ABSTRACT
Though the development of neoplasia is frequent with Beckwith-Wiedemann Syndrome its association with hepatoblastoma is extremely rare. Such a case in a fifteen month old child was studied in terms of its clinico-pathological features.
Subject(s)
Beckwith-Wiedemann Syndrome/complications , Carcinoma, Hepatocellular/complications , Liver Neoplasms/complications , Beckwith-Wiedemann Syndrome/pathology , Carcinoma, Hepatocellular/pathology , Humans , Infant , Liver Neoplasms/pathology , MaleABSTRACT
Of about 56000 autopsies carried out in Venice (between 1906 and 1988) there is a frequency 1.15% of hepatic primary carcinoma. In the pre-1946 period, the frequency is 0.59%, whereas in the post-1946 period it rises to 1.88%. There is a marked increase of cirrhosis related carcinoma, most notably in women. The main risk factors would appear to be alcohol and HBV. In the same period, there were 3 cases of hepatoblastoma (0.005%) and one case of hepatocellular carcinoma in early infancy.
Subject(s)
Carcinoma, Hepatocellular/epidemiology , Liver Neoplasms/epidemiology , Adolescent , Adult , Aged , Carcinoma, Hepatocellular/etiology , Child , Child, Preschool , Female , Humans , Infant , Italy/epidemiology , Liver Neoplasms/etiology , Male , Middle AgedABSTRACT
An overview is presented of some of the factors that should be considered before extubating a patient who has undergone an oral and maxillofacial surgical procedure. A discussion of the possible preoperative assessment of the patient, complications of intubation, effects of narcotics and muscle relaxants, assessment of airway edema, and criteria for extubation is included.
Subject(s)
Intubation, Intratracheal/methods , Mouth/surgery , Orthognathic Surgical Procedures , Airway Obstruction/etiology , Humans , Intubation, Intratracheal/adverse effectsABSTRACT
Two cases of synovial chondromatosis of the temporomandibular joint are reported. This condition is rare but benign, with only 36 cases reported in the literature to date. Symptoms include tenderness, swelling, and limited range of motion, with deviation to the affected side. Diagnosis is made both from the clinical presentation and histologic examination. The etiology is thought to be cartilaginous foci within the synovial membrane that become detached and proliferate in the synovium as chondrocytes. Treatment includes removal of the "loose bodies" and possible resection of the synovial membrane, condyle, and disk.
Subject(s)
Chondromatosis, Synovial , Joint Diseases , Joint Loose Bodies , Temporomandibular Joint Disorders , Adult , Aged , Female , HumansABSTRACT
An unusual clinical presentation of an eosinophilic ulcer of the tongue has been described. This lesion is seen most often in the fourth to sixth decades of life and has been shown to have a strong predilection for males. The etiology is unknown although trauma has been implicated by several investigators. Because of the clinical resemblance of eosinophilic ulcer to carcinoma, biopsy examination is recommended. After the diagnosis is made, conservative management is most appropriate.
