Subject(s)
Budd-Chiari Syndrome/chemically induced , Carcinoma, Hepatocellular/chemically induced , Contraceptives, Oral, Synthetic/adverse effects , Contraceptives, Oral/adverse effects , Ethinyl Estradiol/adverse effects , Liver Neoplasms/chemically induced , Polycythemia/chemically induced , Adult , Female , HumansSubject(s)
Hypertension, Pulmonary/diagnosis , Child, Preschool , Diagnosis, Differential , Humans , Male , PrognosisABSTRACT
Our method of percutaneous transhepatic cholangiodrainage (PTCD) and radiotherapy shows better results and prognosis in patients with inoperable tumors of the liver, biliary system and pancreas. PTCD was performed in patients with progressive obstructive jaundice due to inoperable tumors to decompress the hepatobiliary system and to reduce jaundice. This was combined with radiotherapy which was performed pre- and postoperatively and without operation. Aim of radiotherapy was to reduce the tumor and also to explore the possibility of radical operation. Radiotherapy was carried out in most patients with Linear accelerator (Linac), and in some with Betatron or Telecobalt 60. In a few cases was chosen: 1) two phase radiotherapy 2) and/or a combination of ray therapies. Inoperable tumors, which can not be excised, should be treated intraoperatively with radiation therapy. Only after a radiation with 3000-4000 rad linac, tumors showed shrinkage in size and at the same microscopic degenerative changes in tumor cells were observed.
Subject(s)
Adenocarcinoma/radiotherapy , Bile Duct Neoplasms/radiotherapy , Cholestasis, Intrahepatic/radiotherapy , Palliative Care , Adenocarcinoma/secondary , Adult , Aged , Bile Duct Neoplasms/secondary , Cholangiopancreatography, Endoscopic Retrograde , Drainage/methods , Female , Humans , Jejunum/surgery , Liver Function Tests , Male , Middle Aged , Postoperative Care , Radiotherapy DosageABSTRACT
Two cases of actinomycosis of the upper female genital tract in wearers of intrauterine contraceptive devices are reported. The cases were both observed within a short time interval. In the first case the disease had spread to large portions of the minor pelvis and shown the expected symptoms and signs. In the second case the actinomycosis was confined to the endometrium. The rarity of pelvic actinomycosis and the differential diagnosis with malignant tumours of the female genital tract prompted us to examine this infection in detail. Apparently pelvic actinomycosis is more common than suspected.
PIP: 2 cases of actinomycosis of the upper female genital tract in IUD wearers are reported. The cases were both observed within a short time interval. In the 1st case, the disease had spread to large portions of the minor pelvis and showed the expected symptoms and signs. In the 2nd case, the actinomycosis was confined to the endometrium. The rarity of pelvic actinomycosis and the differential diagnosis with malignant tumors of the female genital tract prompted us to examine this infection in detail. Apparently, pelvic actinomycosis is more common than suspected. (author's)
Subject(s)
Actinomycosis/etiology , Genital Diseases, Female/etiology , Intrauterine Devices/adverse effects , Actinomycosis/diagnosis , Adult , Diagnosis, Differential , Endometritis/etiology , Female , Genital Diseases, Female/diagnosis , Genital Neoplasms, Female/diagnosis , Humans , Pelvic Inflammatory Disease/etiologyABSTRACT
A 64-year-old man died of IgD plasmocytoma only two months after onset of first symptoms. The course of the disease was characterized by marked renal insufficiency, hypercalcaemia with cardiac arrhythmias and bone destruction, in addition to raised phosphate concentration and alkaline phosphatase activity. The electrophoresis diagram was unremarkable and had no M-peak. But immunoelectrophoretic analysis of serum demonstrated a IgD paraprotein; in addition there was a monoclonal light chain, type lambda. At post-mortem the diagnosis of plasmocytoma was made; in addition there was renal amyloidosis.
