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Elizabeth Juneman Layth Saleh Hoang Thai Steven Goldman Mohammad Reza Movahed 《Experimental & Clinical Cardiology》2012,17(1):17-19
A history of severe allergic reaction to iodine contrast leading to anaphylactic shock presents a dilemma in patients requiring cardiac catheterization. As an alternative, gadolinium has been an interesting and potentially useful agent. However, gadolinium produces poor image quality and has been associated with significant arrhythmias in small case series. Furthermore, there is no consensus about the maximal allowable dose that can be administered to a patient. In the present report, a successful combination of gadolinium contrast with a power injector that produced adequate image quality in a patient with severe allergy to iodine contrast is described. The case was complicated by the occurrence of ventricular fibrillation when damping occurred during injection of contrast into the right coronary artery. This complication has been reported previously with intracoronary gadolinium injection. The report is followed by a brief literature review. 相似文献
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Spinal cord ependymoma: radical surgical resection and outcome 总被引:22,自引:0,他引:22
Hanbali F Fourney DR Marmor E Suki D Rhines LD Weinberg JS McCutcheon IE Suk I Gokaslan ZL 《Neurosurgery》2002,51(5):1162-72; discussion 1172-4
OBJECTIVE: Several authors have noted increased neurological deficits and worsening dysesthesia in the postoperative period in patients with spinal cord ependymoma. We describe the neurological progression and pain evolution of these patients over the 1-year period after surgery. In addition, our favored method of en bloc tumor resection is illustrated, and the rate of complications, recurrence, and survival in this group of patients is addressed. METHODS: We operated on 26 patients (12 male and 14 female) with low-grade spinal cord ependymomas between 1975 and 2001. The median age at diagnosis was 42 years. Tumors extended into the cervical cord in 13 patients, the thoracic cord in 7 patients, and the conus medullaris in 6 patients. Eleven patients had previous surgery and/or radiation therapy. RESULTS: We achieved a gross total resection in 88% of patients, whereas 8% had a subtotal resection and 4% had a biopsy. Only 1 patient developed a recurrence over a mean follow-up period of 31 months. CONCLUSION: We conclude that radical surgical resection of spinal cord ependymomas can be safely achieved in the majority of patients. A trend toward neurological improvement from a postoperative deficit can be expected between 1 and 3 months after surgery and continues up to 1 year. Postoperative dysesthesias begin to improve within 1 month of surgery and are significantly better by 1 year after surgery. The best predictor of outcome is the preoperative neurological status. 相似文献
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Ahmed Salem Sameh Hashem Layth Y. I. Mula-Hussain Issa Mohammed Ala’a Nour Wael Shelpai Faiez Daoud Basem Morcos Yasser Yamin Imad Jaradat Jamal Khader Abdelatief Almousa 《Journal of gastrointestinal cancer》2012,43(1):77-82
Objective
To present a comprehensive account and literature review addressing the anatomical distribution, natural history, and management strategies for locoregional recurrence in early-stage gastric cancer (EGC).Patients and methods
Retrospective chart review of patients presenting with EGC recurrence at King Hussein Cancer Center (Amman, Jordan) between July 2006 and May 2009. A literature review of publications addressing recurrence following surgery for EGC was undertaken via a systematic search of PUBMED database and National Comprehensive Cancer Network (NCCN) guideline updates.Results
Seventeen patients presented with EGC, three of whom (17.6%) were pathologically staged as T2N1 [1/33 lymph nodes (LNs)], T1N0, and T1N0 were afflicted by recurrence following R0 partial gastrectomy. Literature review yielded 18 studies specifically addressing recurrence in EGC. Several management strategies have been proposed for isolated recurrence following gastrectomy in EGC. NCCN clinical practice guideline updates do not take into consideration whether the recurrence is isolated or widespread and whether the initial stage is early or advanced.Conclusions
While acknowledging the limitations of this study, including the small sample size and the short follow-up period, it appears clear that oncologic treatment is possible for EGC recurrence, particularly, in patients with isolated relapse. Guideline updates should differentiate between management strategies suitable for recurrence occurring in early versus advanced initial cancer stage. 相似文献5.
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Worsening heart failure in ‘real‐world’ clinical practice: predictors and prognostic impact 下载免费PDF全文
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Michal Klysik M.D. Jose Gavito M.D. Darius Boman M.D. Roberto N. Miranda M.D. Fadi Hanbali M.D. Luis E. De Las Casas M.D. 《Diagnostic cytopathology》2010,38(3):202-207
Intraoperative cytologic evaluation of brain tumors has been used either to render a preliminary interpretation or more often as a complement to frozen section examination. Central neurocytoma is a intraventricular neoplasm, typically located in the region of the foramen of Monro, affecting mostly young to middle age adults. Histologically, central neurocytomas are characterized by monotonous cells with round nuclei and neuronal differentiation within a rich capillary network. Their distinction during intraoperative consultations from oligodendroglioma, ependymoma (mainly clear cell ependymoma), and non‐Hodgkin lymphoma can be a diagnostic challenge. We report a case of a 19‐year‐old female with an intraventricular tumor where imprint cytology preparations were crucial for the intraoperative diagnosis of central neurocytoma. Imprint cytology preparations show a round cell neoplasm associated with neuropil clumps and short straight capillaries admixed with tumor cell clusters. To the best of our knowledge, only a few cases describing the cytologic findings of central neurocytomas have been reported in the medical literature. The differential diagnosis, tissue correlation, clinical‐radiologic features, and ancillary studies are discussed. Diagn. Cytopathol. 2010. © 2009 Wiley‐Liss, Inc. 相似文献
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Jaradat I Mula-Hussain L Wadi-Ramahi S Al-Mousa A Salem A Haddadin I Meheyar M Kharma S Rawashdeh K Sultan I Abdeen G Qaddoumi I Nawaiseh I 《Brachytherapy》2012,11(3):230-236
IntroductionRetinoblastoma and uveal melanoma are the most common ocular tumors in children and adults, respectively. Enucleation and external beam radiation therapy are integral in the management of ocular tumors. However, these tumors could also be treated effectively by plaque therapy, which has the potential of preserving the globe and maintaining vision.Methods and materialsWe reviewed our experience with the introduction of this technique to our center. Furthermore, we highlighted the critical role of a specialized multidisciplinary team in the successful implementation of this procedure.DiscussionThis review represents a detailed report addressing the practical steps for successfully establishing plaque therapy in developing countries.ResultsPlaque therapy was successfully implemented at our center in 1.5 years. Integration with an advanced cancer center is crucial for the correct transfer of this complex technology.ConclusionComplex brachytherapy procedures could be successfully established and implemented in developing countries. 相似文献
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Alwaleed Aljohar Khalid F. Alhabib Tarek Kashour Ahmad Hersi Waleed Al Habeeb Anhar Ullah Abdelfatah Elasfar Ali Almasood Abdullah Ghabashi Layth Mimish Saleh Alghamdi Ahmed Abuosa Asif Malik Gamal Abdin Hussein Mushabab Al-Murayeh Hussam AlFaleh 《Journal of the Saudi Heart Association》2018,30(4):319-327