RESUMO
BACKGROUND: Sotos syndrome is one the most common overgrowth conditions, after Beckwith-Wiedemann syndrome. As with other overgrowth syndromes, Sotos syndrome can be associated with an increased risk of tumors. CASE: We describe a young girl with Sotos syndrome and ovarian fibromatosis with a new mutation not reported before in the literature. SUMMARY AND CONCLUSION: Development of ovarian tumor in Sotos syndrome has been poorly documented. Ovarian fibromatosis is a very rare non neoplastic disease. Management is guided by the benignity of the lesion and consists of surgical excision of the fibroma.
Assuntos
Fibroma/genética , Peptídeos e Proteínas de Sinalização Intracelular/genética , Mutação , Proteínas Nucleares/genética , Neoplasias Ovarianas/genética , Síndrome de Sotos/genética , Criança , Éxons/genética , Feminino , Fibroma/patologia , Fibroma/cirurgia , Histona Metiltransferases , Histona-Lisina N-Metiltransferase , Humanos , Imageamento por Ressonância Magnética , Neoplasias Ovarianas/patologia , Neoplasias Ovarianas/cirurgia , Ovariectomia , Reação em Cadeia da Polimerase , Síndrome de Sotos/diagnóstico , UltrassonografiaAssuntos
Íleo/anormalidades , Íleo/diagnóstico por imagem , Ultrassonografia Pré-Natal , Adulto , Feminino , Humanos , Íleo/cirurgia , Recém-NascidoRESUMO
OBJECTIVE: To study the effect of a preparation by erythropoietin before Onlay's intervention on postoperative hematocrits and medium-term results of the surgery. PATIENTS AND METHODS: Twenty-one patients were operated on by Onlay's technique between 2001 January and 2008 September, after being treated by erythropoietin. Seven had a midshaft hypospadias, two a posterior hypospadias and 12 a penoscrotal hypospadias. All children were examinated four months after surgery to evaluate the surgical results. RESULTS: After the surgery, 18 children had an apical meatus (85.7%). Three had a balanopreputial meatus, two a stenosis of the meatus. Two children were reoperated on, one with the Duplay's technique, the other for a meatostomy. No fistula, no necrosis of the preputial flap was observed. The preoperative hematocrit was measured at 41%, with an increase of 3.8% because of the preparation. Peroperative blood loss was evaluated at 6.6%. After surgery, 12 children had an hematocrit inferior than 35%, four an hematocrit inferior than 30%. No transfusion was needed. CONCLUSION: Preparation by erythropoietin before severe hypospadias surgery seemed to have several advantages: a more elevated hematocrit after surgery than with an iron preparation alone, and a lower rate of postoperative complications, including fistulas and necrosis of the preputial flap.
Assuntos
Eritropoetina/uso terapêutico , Hipospadia/cirurgia , Cuidados Pré-Operatórios , Humanos , Lactente , Masculino , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Estudos Retrospectivos , Índice de Gravidade de Doença , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversosRESUMO
The kidney performs multiple functions. Glomerular filtration is the most studied of these functions. In clinical practice, the surgical indication for patients with unilateral uropathy is frequently based on the split renal function as demonstrated by scintigraphy. MRI is not yet validated as a technique but nonetheless offers an interesting non-radiating alternative to achieve both morphological and functional renal evaluation. Recent pulse sequences such as diffusion, arterial spin labeling, and blood oxygenation dependent imaging may also provide additional information. CT and US remain of limited value for the evaluation of renal function.
Assuntos
Diagnóstico por Imagem/métodos , Testes de Função Renal/métodos , Insuficiência Renal/diagnóstico , Meios de Contraste/administração & dosagem , Meios de Contraste/farmacocinética , Diagnóstico Diferencial , Imagem de Difusão por Ressonância Magnética/métodos , Espectroscopia de Ressonância de Spin Eletrônica/métodos , Gadolínio/farmacocinética , Taxa de Filtração Glomerular/fisiologia , Humanos , Cálculos Renais/diagnóstico , Imageamento por Ressonância Magnética/métodos , Oxigênio/sangue , Cintilografia/métodos , Sensibilidade e Especificidade , Ácido Dimercaptossuccínico Tecnécio Tc 99m , Tecnécio Tc 99m Mertiatida , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia/métodos , Obstrução Ureteral/diagnósticoRESUMO
We present the case of a large yolk sac tumour of the ovary in a 14-year-old girl with high level of serum alpha-feto-protein (AFP). Multidisciplinary care is important to do appropriate surgical treatment with the aim of fertility preservation.
Assuntos
Tumor do Seio Endodérmico/cirurgia , Neoplasias Ovarianas/cirurgia , Equipe de Assistência ao Paciente , Adolescente , Biomarcadores Tumorais/sangue , Biópsia , Antígeno Ca-125/sangue , Comportamento Cooperativo , Tumor do Seio Endodérmico/sangue , Tumor do Seio Endodérmico/diagnóstico , Tumor do Seio Endodérmico/patologia , Feminino , Humanos , Infertilidade Feminina/prevenção & controle , Comunicação Interdisciplinar , Imageamento por Ressonância Magnética , Estadiamento de Neoplasias , Neoplasias Ovarianas/sangue , Neoplasias Ovarianas/diagnóstico , Neoplasias Ovarianas/patologia , Ovariectomia , Complicações Pós-Operatórias/prevenção & controle , Tomografia Computadorizada por Raios X , alfa-Fetoproteínas/metabolismoRESUMO
Sternal cleft is a rare congenital abnormality. We report on a neonatal case of sternal cleft with median raphe with a follow-up of 3 years. We review the advantages of surgical repair in the neonatal period because the flexibility of the chest wall is maximal and compression of underlying structures is minimal.