PTEN), Ki67, in patients with endometrial hyperplasia (EH) with/without atypia versus endometrioid endometrial carcinoma type 1...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Mihaela Grigore, Razvan Popovici, Cristina Furnica, Anda Pristavu, Alexandru Hamod, Dumitru Gafitanu
Cystadenofibromas of the fallopian tubes are very rare benign tumors and very few cases have been reported in the literature worldwide. Usually, the tumor is asymptomatic, and for almost all cases reported, the tumors were incidentally discovered during surgery for other genital pathology. We report the case of a 30-year-old woman with a serous cystadenofibroma of the fallopian tube, presenting with chronic abdominal pain and secondary infertility. The diagnosis of tubal tumor was formulated before surgery and confirmed during laparoscopic surgery...
November 29, 2017: Medical Ultrasonography
Tara Oetken, Bryan Hiscox, Ida Orengo, Theodore Rosen
A 41-year-old man from Cuero, Texas with a nonhealinglesion on his left cheek was referred to ourclinic for removal of a squamous cell carcinoma. Thepatient first noticed a "pimple" on his left cheek 3-4months prior to presentation. When the lesion beganto grow he presented to his primary care physician anda biopsy was taken, showing "atypical squamous cellproliferation." Mohs surgery was performed and thenodule was removed with no evidence of malignancyseen on histopathology. Upon review of the surgicalbiopsies by consulting pathologists, the diagnosis ofleishmaniasis was established and later confirmed bythe Center for Disease Control and Prevention (CDC)as Leishmania mexicana...
January 15, 2017: Dermatology Online Journal
Jaime Jesus Martínez-Anda, Juan Barges-Coll, Juan Antonio Ponce-Gomez, Nadia Perez-Pena, Rogelio Revuelta-Gutierrez
BACKGROUND: Trigeminal neuralgia is one of the most common causes of facial pain with the highest incidence in individuals > 60 years old. Despite the proven efficacy and safety of microvascular decompression (MVD) for the treatment of trigeminal neuralgia, some physicians are reluctant to perform the procedure in elderly patients because of potential complications. MATERIAL AND METHODS: In the present study, we analyze the outcome of MVDs performed over a 10-year period in elderly patients and compare the results with those obtained in younger patients...
January 2015: Journal of Neurological Surgery. Part A, Central European Neurosurgery
José Sebastián Villalón-López, Rosalía Souto-del Bosque, Marco Vinicio Alonso-Briones, Ana Patricia Trujillo-de Anda
BACKGROUND: breast metaplastic carcinomas are a heterogeneous group of neoplasms that exhibit a poor prognosis compared with invasive ductal carcinoma. Correspond less than 1% of all malignant neoplasms of the mammary gland. They usually present as high-grade tumors with a lower rate of lymph node metastases and decreased expression of estrogen and progesterone receptors and Her2 and increased expression of Her1 and Ki-67. CLINICAL CASE: we report a 52 year old woman with a breast carcinosarcoma presented with a left breast tumor fungated, ulcerated, polypoid and 18 cm in major diameter with lymph node metastases at diagnosis...
July 2013: Cirugia y Cirujanos
Anda B Tuncay Scorza, Andreea G Moore, Marisa Terry, Lee A Bricker
OBJECTIVE: To present a patient with secondary parathyromatosis, a rare complication of parathyroidectomy, and to discuss issues currently pertinent to its diagnosis and management. METHODS: Data were derived from clinical and pathologic observations obtained during patient care. RESULTS: The index patient developed intractable hyperparathyroidism and hypercalcemia that has persisted after 4 surgical procedures and has remained largely resistant to medication, albeit with partial amelioration with combined bisphosphonate and cinacalcet...
January 2014: Endocrine Practice
Diana Cimpoesu, Lucian Stoica, Anda Paulet, Antoniu Petris
SESSION TYPE: Critical Care Global Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: The incidence of cardiac involvement among patients with hydatid disease is 0.5-3%, and a pericardial site of implantation is even less common [3]. Severe complications impose a prompt diagnosis and treatment in ED. The management is very critical and time-dependent if the patient develops an anaphylactic shock with cardiopulmonary arrest risk. We present a rare case of multiple pericardial hydatid cysts that resulted in anaphylactic shock...
October 1, 2012: Chest
Anda Băicuş, Ruxandra Cardaş
Between 2007-2008, epidemic episodes of aseptic meningitis occurred in Romania. Most important strains isolated were Echoviruses. A commercial kit for rapid molecular detection of aetiological agents of aseptic meningitis was tested. The introduction of the molecular tests in clinical use is important by the efficient decision-making concerning the treatment.
April 2012: Roumanian Archives of Microbiology and Immunology
J Rojo Alvaro, M Toni, Md Ollero, Jj Pineda, P Munárriz, E Anda
BACKGROUND: The pheochromocytoma is a catecholamine secreting tumour derived from chromaffin cells of the sympathetic nervous system. Eighty to eighty-five percent of these tumours are localized in the adrenal medulla. When pheocromocytomas are found outside the adrenal gland they are referred to as extra-adrenal pheochromocytomas or paragangliomas. The diagnosis is confirmed by elevation of catecholamines and the metanephrines in blood plasma and urine. Localization of the tumour should be done following biochemical diagnosis by means of CT scan and/or MRI...
May 2012: Anales del Sistema Sanitario de Navarra
Rogelio Revuelta-Gutierrez, Jaime J Martinez-Anda, Juan Barges Coll, Aurelio Campos-Romo, Nadia Perez-Peña
OBJECTIVE: Trigeminal neuralgia (TN) surgical treatment with microvascular decompression is highly effective and safe, but for a percentage of patients who undergo this procedure, no vascular compression is found. The purpose of this study was to evaluate the long-term efficacy with trigeminal root compression of the trigeminal nerve in patients with TN refractory to medical treatment who underwent neurosurgical management by a retrosigmoid approach of the cerebellopontine angle and were found to be negative for vascular compression...
September 2013: World Neurosurgery
Rosa Virgen Pardo-Morales, Socorro Romero-Figueroa, Gilberto Felipe Vázquez-de Anda, Jesús Carlos Briones-Garduño, Javier Edmundo Herrera-Villalobos, Angel González-Vargas
INTRODUCTION: Vasoconstriction is a major pathophysiologic finding in preeclampsia due to hyperactivity of the sympathetic nervous system and a consequent increase in concentration of plasmatic catecholamine. Thus, vasodilatation produced by secondary sympathetic block to lumbar epidural blockade favors control of high blood pressure in patients with severe preeclampsia. OBJECTIVE: Our objective was to evaluate whether lumbar epidural blockade with bupivacaine 0...
May 2004: Cirugia y Cirujanos
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