ABSTRACT
Choroid plexus carcinomas are rare in adults. They can behave aggressively and their optimal management is uncertain. An adult patient with choroid plexus carcinoma who was treated with an incomplete surgical resection and postoperative radiotherapy is reported. Despite an identifiable local response to radiotherapy, disease progression resulted in death 4 years after presentation. This report reviews the current literature and discusses the management issues regarding this uncommon adult malignancy.
Subject(s)
Carcinoma, Papillary/radiotherapy , Carcinoma, Papillary/surgery , Choroid Plexus Neoplasms/radiotherapy , Choroid Plexus Neoplasms/surgery , Adult , Disease Progression , Humans , Male , Radiotherapy, AdjuvantABSTRACT
The aim of this pilot study was to investigate anxiety levels in patients undergoing elective caesarean section under regional anaesthesia, and to ascertain whether this group of patients considered the administration of anxiolytic premedicant drugs before surgery acceptable. Anxiety was assessed by two means, using a self-reported anxiety score and a physiological evaluation in the form of skin conductance measurements. The patient was given an information sheet explaining the potential advantages and disadvantages associated with the use of temazepam as an anxiolytic premedicant before caesarean section. Having read the information sheet, the patient's opinion regarding the use of anxiolytic premedicant drugs in this context was determined using a questionnaire. Most women reported high preoperative anxiety levels, although the cause of their anxiety was not determined. In our hospital, a significant proportion of such women would accept temazepam as anxiolytic premedication, despite being aware of its potential adverse side effects.
