ABSTRACT
Free perforation of the bowel due to cancer in Crohn's disease is very rare. One case found among 75 cases of Crohn's disease is reported. The perforation occurred in a mucinous adenocarcinoma of the ascending colon in a 54-year-old woman with a 17-year history of Crohn's disease, who had undergone two previous operations of small bowel and colonic resection. A right hemicolectomy was performed; the patient had an uneventful recovery and does not show recurrence of cancer at 31-month follow-up. This is in contrast with a recent review, in which a very poor prognosis was claimed for the perforated colonic cancer in Crohn's disease.
Subject(s)
Adenocarcinoma, Mucinous/complications , Colonic Neoplasms/complications , Crohn Disease/complications , Intestinal Perforation/etiology , Adenocarcinoma, Mucinous/pathology , Colectomy , Colonic Neoplasms/pathology , Female , Follow-Up Studies , Humans , Middle AgedSubject(s)
Cystadenocarcinoma , Cystadenoma , Pancreatic Neoplasms , Adult , Aged , Cystadenocarcinoma/diagnostic imaging , Cystadenocarcinoma/pathology , Cystadenocarcinoma/surgery , Cystadenoma/diagnostic imaging , Cystadenoma/pathology , Cystadenoma/surgery , Female , Humans , Male , Middle Aged , Pancreatic Neoplasms/diagnostic imaging , Pancreatic Neoplasms/pathology , Pancreatic Neoplasms/surgery , Tomography, X-Ray ComputedABSTRACT
Os autores abordam o conceito de asma, sua fisiopatologia - discutindo, em particular, os aspectos imunologicos - a classificacao atual da doenca e os esquemas de tratamento propostos para a crise aguda, o estado de mal asmatico e a imunoterapia. Finalizando, analisam levantamentos estatisticos realizados em Santo Andre, no Estado de Sao Paulo, evidenciando a influencia do fator ambiental no desencadeamento das crises de asma
