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2.
Chinese Medical Journal ; (24): 637-640, 2011.
Artigo em Inglês | WPRIM | ID: wpr-241541

RESUMO

In rare instances, stroke may precede a diagnosis of cancer and be the first clinical evidence of an underlying malignancy.Cerebral infarction mostly complicates lymphomas, carcinomas, and solid tumors. Malignancy-related thromboembolism can present as acute cerebral infarction, nonbacterial thrombotic endocarditis and migratory thrombophlebitis. It is generally attributed to a cancer-related hypercoagulable period, chronic disseminated intravascular coagulopathy (DIC), or tumor embolism. We reported a case of malignancy-related thromboembolism from an undiagnosed pancreatic adenocarcinoma in a 54-year-old man, who presented with recurrent ischemic stroke due to chronic DIC. He died of the underlying malignancy despite the appropriate institution of anticoagulation therapy.This case emphasizes that cerebral infarction may be the first manifestation of an undiagnosed cancer. If there is laboratory or clinical evidence associated with DIC, patients with a cerebral infarct of an unknown etiology should be investigated for a malignant process. The optimal method of anticoagulation in cancer patients with thromboembolic disease (TED) remains unclear.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Adenocarcinoma , Diagnóstico , Neoplasias Pancreáticas , Diagnóstico , Acidente Vascular Cerebral , Diagnóstico , Trombose , Diagnóstico
3.
Saudi Medical Journal. 2008; 29 (7): 1004-1008
em Inglês | IMEMR | ID: emr-100683

RESUMO

To document the hydatid cyst cases in the endemic Cukurova region of Turkey, by their involvement sites in the body, and discuss the clinical and morphological features of the cases with rare localization. Archival materials of 153 hydatid cyst cases that were diagnosed in 2 different medical centers in Adana, Turkey Cukurova region between the years 2000-2006 were included in the study. Cases with rare localizations were reevaluated in terms of clinical and laboratory findings, and histopathological features. Involvement sites of the cases were documented, and cases with rare localizations are discussed. The liver was the most common localization with 63 cases followed by lungs with 54 cases. Uncommon locations were spleen n=4, bone n=3, intraarterial n=1, ovary n=1, adrenal n=1, heart n=1, mesenteric n=2, retroperitoneal n=2, subcutaneous tissue n=4, breast n=3, intramuscular tissue n=4. The diagnosis of hydatic cyst should be considered in patients with a cystic mass, who live or have lived in a geographic region that has a high risk for Echinococcus granulosus, or visited an endemic area


Assuntos
Humanos , Equinococose/parasitologia , Echinococcus granulosus , Osso e Ossos , Coração , Espaço Retroperitoneal , Pulmão , Ovário , Glândulas Suprarrenais , Mama , Ensaio de Imunoadsorção Enzimática , Tomografia Computadorizada por Raios X , Imageamento por Ressonância Magnética
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