ABSTRACT
To determine the mechanism and pattern of animal related injuries in the troops deployed in field. A hospital based observational study. Main Dressing Station Kotli Azad Kashmir from Jan 2004 to Jan 2006 An observational hospital based study was carried out on all the patients who reported to the Main Dressing Station [MDS] between Jan 2004 to Jan 2006. The data was collected by using hospital information system. A performa was developed after review of literature which included necessary information related to patient's age, sex, type of injury and species of animal involved. The information collected was analyzed in detail. Laskin and Donhoue1 classification was used to classify wounds. A total of 48 patients were reviewed. These were all males and the mean age was 25 years. Thirty three [69%] patients had soft tissue injuries, 7 [15%] had fractures, 5 [10%] had head injury and 3 [6%] had abdominal injury. Mule kick injuries occurred in 37[77%] patients, dog bite in 7[15%] cases and donkey bite in 4[8%] cases. Troops deployed in the field are exposed to the hazard of animal related injuries which can be fatal at times. The complex nature of these injuries entails early and appropriate management in order to achieve satisfactory outcome and prevent complications. Prevention strategies include proper animal handling techniques based upon animal behavior and the appropriate use of well designed confinement facilities
Subject(s)
Humans , Female , Krukenberg Tumor/secondary , Carcinoma , Biliary Tract Neoplasms , Lymphatic Metastasis , Gallbladder Neoplasms/complicationsABSTRACT
History and morphologic characterization of Krukenberg's tumor are reviewed, in relation of five cases with this neoplasia. They were secondary metastatic involvement from gastric tumors (3 cases), colon (1 case) and gallbladder (1 case).
La historia y características morfológicas en TC del tumor de Krukenberg son revisadas, a propósito de cinco casos estudiados por nosotros en pacientes con este tipo de neoplasia. Corres-ponden a compromiso metastásico secundario a cáncer gástrico tres casos, cáncer de colon un caso y de vesícula biliar un caso.
Subject(s)
Humans , Female , Adult , Middle Aged , Ovarian Neoplasms , Ovarian Neoplasms/secondary , Krukenberg Tumor , Krukenberg Tumor/secondary , Tomography, X-Ray ComputedABSTRACT
El adenocarcinoma gástrico es una neoplasia poco frecuente en pacientes menores de 15 años. Se denomina tumor de Krukenberg a la metástasis ovárica secundaria a esta neoplasia, o a otras neoplasias, que histológicamente presenten células en anillo de sello y reacción sarcomatoide del estroma. Generalmente se presenta en mujeres cuya edad promedio es de 40 años sexualmente activas; su sintomatología puede derivar de la neoplasia primaria o de la metástasis ovárica. El presente artículo expone el caso de una adolescente de 14 años, que accidentalmente autopesquisa una masa pélvica bilateral. Tras estudio imagenológico se determinó su origen anexial, se realizó una laparotomía exploradora que incluyó ooferectomía bilateral, apendicectomía y linfadenectomía. La biopsia rápida informó la presencia de células en anillo de sello en dichos tejidos. En busca de la neoplasia primaria, se realizó una endoscopia digestiva alta que evidenció un adenocarcinoma gástrico con iguales características histológicas. La biopsia definitiva confirmó el diagnóstico de tumor de Krukenberg. Se describe lo que parece el caso más precoz con primario conocido reportado y se revisa la literatura.
Subject(s)
Adolescent , Humans , Female , Adenocarcinoma/complications , Ovarian Neoplasms , Krukenberg Tumor/surgery , Krukenberg Tumor/etiology , Adenocarcinoma/surgery , Adenocarcinoma/secondary , Neoplasm Metastasis , Stomach Neoplasms , Krukenberg Tumor/diagnosis , Krukenberg Tumor/secondaryABSTRACT
Os prontuários e laudos anatomopatológicos de 44 pacientes portadoras de metastáses em ovários foram revisados. Destas, 10 eram portadoras de tumor de Krukenberg. A análise destes casos demonstrou serem 80 por cento de origem gástrica e 20 por cento com sede primária no cólon. A manifestaçäo clínica mais frequente foi a dor abdominal, presente em 60 por cento das pacientes. Cinco pacientes apresentavam, na história, cirurgia prévia para outra neoplasia. Em 3 pacientes, a identificaçäo do tumor de Krukenberg ocorreu concomitante ao diagnóstico da neoplasia primária e nos dois casos restantes, a identificaçäo somente foi possível após exaustiva investigaçäo pós-operatória.
Subject(s)
Humans , Female , Ovarian Neoplasms , Krukenberg Tumor/secondary , Abdominal PainABSTRACT
We report a patient with gastric adenocarcinoma presenting with a cauliflower-like large papillomatous cutaneous metastases on the nape of the neck.