RESUMO
Sclerosing xanthofibroma is a benign lesion generally of flat bones that is thought to be caused by a reactive response to intramedullary hemorrhage following chest wall trauma. We are reporting a case of a 56-year-old man that was complaining of a dump pain on the right back and a swelling right in this place for several weeks. The radiology was suggesting an aggressive malignant tumor of the chest wall and probably metastasis in both lungs meanwhile the patient was in good state and very active. The surgery was decisive for the diagnosis that, to the fortune of the patient, it was sclerosing xanthofibroma.
RESUMO
SETTING: Albania, population 3.4 million. OBJECTIVE: To describe DOTS (directly observed treatment-short course chemotherapy) implementation, treatment outcomes and epidemiological situation in Albania from 2001 to 2008. DESIGN: DOTS strategy was introduced in 2001 and gradually expanded. A retrospective analysis of treatment outcomes and epidemiological data on TB patients was analyzed for this period. RESULTS: DOTS was expanded to 76% of the country in 2008. Treatment success among new smear-positive patients ranged from 82% in 2001 to 86% in 2007. The incidence of TB in Albania decreased from 17 per 100,000 inhabitants in 2001 to 12/100,000 in 2008 and estimated case detection for smear positive cases improved from 42% in 2001 to 75% in 2007. CONCLUSIONS: The TB incidence has fallen progressively since DOTS was initiated. Treatment outcome was better in DOTS areas compared to Non-DOTS areas and overall treatment outcome was improved during DOTS implementation. Despite gradually, DOTS was successfully implemented and full expansion is necessary.
