Assuntos
Biomarcadores Tumorais/análise , Carcinoma de Célula de Merkel/diagnóstico , Cicatriz , Linfonodos/patologia , Neoplasias Cutâneas/diagnóstico , Esternotomia , Idoso de 80 Anos ou mais , Axila , Carcinoma de Célula de Merkel/química , Carcinoma de Célula de Merkel/patologia , Carcinoma de Célula de Merkel/radioterapia , Cromogranina A/análise , Humanos , Imuno-Histoquímica , Queratina-20/análise , Metástase Linfática/radioterapia , Masculino , Neoplasias Cutâneas/química , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/radioterapiaRESUMO
Intense pulsed light (IPL) has shown diverse results in hair clearance related to treatment protocols or skin phototype. Hirsutism may be due to endocrine disease, as in polycystic ovary syndrome (PCOS) and congenital adrenal hyperplasia (CAH), both of which conditions may be associated with obesity. Obesity complicates the metabolic pattern, particularly in terms of insulin resistance, which may worsen the clinical condition of hirsutism. This study evaluated the role of obesity in photoepilation, comparing the clinical efficacy, long-term hair reduction and patient satisfaction in 40 hirsute women with PCOS or CAH, either obese (n = 20) or of normal weight (n = 20). The IPL settings were the same for both groups, but the number of sessions varied according to the clinical results. Obese patients showed a statistically significant severity of initial hirsutism if compared to the non-obese population and, for this reason, required more sessions to achieve hair reduction. The results were maintained at the 2-year follow-up examination, with a high satisfaction rate in both groups.
Assuntos
Remoção de Cabelo/métodos , Hirsutismo/complicações , Hirsutismo/radioterapia , Terapia com Luz de Baixa Intensidade/métodos , Obesidade/complicações , Adolescente , Hiperplasia Suprarrenal Congênita/complicações , Adulto , Feminino , Hirsutismo/etiologia , Humanos , Pessoa de Meia-Idade , Satisfação do Paciente , Síndrome do Ovário Policístico/complicações , Adulto JovemAssuntos
Procedimentos Cirúrgicos Ambulatórios , Complicações Pós-Operatórias/prevenção & controle , Adulto , Agendamento de Consultas , Coagulação Intravascular Disseminada , Emergências , Feminino , Hematoma/etiologia , Hematoma/cirurgia , Hospitalização , Humanos , Lipectomia , Mamoplastia , Pneumotórax/etiologia , Complicações Pós-Operatórias/etiologia , Hemorragia Pós-Operatória/etiologia , Hemorragia Pós-Operatória/cirurgia , Insuficiência Respiratória/etiologia , Rinoplastia , Choque Hemorrágico/etiologia , Centros CirúrgicosRESUMO
In the past, the traditional methods of removing siliconomas have been excision of the affected tissues or suction of the injected silicone. Unfortunately siliconomas are often found in exposed areas, where it is undesirable to leave visible scars, and suction is technically difficult and often unsuccessful because the affected tissues are so hard. Because we have used ultrasound-assisted liposuction for other procedures since 1984, it seemed logical to find out whether this technique would be useful to remove siliconomas. We have used it in three such patients, ranging in age from 36 to 84 years. Our mean follow up is 38 months (range 18 months-4 years). We have found that it results in improvement in all patients. The only problem was a minor burn at the entrance port in one patient.