ABSTRACT
The authors present a case of 64 years old woman treated with palliative radiotherapy due to maxillary sinus cancer--non-operative stage. The cancer-relative pain couldn't be released after radiotherapy and with pain killers. She used NSAIDs and opioid drugs. Before chemiotherapy she was undertaken intranasal sinus operation as a palliative operation. Maxillary sinus was opened. The pain after operation diminished significantly. She died 2 and a half months later, during chemiotherapy, but free of pain.
Subject(s)
Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/diagnosis , Maxillary Sinus Neoplasms/complications , Maxillary Sinus Neoplasms/diagnosis , Pain, Intractable/etiology , Palliative Care/methods , Carcinoma, Squamous Cell/surgery , Female , Humans , Maxillary Sinus Neoplasms/surgery , Middle Aged , Pain, Intractable/surgeryABSTRACT
The authors describe a case of sigmoido-vesical fistula in 64 years old woman. The fistula probably developed as a result of complications of sigmoidal diverticulitis. The main clinical manifestation were symptoms of recurrent urinary tract infections and pneumaturia. For the diagnosis of the fistula different methods such as urography, cystography, ultrasonographic examination, colonoscopy, bacteriological urine analysis and laboratory investigations were used. The patient was qualified to surgical treatment. One-stage operation performed appeared successful.
Subject(s)
Intestinal Fistula/complications , Sigmoid Diseases/complications , Urinary Bladder Fistula/complications , Urinary Tract Infections/etiology , Colonoscopy/methods , Diverticulitis, Colonic/complications , Female , Humans , Intestinal Fistula/diagnosis , Intestinal Fistula/surgery , Middle Aged , Radiography, Abdominal , Sigmoid Diseases/diagnosis , Sigmoid Diseases/surgery , Treatment Outcome , Urinalysis/methods , Urinary Bladder Fistula/diagnosis , Urinary Bladder Fistula/surgery , Urinary Tract Infections/diagnosis , Urography/methodsABSTRACT
Occurrence of anxiety and depression was investigated in 76 patients with recognized larynx and/or hypopharynx cancer and with or without alcohol dependence. The patients were treated using total or partial laryngectomy or radiotherapy. Patients were examined three times using questionnaires: SCID, BDI, STAI. The greatest intensity of anxiety was observed before treatment, especially in patients qualified for surgery. After finishing the treatment, independently of the type of operation, intensity of anxiety was lower than in patients treated using radiotherapy In patients after total laryngectomy the greatest intensity of depression was observed 7 days after operation. The mood of these patients has improved significantly before discharge from hospital. In patients treated with partial laryngectomy such great changes of mood were not observed. In patients treated using radiotherapy were stated greater intensity of depression at the end of treatment - despite of initial mood improvement. Patients with alcohol dependence were stated greater intensity of anxiety and depression than in the other patients. Dynamics of the intensity of anxiety and depression in the different diagnostic and therapeutic groups of patients with laryngeal or hypopharyngeal cancer should be done under consideration of their prophylactic and rehabilitative effects.
