ABSTRACT
BACKGROUND: This report presents a case where electroejaculation (EEJ) was used for semen cryopreservation (SCP), prior to gonadotoxic anti-cancer treatment in a 14-year old boy diagnosed with Hodgkins disease. METHOD: Two sessions of EEJ were performed with an interval of 48 hours. RESULTS: No complications were seen and the procedures resulted in nine frozen straws of motile spermatozoa. CONCLUSION: EEJ is a safe and feasible procedure for SCP in an adolescent cancer patient who is unable to masturbate or use penile vibratory stimulation (PVS).
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/adverse effects , Cryopreservation , Electric Stimulation/methods , Fertility Preservation/methods , Hodgkin Disease/drug therapy , Infertility, Male/chemically induced , Semen Preservation/methods , Specimen Handling/methods , Adolescent , Anesthesia, General , Cyclophosphamide/administration & dosage , Dacarbazine/administration & dosage , Doxorubicin/administration & dosage , Etoposide/administration & dosage , Humans , Male , Vincristine/administration & dosageABSTRACT
A middle-aged native Danish man became aphonic with chronic laryngitis. The symptoms persisted despite antibiotic treatment, and chest X-ray disclosed a central pulmonary infiltrate. Histopathology on specimens from the larynx and lung and microscopy and culture of the sputum revealed primary lung tuberculosis with spread to the larynx. At presentation, laryngeal tuberculosis often mimics non-specific chronic laryngitis or laryngeal carcinoma. It should be suspected when the clinical course is unusual. Tuberculosis may develop in the absence of risk factors.
Subject(s)
Laryngitis/diagnosis , Tuberculosis, Laryngeal/diagnosis , Chronic Disease , Diagnosis, Differential , Humans , Male , Middle Aged , Tomography, X-Ray Computed , Tuberculosis, Laryngeal/diagnostic imaging , Tuberculosis, Pulmonary/diagnosis , Tuberculosis, Pulmonary/diagnostic imagingSubject(s)
Attitude to Health , Health Expenditures/statistics & numerical data , Medicare/statistics & numerical data , Politics , Public Opinion , Aged , Choice Behavior , Drug Costs/statistics & numerical data , Health Benefit Plans, Employee/statistics & numerical data , Health Policy , Humans , Patient Advocacy/statistics & numerical data , United StatesABSTRACT
A case story describing the typical symptoms and course of a glomus tumour of the temporal bone is presented. The most frequent symptoms are pulsatile tinnitus, unilateral hearing loss, aural fullness and paresis of the vagal nerve or other lower cranial nerves. The tumour is frequently visible by otoscopy. Despite being histologically benign, the tumour is infiltrative and may affect the surrounding cranial nerves or spread into the cranial cavity. The early signs and findings are vague. Since the sequelae are fewer when the tumour is treated while it is small, an increased awareness will be of benefit to the patients.
