RESUMO
Scrotal trauma has increase in frequency during recent years, largely as the result of sporting activities, physical aggressions and road accidents. Its importance lies in the likelihood of associated lesions of the testis and the spermatic cord. We report 41 cases of scrotal trauma. Thirty-seven cases were non-penetrating and four were penetrating (including a case of traumatic rupture of the testis). Nonsurgical treatment was applied in 30 cases (73.1%) and surgical treatment in 11 (26.8%). The diagnostic techniques employed included ultrasonography in 19 cases, gammagraphy in 10 cases, Doppler-effect ultrasonography in 2 cases and CAT in 2 cases. The decision to operate should be based on the clinical findings. Follow-up studies over 8-60 months were satisfactory in all cases, with no cases of testicular atrophy detected.
Assuntos
Escroto/lesões , Adolescente , Criança , Pré-Escolar , Humanos , Masculino , Prognóstico , Ruptura/cirurgia , Escroto/diagnóstico por imagem , Escroto/cirurgia , Testículo/diagnóstico por imagem , Testículo/lesões , Testículo/cirurgia , Transiluminação , UltrassonografiaAssuntos
Asparaginase/efeitos adversos , Hipersensibilidade a Drogas , Hipersensibilidade Tardia/induzido quimicamente , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Pré-Escolar , Feminino , Humanos , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicaçõesAssuntos
Fibrilação Atrial/induzido quimicamente , Daunorrubicina/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Criança , Daunorrubicina/uso terapêutico , Eletrocardiografia , Feminino , Insuficiência Cardíaca/induzido quimicamente , Humanos , Leucemia Mieloide Aguda/tratamento farmacológicoRESUMO
The authors present the 2nd documented case of Wilms' tumor associated with the "ectopic ACTH syndrome'. This is a 7 1/2-year-old girl who, on examination at the time of admission, had the classical cushingoid appearance. A large hard mass was palpable in the right side of the abdomen. Hormonal assays were consistent with Cushing's syndrome; the serum ACTH levels were extremely high. After surgical removal of the mass, we suspected a stage I Wilms' tumor; this was confirmed by histopathological studies. After surgery, the girl quickly lost her cushingoid appearance and weight excess. Postoperative serum ACTH levels were normal. Ectopic hormone syndromes associated with tumors in childhood are discussed as well as the possible mechanism involved in the ectopic production of ACTH.
Assuntos
Hormônio Adrenocorticotrópico/metabolismo , Neoplasias Renais/metabolismo , Tumor de Wilms/metabolismo , Criança , Síndrome de Cushing/etiologia , Feminino , Humanos , Neoplasias Renais/patologia , Tumor de Wilms/complicações , Tumor de Wilms/patologiaAssuntos
Abscesso Encefálico/etiologia , Infecções por Salmonella , Abscesso Encefálico/diagnóstico por imagem , Abscesso Encefálico/cirurgia , Pré-Escolar , Feminino , Humanos , Infecções por Salmonella/diagnóstico por imagem , Salmonella paratyphi B/isolamento & purificação , Tomografia Computadorizada por Raios XRESUMO
The normal stimulatory response that the TRH has on the TSH in children, is inhibited by the previous administration of bromocryptine (p less than 0.05). Under the same circumstances there was a significant increase in the release of the GH.
