Primary neuroendocrine tumor of liver [rare tumor of liver]

Introduction: A neuroendocrine tumor has known as a neuroendocrine system tumor. Rarely, neuroendocrines have found in other areas, like the liver, gallbladder, bile ducts, kidneys, ovaries or testicles

Case Presentation: We have a 41-year-old woman has referred to our medical center, complaining of fullness and vague pain on her right upper quadrant. The liver scan, sonography, MRI demonstrated multi lobular cysts in 6th and 7th seg-ments of her liver and chest imaging was normal, oc-terotid scan has not shwon metastatic neuroendocrine tour of liver

Conclusions: Liver could be the location of metastatic neuroendo-crine tumors, for example metastatic carcinoid tumor. Therefore, it was so important to diffrentatiate pri-mary neuroendocrine tumor from metastatic neuro-endocrine tumors

[Survey on intra-peritoneal injection of mercuric chloride on blood albumin and liver enzymes]

The rapid development of the mining and industry activities increased and many toxic metals in the environment of the earth's crust has been dissipated and has taken risks to human exposure, inhalation. Today evidence of many diseases associated with environmental factors harmful to repellent Bio systems is increasing gradually, The majority of these factors were man-made and the activities associated with heavy metals was a major threat for human health. Mercury has the most toxic non-radioactive element that was already known. The purpose of this study was to investigate the effect of mercuric chloride intra peritoneally on blood albumin and some liver enzymes. In this study, 30 male Wistar rats randomized selected into 6 groups [1 control group, and experimental groups of 1, 2, 3, 4, 5]. In control group adequate serum physiology, and in experimental groups a dose of mercuric chloride infused into peritoneal cavity for 7 days. The amount of mercuric chloride infused were 1 mg/kg in 1[st] group, 2 mg/kg in group 2, 5 mg/kg in group 3, 7 mg/kg in group 4, and 10 mg/kg in the fifth group every other day for 7 days. After the 7 days blood samples, were tested and analyzed. In this study, there was a significant relation between decrease in albumin levels in experimental groups compared to the control group and a there was significant relation increase in the amount of transaminases; SGOT and SGPT in the experimental group. This study showed that intra peritoneal injection of mercuric chloride causes the balance were increased, of liver enzymes and serum albumin levels

patient with cystic lymphangioma in pancreas

Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63 -year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions

Clinical, toxicological, biochemical, and hematologic parameters in lead exposed workers of a car battery industry

Background: Lead is a toxic element which causes acute, subacute or chronic poisoning through environmental and occupational exposure. The aim of this study was to investigate clinical and laboratory abnormalities of chronic lead poisoning among workers of a car battery industry

Methods: Questionnaires and forms were designed and used to record demographic data, past medical histories and clinical manifestations of lead poisoning. Blood samples were taken to determine biochemical [using Auto Analyzer; Model BT3000] and hematologic [using Cell Counter Sysmex; Model KX21N] parameters. An atomic absorption spectrometer [Perkin-Elmer, Model 3030, USA] was used to determine lead concentration in blood and urine by heated graphite atomization technique

Results: A total of 112 men mean age 28.78 +/- 5.17 years, who worked in a car battery industry were recruited in the present study. The most common signs/symptoms of lead poisoning included increased excitability 41.9%, arthralgia 41.0%, fatigue 40.1%, dental grey discoloration 44.6%, lead line 24.1%, increased deep tendon reflexes [DTR] 22.3%, and decreased DTR [18.7%]. Blood lead concentration [BLC] was 398.95 micro g/ L +/- 177.40, which was significantly correlated with duration of work [P=0.044] but not with the clinical manifestations of lead poisoning. However, BLC was significantly correlated with urine lead concentration [83.67 micro g/L +/- 49.78; r[2]=0.711; P<0.001], mean corpuscular hemoglobin [r=-0.280; P=0.011], mean corpuscular hemoglobin concentration [r=-0.304; P=0.006] and fasting blood sugar or FBS [r=-0.258; P=0.010]

Conclusion: Neuropsychiatric and skeletal findings were common manifestations of chronic occupational lead poisoning. BLC was significantly correlated with duration of work, urine lead concentration, two hemoglobin indices and FBS

Ethics of palliative surgery in esophageal cancer

Surgery is one of the important palliative methods for patients with esophageal cancer. In addition to concerns related to clinical decision making, various moral challenges are encountered in palliative surgery. Some of them are related to patients and their illness, others to surgeons, their attitudes, skills and knowledge base. Pertinent moral challenges are addressed and analyzed with respect to prevailing perspectives in normative ethics [Ross style pluralism]. Demands regarding sensibility and precaution in this clinical setting represent substantial challenges with regard to the beneficence, non-maleficence, justice, autonomy and proper patient information. Moreover, variations in definition of palliative surgery as well as limited scientific evidence in efficacy, effectiveness and efficiency pose methodological and moral problems. We have shown that ethical principles [beneficence, non-maleficence, and justice] in all procedures and treatments in esophageal cancer, including psychological problems of the patients are effective in improving their quality of life. Both surgical skills and moral sensibility are required to improve surgical palliative care in esophageal cancer, and should be taken into account not only in clinical practice but also in education and research

Superior mesenteric artery aneurysm in a patient with chronic abdominal pain

Superior mesenteric artery [SMA] aneurysm is a rare disease. In this case report, we present a 32 years old woman who was admitted to our hospital with chronic abdominal pain. SMA aneurysm was diagnosed after radiological evaluation. The patient underwent ligation of the superior mesenteric artery aneurysm and remained well 12 months after the surgery

Surgical management of chronic lymphedema; introducing an innovative procedure

Lymphedema is the result of impaired lymphatic drainage from the affected organ. This abnormality can be primary or secondary. Different nonoperative and operative approaches have been introduced to treat chronic lymphedema. In this study, we describe a new surgical technique and compare its results with other more commonplace methods. 59 patients with the diagnosis of chronic lower extremity lymphdema who had not responded to nonoperative management for at least 6 months, were included in the study. They were collected during 15 years between March 1987 and March 2002. Doppler ultrasonography of deep venous system to confirm its patency was routinely performed in the most of patients. Then, they underwent surgery and were followed for at least 1 year postoperatively. All the patients were operated by our new technique which is a modified form of the Homans. The outcome was excellent and 89.2% of patients were devoid of complication. A 10.8% total complication rate was inevitable. The most common complication was wound seroma. According to the difficulties with treatment of chronic lymphedema and variety of surgical options, our method can be an excellent and even the standard operative procedure to treat intractable forms of disease

Metastasis of esophageal cancer to finger

Metastasis of cancers to finger is a very rare finding. Herein, we report on an 80-year-old woman presented with a large painless ulceroproliferative lesion of her right thumb. The lesion was surgically excised. Pathological report revealed a papillary adenocarcinoma-a distant metastasis from the esophagus. The patient had an uneventful course and was discharged from the hospital