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1.
IRCMJ-Iranian Red Crescent Medical Journal. 2009; 11 (3): 334-336
em Inglês | IMEMR | ID: emr-94034

RESUMO

Sarcomas are rare forms of endometrial [uterine] cancer. We report here a 52 years old woman who was hospitalized due to abnormal uterine bleeding [menorrhagia]. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy and para-iliac lymphadenectomy. The pathological result was endometrial stromal sarcoma/low grade. Meanwhile, she had an ESR of 80 mm/h. After 4 years, the patient referred with dyspnea and galactorrhea. Her serum prolactin level was more than 100 ng/ml. The lung CT-scan revealed metastatic lesions. Brain MRI with hypophysis view was normal. Thus chemotherapy with CYADIC regimen was begun for her and her ESR reached 13. Also, a decline in prolactin level occurred. After 2 years, she was hospitalized for abdominal pain and the assessments revealed progressive metastasis of the abdomen and whole body scan demonstrated the metastatic bone disease. Also, prolactin level highly increased [11102 mIu/Lit]. The MRI of the brain was normal again. Serum macroprolactin was measured, revealing a negative result. The ESR reached 80 mm/h


Assuntos
Humanos , Feminino , Neoplasias do Endométrio , Galactorreia
2.
Journal of Mazandaran University of Medical Sciences. 2007; 17 (62): 81
em Persa | IMEMR | ID: emr-83512

RESUMO

This is a clinical trial regarding the comparative effect of two drugs in COPD patients. The drugs were Salbutamol and Ipratropoim bromide that are being used commonly in the treatment of COPD. Salbotamol is less expensive in Iran and more available than Ipratropim. We chose 16 patients which were referred to Pulmonary Clinic in Imam Hospital, Sari. The Pulmonary function test was done for each patient prior and after administering 200 micro g salbotamol and 36 micro g Atrovent in 0.5 ml within a one and two hour period. Then, comparison was made regarding the results of FVC and FEV1, with paired T- test and SPSS. We found no difference between the effects of these two drugs


Assuntos
Humanos , Albuterol , Ipratrópio , Ensaios Clínicos como Assunto , Testes de Função Respiratória , Resultado do Tratamento , Espirometria
3.
Journal of Mazandaran University of Medical Sciences. 2007; 18 (63): 100-104
em Persa | IMEMR | ID: emr-83524

RESUMO

In this study a 31 y/o woman who was housewife, came from Mazandaran and lived in Behshahr is presented. Patient's complaints were diarrhea, bloating, abdominal pain and weight loss. Abdominal radiography showed loop dilatation. In primary Para clinic assessments she had Alb: 2.8, Ca: 6.4, P: 2.3 and PTH: 201. Considering malabsorption in early evaluation, upper endoscopy was done. Intestinal folds were disappeared in second and third part of duodenum in endoscopic view and duodenal biopsy was done. Then pathological assessment revealed a large accumulation of intraepithelial lymphocytes and obvious villus atrophy that was accordant to celiac sprue. She was advised to be on gluten free diet. After about 1 month, She was referred because of sever lower extremities edema. Serum albumin was checked that was 2. Enlarged mesenteric lymph nodes were detected in sonography. Considering non- responding treatment, IHC staining of intestinal biopsy was performed with celiac sprue complication suspicion. Therefore the patient was referred to chemotherapy center with the diagnosis of T-cell lymphoma following celiac sprue. She was spent 6 course chemotherapy with CHOP regimen and radiotherapy


Assuntos
Humanos , Feminino , Adulto , Neoplasias Intestinais/patologia , Neoplasias Intestinais/diagnóstico , Neoplasias Intestinais/terapia
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