ABSTRACT
Background: Gallbladder epidermoid carcinoma is rare and more common in women over 55 years of age. Aim: To report the features of 15 patients with gallbladder epidermoid carcinoma. Material and Methods: Review of medical records of patients with gallbladder cancer in an oncology service. Results: Of 207 patients with gallbladder cancer, 15patients aged 53-72years, 93% women had an epidermoid component in their cancer. Forty percent were diabetic and 33% had cholelithiasis. All had locoregional extension of the tumor. A cholecystectomy was done in nine patients (using open surgery in six). In six patients, only a biopsy was done. Median survival was 4.2 months. Conclusions: Gallbladder epidermoid carcinoma is uncommon and has a bad prognosis.
Subject(s)
Humans , Male , Female , Middle Aged , Carcinoma, Squamous Cell/mortality , Gallbladder Neoplasms/mortality , Prognosis , Carcinoma, Squamous Cell/blood , Carcinoma, Squamous Cell/therapy , Survival Analysis , Retrospective Studies , Gallbladder Neoplasms/blood , Gallbladder Neoplasms/therapyABSTRACT
Gastric squamous cell carcinoma (SCC) is a rare type of cancer. We report three patients with the tumor. A 65 years old male presenting with weight los and heartburn. An upper gastrointestinal endoscopy revealed an ulcerated tumor whose biopsy disclosed a gastric epidermoid carcinoma. The patient was operated and chemotherapy was attempted, but he died five months later. A 39 years old male with an antral tumor corresponding to an epidermoid carcinoma. He was operated and received chemotherapy and radiotherapy and died one year later. A 79 years old female with a distal antral tumor corresponding to a undifferentiated epidermoid carcinoma. She received palliative therapy and died two months later.
Subject(s)
Humans , Male , Female , Adult , Aged , Stomach Neoplasms/pathology , Carcinoma, Squamous Cell/pathology , Stomach Neoplasms/therapy , Biopsy , Carcinoma, Squamous Cell/therapy , Fatal OutcomeABSTRACT
En la evaluación del formulario 005 implementado como prueba piloto en el hospital Eugenio Espejo, es importante hacer referencia a la historia clínica, en la cual este formulario ocupa un lugar de gran valor. La historia clínica, para ser utilizada en nuestro país, se base en la creación de ésta en los Estados Unidos, país que en cierta forma lanza un modelo de la misma, teniendo como antecedente la gran variedad de conceptos emitidos por autores expertos en cátedras administrativas. En nuestro país se hacen evidentes todas estas transformaciones en el hospital San Juan de Dios, uno de los más antíguos de América Latina, en los años 1925 a 1927 se habla de una historia clínica, que constaba de dos formatos; el primero con datos de filiación del paciente, anamnesis y examen físico y, el segundo con evolución, prescripciones médicas y notas de enfermería. de 1928 hasta 1940, estos formularios sufren una modificación. Al primer formulario se le divide en dos hojas la una que contenía datos de filiación hasta el examen fisíco; y la otra hoja desde el diagnóstico provisional hasta la autopsia...