Asunto(s)
Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/cirugía , Neoplasias de Células Epitelioides Perivasculares/diagnóstico por imagen , Neoplasias de Células Epitelioides Perivasculares/cirugía , Femenino , Humanos , Neoplasias Pulmonares/patología , Persona de Mediana Edad , Neoplasias de Células Epitelioides Perivasculares/patologíaAsunto(s)
Carcinoma de Células Escamosas/patología , Enfermedades Desatendidas/complicaciones , Metástasis de la Neoplasia/patología , Neoplasias Cutáneas/patología , Pared Torácica/patología , Enfermedad de Bowen/patología , Resultado Fatal , Humanos , Neoplasias Renales/patología , Neoplasias Renales/secundario , Neoplasias Hepáticas/patología , Neoplasias Hepáticas/secundario , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/secundario , Masculino , Persona de Mediana Edad , Pared Torácica/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodosRESUMEN
BACKGROUND: To describe the features of 4 cases of basal cell carcinosarcoma and systematically review previously reported cases. METHODS: Four cases of basal cell carcinosarcoma were identified from the practice of the authors. A search of the literature revealed an additional 40 cases, variously described in small series and single case reports. The clinical and pathological features of these 44 cases are described. RESULTS: Basal cell carcinosarcoma is largely a tumor of elderly men (male:female 3:1, average age: 76 years). The majority of these lesions are relatively small (<25 mm). Heterologous elements are common, particularly an osteosarcomatous component, which is present in 45% of cases. Although there are relatively limited follow-up data, only 1 case formally reported in the literature has shown distant metastasis. CONCLUSIONS: Despite relatively high reported rates of local recurrence and metastasis for "carcinosarcoma" as an unrefined entity, it seems that the subgroup of basal cell carcinosarcoma has a relatively good prognosis, with adequate local excision being curative in the majority of cases. Recognition of this entity is critical for accurate diagnosis and its separation from other types of carcinosarcoma may have significant prognostic implications.
Asunto(s)
Carcinosarcoma/patología , Neoplasias Cutáneas/patología , Anciano , Anciano de 80 o más Años , Humanos , MasculinoRESUMEN
A 40-year-old man presented with left lower lobe pneumonia that failed to resolve on antibiotic therapy. Computed tomography revealed intralobar sequestration of the left lower lobe supplied by a large artery from the descending aorta. The aberrant artery was embolized using polyvinyl alcohol particles. The sequestered tissue was resected 3 weeks later. Identification and control of the aberrant artery is essential to avoid inadvertent injury and massive hemorrhage.
Asunto(s)
Aorta Torácica/anomalías , Secuestro Broncopulmonar/terapia , Embolización Terapéutica , Neumonectomía , Alcohol Polivinílico/administración & dosificación , Toracotomía , Adulto , Aorta Torácica/diagnóstico por imagen , Aortografía/métodos , Secuestro Broncopulmonar/diagnóstico por imagen , Secuestro Broncopulmonar/cirugía , Humanos , Masculino , Cuidados Preoperatorios , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Twin reversed arterial perfusion (TRAP sequence), or acardiaus, is a rare and serious complication of monozygotic multiple gestation. The acardiac fetus suffers from lethal anomalies. The normal co-twin also runs a high risk of perinatal morbidity and mortality due to heart failure and prematurity. Four cases of acardius are presented. The role of sonography in the condition's diagnosis and management is discussed.
Asunto(s)
Enfermedades en Gemelos/diagnóstico por imagen , Corazón Fetal/anomalías , Ultrasonografía Prenatal , Adulto , Femenino , Muerte Fetal , Humanos , EmbarazoRESUMEN
CASE REPORT: A case presented with chronic pelvic pain since a Fothergills repair 9 years back. Over the years she had received multiple courses of antibiotics and anti-inflammatory drugs to no avail. RESULTS: Thorough evaluation revealed the presence of a foreign body in the form of a surgical needle in the cervix.
Asunto(s)
Cuerpos Extraños/diagnóstico por imagen , Agujas , Dolor Pélvico/etiología , Instrumentos Quirúrgicos , Adulto , Femenino , Humanos , RadiografíaRESUMEN
AIM: To study the maternal and fetal outcome in cases of aplastic anemia associated with pregnancy. METHOD: Retrospective analysis of seven cases of aplastic anemia diagnosed during pregnancy. RESULT: Four patients had an overall successful pregnancy outcome. These were all cases of non-severe aplastic anemia. There was one case each of intrauterine and neonatal death in the severe aplastic anemia group. There was one maternal mortality. CONCLUSION: Maternal and fetal outcome is poor in severe aplastic anemia.
Asunto(s)
Anemia Aplásica , Complicaciones Hematológicas del Embarazo , Resultado del Embarazo , Adulto , Resultado Fatal , Femenino , Humanos , Lactante , Mortalidad Infantil , Embarazo , Estudios RetrospectivosRESUMEN
A 20-year-old nullipara presented with a post-coital vesicovaginal fistula in the trigone of the bladder. She had normal genital development and no other cause was found. The fistula was repaired by vaginal route.