ABSTRACT
Malignant glomus tumor (MGT) is a rare mesenchymal neoplasm. It is rarely located in the breast. We present a case of a 57-year-old female patient presenting with complaints of a progressively growing mass found in her left breast. Though multiple imaging examinations have been performed, especially multimodal ultrasound examinations, an accurate diagnosis still cannot be determined. Finally, the lesion was confirmed to be a MGT of the breast by postoperative pathological diagnosis. In conclusion, MGT originating from breast is extremely rare. No such case has ever been described before. This study demonstrates the imaging characteristics of a patient with MGT of the breast in order to provide more extensive insights to consider the differential diagnosis of breast lesions.
ABSTRACT
PURPOSE: To increase awareness of peripherally inserted central catheter (PICC) fracture and necessary nursing assessment to identify development of nerve injury after removal of the PICC fracture. METHODS: This is a case review of a cancer patient with fractured PICC and the postoperative symptoms leading to nerve injury. RESULTS: The reason for PICC fracture is the fragility of silicon. Secondary surgical intervention of a PICC fragment resulted in nerve damage from a hematoma placing pressure on the median nerve in the arm. CONCLUSIONS: It is necessary to use power injectable polyurethane PICCs. It is vital to have a clear understanding of signs and symptoms of nerve impingement in the arm when monitoring a post-operative patient. Assessment of neurological status, circulation, swelling and patient complaints of pain are all necessary functions of the nurse in caring for this type of patient.
Subject(s)
Catheterization, Peripheral/instrumentation , Central Venous Catheters , Device Removal/adverse effects , Equipment Failure , Hematoma/etiology , Median Nerve/injuries , Peripheral Nerve Injuries/etiology , Administration, Intravenous , Aged , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Catheterization, Peripheral/adverse effects , Equipment Design , Female , Hematoma/diagnosis , Humans , Median Nerve/physiopathology , Peripheral Nerve Injuries/diagnosis , Peripheral Nerve Injuries/physiopathology , Peripheral Nerve Injuries/therapy , Recovery of Function , Silicon , Treatment Outcome , Ultrasonography, Doppler, Color , Ultrasonography, InterventionalABSTRACT
OBJECTIVE: To investigate the Knowledge-Attitude-Practice (KAP) of cancer patients with peripherally inserted central catheter (PICC) and its associated factors. METHODS: A cross-sectional study was undertaken in 650 cancer patients with PICC in the West China Hospital, Sichuan University, from April 2014 to March 2015. Data were collected through a self-designed questionnaire in relation to KAP and its associated factors. RESULTS: A total of 619 valid questionnaires were returned. The participants had an average score of 9.28 +/- 2.04 in knowledge, 27.95 +/- 4.17 in attitude, and 25.67 +/- 4.00 in practice. Occupation was associated with catheter-related knowledge. Comorbidity (with diabetes, hypertension and coronary heart disease) was associated with catheter-related attitudes (P=0.040). Gender (P=0.015) and catheter insertion site (P=0.023) were associated with PICC practice. The multivariable linear regression model showed that female patients (standardized partial regression coefficient = -0.097, P = 0.024) and those with a higher level of education (standardized partial regression coefficient=0.125, P=0.017) had a higher score in PICC practice. CONCLUSION: Overall, a high level of KAP was found in cancer patients with PICC. Clinical nursesshould provide personalized catheter-related education for patients according to their gender and level of education. Special attention should be paid to those with comorbidities such as diabetes mellitus, hypertension, coronary heart disease and other chronic diseases.
