RESUMEN
PURPOSE: Report the characteristics of cryopreserved semen from a cohort of male cancer patients, attitudes towards cryopreservation and outcomes of semen samples based on a 12-year cryopreservation program. MATERIAL AND METHODS: Data from 98 male cancer patients whose sperm samples were banked were evaluated. Demographic parameters, semen characteristics, destination of sperm banked samples and questionnaires answered by the patients regarding cryopreservation time were evaluated. RESULTS: The cancer diagnoses were testicle (56.1 percent), prostate (15.3 percent), Hodgkins lymphomas (9.2 percent), non-Hodgkins lymphomas (7.1 percent), leukemia (3.1 percent) and other malignancies (9.2 percent). The patients with testicular cancer presented lower sperm concentration (p < 0.001); however, there were no differences with the percentage of normozoospermic patients among cancer type groups (p = 0.185). A shorter time between cancer diagnosis and sperm banking was observed for testicular and prostate cancer patients (p < 0.001). Most of the patients (89.5 percent) favored sperm banking as a fertility preservation method. CONCLUSIONS: Although less than 20 percent of banked sperm samples were disposed of, the majority of patients related sperm banking with safe for fertility preservation. Our results show that all male cancer patients of reproductive age facing cancer treatment could be offered sperm banking.
Asunto(s)
Adolescente , Adulto , Anciano , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Criopreservación/estadística & datos numéricos , Infertilidad Masculina/prevención & control , Neoplasias , Bancos de Esperma , Preservación de Semen/estadística & datos numéricos , Actitud Frente a la Salud , Métodos Epidemiológicos , Infertilidad Masculina/inducido químicamente , Neoplasias/terapia , Neoplasias de la Próstata/diagnóstico , Neoplasias de la Próstata/terapia , Radioterapia/efectos adversos , Análisis de Semen , Bancos de Esperma , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/terapia , Adulto JovenRESUMEN
Os autores relatam um caso de perfuraçao de anastomose intestinal por Ascaris Lombricóides, com subseqüente peritonite. Realizam ainda uma breve revisao da literatura a respeito das complicaçoes abdominais da ascaridíase. As verminoses, em especial a ascaridíase, constituem um importante problema de saúde pública (3). Acometem predominantemente crianças entre l e 5 anos, de classes sociais menos favorecidas, que vivem em condiçoes de saneamento precárias (l,5). A ascaridíase, por si só, traz danos ao crescimento e pode vir acompanhada de sérias complicaçoes, como obstruçao intestinal, volvo, gangrena, obstruçao da via biliar e pancreática e perfuraçao intestinal, todas com significativa morbimortalidade (4,5). Neste artigo, é relatada a nossa experiência com uma complicaçao pouco comum, a perfuraçao de anastomose intestinal por vermes.