Condensación pulmonar en adulto tras consulta con odontólogo / Pulmonary consolidation in adult after visiting the odontologist

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A propósito de un caso de cáncer de próstata en un varón joven / Regarding a case of prostate cancer in a young male

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[Intra-abdominal tumor in a young man]. / Tumor desmoide intraabdominal en un varón joven.

Desmoid tumor is a rare neoplasm with extra-abdominal location and female predilection. Anatomopatological analysis is necessary to establish the diagnosis unequivocally, but Magnetic Resonance is the no aggressive method with the best sensitivity and specificity. Surgical resection is the elective treatment yet, and prognosis is not so good as it could be expected in a benign tumor. We report a young male case without polyposis coli antecedents. When he was attended, he related only an abdominal bulk with no other symptom. An intra-abdominal mass 32 cm length per 25 cm width consistent with desmoid tumor was finally resected.

Tumor desmoide intraabdominal en un varón joven / Desmoid tumor intra-abdominal

El tumor desmoide es una neoplasia infrecuente. Es una tumoración de localización sobre todo extraabdominal, y se presenta con más frecuencia en mujeres. Hoy todavía su diagnóstico de certeza es anatomopatológico, pero la Resonancia Nuclear Magnética (RNM) es el método no agresivo con mayor sensiblidad y especificidad. La exéresis quirúrgica sigue siendo el tratamiento de primera elección. Su pronóstico no es tan bueno como cabría esperar en un tumor benigno, siendo la mortalidad entre un 20-40%. A continuación exponemos el caso de un joven varón sin antecedentes de Poliposis Adenomatosa Familiar (PAF) que acudió a nuestro centro por bultoma abdominal sin otra sintomatología, y al que finalmente se extirpó una masa de 32 por 25 cm intraabdominal compatible con tumor desmoide (AU)

[The prescription of nonsteroidal anti-inflammatory and stomach-protector agents. Its adaptation to quality criteria in primary care]. / Prescripción de antiinflamatorios no esteroides y gastroprotectores. Adecuación a criterios de calidad en atención primaria.

OBJECTIVE: To find the attitude of doctors working in General Medicine and out-patient Traumatology to the prescription of non-steroidal anti-inflammatory drugs (NSAID) and if these attitudes fit quality criteria. DESIGN: Crossover, descriptive study. SETTING: General medicine and out-patient traumatology in the inland area of Vizcaya. PARTICIPANTS: A questionnaire was sent to all doctors working in general medicine (146) and out-patient traumatology (19) in the inland area. MEASUREMENTS AND RESULTS: There was a 78.2% final reply rate. The questionnaire had 14 questions and collected the demographic variables and those which referred to the use of NSAIDs and stomach protectors. The prescription criteria for NSAIDs and stomach protectors were taken from a review of the literature before beginning this study. The most frequent risk factors were a previous history of ulcers (83%) and age > 65 (51.2%). CONCLUSIONS: Although a great many doctors attached great importance to the erosive effects of NSAIDs on the stomach, they still use the most damaging drugs on at-risk patients and prescribe stomach protectors whose efficacy is very doubtful. Age is not thought of enough as a risk factor (only half the doctors considered it); the NSAID which were less damaging to the stomach were little used.