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1.
Rev. bras. cir. cardiovasc ; 35(5): 841-843, Sept.-Oct. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1137322

ABSTRACT

Abstract Cardiac rhythm disorders are common in many patients with cancer. The management of synchronous long-standing persistent atrial fibrillation and pulmonary lesions remains a serious surgical dilemma due to the lack of clinical data and surgical guidelines. To the best of our knowledge, this is the first described case of simultaneous thoracoscopic pulmonary segmentectomy and left atrial posterior wall and pulmonary vein isolation combined with left atrial appendage resection in a patient with early-stage primary lung cancer and long-standing persistent atrial fibrillation.


Subject(s)
Humans , Female , Aged , Atrial Fibrillation/surgery , Atrial Fibrillation/complications , Catheter Ablation/methods , Adenocarcinoma, Mucinous/surgery , Adenocarcinoma, Mucinous/complications , Adenocarcinoma, Mucinous/diagnostic imaging , Pneumonectomy/methods , Pulmonary Veins/surgery , Thoracoscopy , Tomography, X-Ray Computed , Treatment Outcome , Atrial Appendage/surgery , Heart Atria/surgery , Lung Neoplasms/surgery , Lung Neoplasms/complications , Lung Neoplasms/diagnostic imaging
3.
Rev. gastroenterol. Perú ; 33(1): 66-74, ene.-mar. 2013. ilus
Article in Spanish | LILACS, LIPECS | ID: lil-692423

ABSTRACT

La neoplasia Intraductal papilar quística mucinosa (NIPM) fue descrita por primera vez en 1982 por Ohashi, como una neoplasia del páncreas caracterizada por una proliferación de células neoplásicas mucinosas, que forman papilas y causan dilatación del ducto principal o sus ramas. Las NIPM representan el 1% de las neoplasias pancreáticas y el 25% de las neoplasias quísticas. Son potencialmente malignas, progresan desde una lesión benigna hasta carcinoma en un promedio de 5 años. Afecta con mayor frecuencia al sexo masculino entre 60 y 70 años, con síntomas de pancreatitis crónica o pancreatitis aguda recidivante y se localiza preferentemente en la cabeza y proceso uncinado. La clasificación depende de su localización, en variante ducto principal, variante rama lateral o mixto y la importancia radica en el pronóstico, con incidencia de cáncer que varía de 25% a 70%. Las imágenes (T.E.M y Colangio RM) nos permiten establecer el diagnóstico, la variedad, la localización, la extensión y determinar indicios de benignidad o malignidad. Además la eco endoscopía nos permite obtener una muestra y poder estudiar el líquido del quiste. El tratamiento de estas neoplasias es la duodeno pancreatectomía de Whipple. Reportamos un paciente obeso, con historia de pancreatitis recurrente, observado a lo largo de 10 años por una lesión quística del páncreas que creció en los últimos 24 meses. El estudio eco endoscópico y el análisis del líquido del quiste orientó al diagnóstico de NIPM por lo que se le sometió a una resección duodeno pancreática con evolución favorable. El estudio histológico confirmó el diagnóstico de NIPM.


Ohashi described for the first time the IPMN on 1982 as a pancreatic neoplasia with mucine cells forming papillae and producing dilatation of the main pancreatic duct or its branches. The IPMN represent the 1% of the pancreatic tumors and 5% of the cystic neoplasias. It is potentially malignant in a period of five years being more frequent in males between 60-70 and clinically these patients’ presents as acute, recurrent or chronic pancreatitis, with an incidence of malignancy from 25% to 70%. CT scan and cholangio MRI allows the diagnosis, the variety, localization and possibility of determine malignancy. The treatment is the Whipple resection. We are reporting the case of an obese middle age male, being observed along the last 10 years because of recurrent pancreatitis with a cystic lesion of the head of the pancreas. The CT scan, endoscopic-ultrasound and the analysis of the liquid content suggested a mucinous lesion, reason why the patient underwent a pancreatic-duodenal resection. The histology study confirms the diagnosis of IPMN.


Subject(s)
Humans , Male , Middle Aged , Adenocarcinoma, Mucinous/complications , Carcinoma, Pancreatic Ductal/complications , Pancreatic Neoplasms/complications , Pancreatitis/complications , Recurrence
4.
Article in Korean | WPRIM | ID: wpr-50134

ABSTRACT

A colon cancer presenting as psoas muscle abscess is very rare. A 27-year-old woman was admitted with abdominal pain, fever, and discomfort on left thigh. She had been administered on anti-tuberculosis medication for colonic tuberculosis since 3 months ago. Abdominal CT scan revealed a mass lesion obstructing the descending colon with an abscess formation within left psoas muscle. We undertook segmental resection of obstructing descending colon after the percutaneous drainage of psoas abscess. The pathologic report was mucinous adenocarcinoma of the colon. We report the first case of colon cancer manifested with psoas abscess in Korea, with the review of literature associated with the correlation of colon cancer and tuberculosis.


Subject(s)
Adenocarcinoma, Mucinous/complications , Adult , Colectomy , Colon, Descending , Colonic Neoplasms/complications , Drainage , Female , Humans , Psoas Abscess/diagnosis , Tomography, X-Ray Computed
5.
Article in English | IMSEAR | ID: sea-65182

ABSTRACT

We report a 56-year-old man with chronic calcifying pancreatitis of the tropics (tropical calcific pancreatitis) who had been asymptomatic and on follow up developed a pancreatic mass that was identified as intraductal papillary mucinous neoplasm. He has been asymptomatic after distal pancreatectomy.


Subject(s)
Adenocarcinoma, Mucinous/complications , Carcinoma, Pancreatic Ductal/complications , Chronic Disease , Humans , Male , Middle Aged , Pancreatic Neoplasms/complications , Pancreatitis/complications , Tropical Climate
6.
Article in English | WPRIM | ID: wpr-62106

ABSTRACT

Primary adenocarcinoma of the seminal vesicles is a rare neoplasm. Congenital seminal vesicle cysts are commonly associated with unilateral renal agenesis or dysgenesis. To the best of our knowledge, mucinous adenocarcinoma of the seminal vesicle cyst that's associated with an ectopic ureter opening into the seminal vesicle and ipsilateral renal agenesis has not been described in the radiological literature. We report here on the radiological findings of a primary adenocarcinoma of a seminal vesicle cyst in this condition.


Subject(s)
Adenocarcinoma, Mucinous/complications , Adult , Cysts/congenital , Genital Neoplasms, Male/complications , Humans , Kidney/abnormalities , Magnetic Resonance Imaging , Male , Seminal Vesicles/pathology , Tomography, X-Ray Computed , Ureter/abnormalities
7.
Article in English | WPRIM | ID: wpr-228343

ABSTRACT

The purpose of this study is to determine the characteristic clinical features, radiologic findings, and precipitating and prognostic factors in the patients with breast cancer and with 5-Fluorouracil (5-FU)-induced leukoencephalopathy. We reviewed the medical records of six breast cancer patients who developed leukoencephalopathy after chemotherapy which included 5-FU and also evaluated thorough neurological examinations including mini-mental status examination, cerebrospinal fluid studies, brain images and brain biopsies. Six patients exhibited slowly progressing neurologic symptoms characterized by the impairment of cognitive function, abulia, ataxic gait, and/or akinetic mutism. None of the patients had any specific causes or etiologic factors for leukoencephalopathy. Brain MRI in all patients showed diffuse periventricular white matter changes in the T2-weighted MR image. Brain biopsy in Patient 1 showed fragmented axonal fiber and minimally deprived myelination with many scattered macrophages. Five patients who treated with steroids at the onset of neurological symptoms showed clinical improvement, regardless of their age, sex, the pathology and stage of breast cancer, or the total dosage of chemotherapeutic agents. We conclude that leukoencephalopathy in these cases could be attributable to 5-FU neurotoxicity and suggest that the administration of steroids might be the treatment of choice.


Subject(s)
Adenocarcinoma, Mucinous/complications , Adult , Anti-Inflammatory Agents/therapeutic use , Antineoplastic Agents/adverse effects , Brain/drug effects , Breast Neoplasms/complications , Carcinoma, Ductal, Breast/complications , Cyclophosphamide/adverse effects , Epirubicin/adverse effects , Female , Fluorouracil/adverse effects , Glucocorticoids/therapeutic use , Humans , Magnetic Resonance Imaging , Methylprednisolone/therapeutic use , Middle Aged , Nervous System Diseases/chemically induced , Prednisolone/therapeutic use
8.
Yonsei Medical Journal ; : 290-293, 1999.
Article in English | WPRIM | ID: wpr-150894

ABSTRACT

Axillary breast is one of the varieties of polymastia which is characterized by the presence of more than 2 breasts. It may cause symptoms during pregnancy, lactation, or in the premenopausal period. Unless there are obvious symptoms of lactation or the assistance of further imaging studies such as mammography and breast ultrasound, the diagnosis is often confused with subcutaneous lipoma. The incidence of axillary breast cancer is low but it should be investigated and treated properly in view of another breast cancer in the embryonic milk-line. In this paper we reviewed 4 cases of axillary breast cancer and documented some articles regarding aberrant breast and carcinoma arising from it. It is suggested that subcutaneous nodules of uncertain origin around the periphery of the breast should be viewed with suspicion and treated properly.


Subject(s)
Adenocarcinoma, Mucinous/pathology , Adenocarcinoma, Mucinous/complications , Adult , Aged , Breast/abnormalities , Breast Neoplasms/pathology , Breast Neoplasms/complications , Carcinoma, Ductal, Breast/pathology , Carcinoma, Ductal, Breast/complications , Female , Humans , Middle Aged
9.
Indian J Pathol Microbiol ; 1997 Jul; 40(3): 393-5
Article in English | IMSEAR | ID: sea-74457

ABSTRACT

A case of mucinous adenocarcinoma of the renal pelvis is added to those so far reported. Association with long standing chronic infection and large renal calculi is emphasized. The occult gross appearance of most of these tumours may lead the pathologist to overlook their presence. Hence, any kidney with the proper setting must be carefully looked for this entity.


Subject(s)
Adenocarcinoma, Mucinous/complications , Humans , Kidney Calculi/complications , Kidney Neoplasms/complications , Kidney Pelvis , Male , Middle Aged , Pyelonephritis/complications
10.
Rev. chil. obstet. ginecol ; 62(4): 299-302, 1997. ilus, tab
Article in Spanish | LILACS | ID: lil-210388

ABSTRACT

Se presenta el caso de una paciente postmenopáusica portadora de un cistoadenocarcinoma mucinoso de bajo potencial maligno del ovario con hiperplasia del estroma y signos de virilización. Se destaca su perfil hormonal alterado y su normalización postquirúrgica


Subject(s)
Humans , Female , Middle Aged , Adenocarcinoma, Mucinous/diagnosis , Ovarian Neoplasms/diagnosis , Adenocarcinoma, Mucinous/complications , Adenocarcinoma, Mucinous/surgery , Hysterectomy , Postmenopause , Virilism/etiology
11.
Indian J Cancer ; 1994 Dec; 31(4): 240-3
Article in English | IMSEAR | ID: sea-51178

ABSTRACT

Twenty three cases of colorectal carcinoma with partial or complete obstruction were managed by laser ablation of tumour tissue. There were 14 males and 9 females with a mean age of 63 years (30-87). Nineteen cases (82.6%) were in the rectosigmoid while two cases each were in the anal canal and descending colon. Fifteen (65.2%) were proliferative growths and the remaining (8, 34.7%) were circumferential growths. Prior dilatation under fluoroscopic control was done where required. Lumen was achieved in a single sitting in 14 (60.8%) cases, while in the others two to five sittings were required. None of the patients required colostomy. Thirteen (56.5%) of these patients have died during the follow up period, lasting from 4 to 27 months (mean 10.4 months). There were no major complications related to the procedure.


Subject(s)
Adenocarcinoma/complications , Adenocarcinoma, Mucinous/complications , Adult , Aged , Aged, 80 and over , Colorectal Neoplasms/complications , Female , Follow-Up Studies , Humans , Intestinal Obstruction/etiology , Laser Coagulation , Male , Metronidazole/therapeutic use , Middle Aged , Neoplasm Metastasis , Postoperative Care , Recurrence , Time Factors
12.
J Postgrad Med ; 1993 Oct-Dec; 39(4): 218-9
Article in English | IMSEAR | ID: sea-116456

ABSTRACT

The rarity of rectal carcinoma in children has prompted us to report this patient who presented with bleeding per rectum and constipation. Histopathological examination of biopsy revealed the growth to be a colloid carcinoma of rectum and it was inoperable on exploratory laparotomy. There are three factors which contribute to an overall poor prognosis of rectal carcinoma in children viz. delay in diagnosis, advanced stage of disease and poorly differentiated histology.


Subject(s)
Adenocarcinoma, Mucinous/complications , Child , Colostomy , Constipation/etiology , Female , Gastrointestinal Hemorrhage/etiology , Humans , Ileostomy , Palliative Care/methods , Prognosis , Rectal Neoplasms/complications , Rectum
13.
Article in English | IMSEAR | ID: sea-125137

ABSTRACT

A case of disseminated carcinoma stomach at the age of thirteen years is reported. The patient in addition had spontaneous bacterial peritonitis.


Subject(s)
Acinetobacter Infections , Adenocarcinoma, Mucinous/complications , Adolescent , Age of Onset , Humans , Immunocompromised Host , Male , Peritonitis/microbiology , Stomach Neoplasms/complications
15.
Article in English | IMSEAR | ID: sea-87058

ABSTRACT

Pseudomyxoma peritonei is an infrequently encountered clinical entity which presents mainly with abdominal distension. We present here our experience with three such cases and emphasize on the aggressive combined operative and chemotherapeutic approach in this disease.


Subject(s)
Adenocarcinoma, Mucinous/complications , Adult , Appendiceal Neoplasms/complications , Humans , Male , Middle Aged , Omentum/pathology , Peritoneal Neoplasms/complications , Pseudomyxoma Peritonei/etiology
16.
ABCD arq. bras. cir. dig ; 2(3): 73-6, jul.-set. 1987. ilus, tab
Article in English | LILACS | ID: lil-58613

ABSTRACT

É analisado o comportamento da associaçäo câncer gástrico e úlcera duodenal em pacientes acompanhados no Hospital das Clínicas da Faculdade de Medicina da Universidade de Säo Paulo. No período compreendido entre janeiro de 1980 e fevereiro de 1984, constatou-se presença da associaçäo câncer gástrico/úlcera duodenal em seis paciente. Estes pacientes foram estudados quanto a faixa etária, sexo, raça, classificaçäo endoscópica da neoplasia e sua localizaçäo na câmara gástrica. A associaçäo de câncer gástrico com úlcera duodenal é pouco freqüente e os parâmetros estudados confirmam a experiência de outros pesquisadores näo permitindo, entretanto, conlusöes definitivas, tendo em vista a pequena casuística. Contudo, vale ressaltar que todo paciente portador de úlcera duodenal que apresente história clínica atípica ou mudança da sintomatologia inicial, deve ser cuidadosamente examinado, porquanto esta afecçäo näo isenta o eventual desenvolvimento do câncer gástrico


Subject(s)
Adult , Middle Aged , Humans , Male , Adenocarcinoma, Mucinous/complications , Adenocarcinoma/complications , Stomach Neoplasms/complications , Duodenal Ulcer/complications , Adenocarcinoma, Mucinous/diagnosis , Adenocarcinoma/diagnosis , Endoscopy , Stomach Neoplasms/diagnosis , Duodenal Ulcer/diagnosis
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