Subject(s)
Colonic Pseudo-Obstruction/etiology , Deamino Arginine Vasopressin/adverse effects , Hyponatremia/chemically induced , Accidents , Aged , Chronic Disease , Consciousness Disorders/complications , Constipation/complications , Deamino Arginine Vasopressin/administration & dosage , Deamino Arginine Vasopressin/pharmacokinetics , Deamino Arginine Vasopressin/therapeutic use , Drinking , Drug Overdose , Enuresis/drug therapy , Humans , Hyponatremia/complications , MaleABSTRACT
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Subject(s)
Male , Aged , Humans , Colonic Pseudo-Obstruction/etiology , Hyponatremia/chemically induced , Deamino Arginine Vasopressin/adverse effects , Accidents , Chronic Disease , Consciousness Disorders/complications , Constipation/complications , Drinking , Enuresis/drug therapy , Hyponatremia/complications , Drug Overdose , Deamino Arginine Vasopressin/administration & dosage , Deamino Arginine Vasopressin/pharmacology , Deamino Arginine Vasopressin/therapeutic useABSTRACT
A case of a 32 years old woman with fever and exudative ascites is described. Tuberculous peritonitis was confirmed by abdominal laparoscopy, peritoneal biopsy and Lowënstein culture. A serum CA 125 level was 861 U/ml before therapy. The CA 125 level decreased a 30% after three weeks of antituberculous treatment. This tumor marker may be used to follow disease activity in tuberculous ascites.
Subject(s)
Antitubercular Agents/therapeutic use , CA-125 Antigen/blood , Peritonitis, Tuberculous/blood , Peritonitis, Tuberculous/drug therapy , Adult , Ascites/etiology , Biomarkers/blood , Female , HumansABSTRACT
Primary malignant melanoma of the esophagus is an extremely rare non-epithelial neoplasm with a fatal prognosis. At present, approximately 184 cases have been published in the world literature. Of all published cases, 10 (5.4%) occurred in Spain. A 76 year-old man with malignant melanoma of the esophagus presented with dysphagia and weight loss, and treated by subtotal esophageal resection is reported. There was no history of previous cutaneous melanoma and ophthalmologic examination had been normal. At esophagoscopy a polypoid and pigmented mass (diameter 5 cm) almost completely occluding the lumen in the lower third of the esophagus was found. Multiple tumor biopsies were obtained. Histological diagnoses were made by examining endoscopic biopsy specimens and confirmed with resected specimens. The purpose of this communication is to present a case of primary esophageal malignant melanoma proved preoperatively by histological and immunohistochemical studies (positive reaction to the HMB-45 and S-100 antigen), followed by a review of the literature of these exceptional tumors.
