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101.
Sergio Fernandez-Pello Luis Rodriguez Villamil Ivan Gonzalez Rodriguez Victoria Venta Javier Cuervo Carmen Luz Menéndez 《World Journal of Clinical Cases》2013,1(3):121-123
We report the case of a left laparoscopic nephroureterectomy with the incidental discovery of a non-Hodgkin’s lymphoma in one of the lymph nodes of the renal hilum. A laparoscopic nephroureterectomy was decided on for a 64-year-old man. Renal cell carcinoma in the kidney and one lymph node of the renal hilum with non-Hodgkin’s lymphoma was found. Chemotherapy was not started for the lymphoma discovery. There are no signs of relapse after two years of follow up. Coexistence in the same patient is an extremely rare condition. We review the literature about this issue to clarify this association. 相似文献
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Mehmet Ctrk Cosar Batman Gamze Men Murvet Tuncel Orhan Zleloglu 《Clinical & experimental optometry》2007,90(5):367-370
Purpose: To report a case of Alport’s syndrome and to present electronmicroscopic examination findings of the anterior lens capsule of this patient. Method: A 21‐year‐old man was referred for low visual acuity and retinal pigment epithelial changes in the left eye. The patient and his relatives underwent detailed ophthalmological examination, including electrophysiological testing. The patient also underwent electronmicroscopic examination of the anterior lens capsule. Results: His visual acuity was 6/18 OD and 6/15 OS. Anterior lenticonus and subcapsular opacities were observed in the left eye. Cataract extraction by phacoemulsification with intraocular lens implantation was performed for his poor visual performance. During the capsulorhexis, the remarkably thin and fragile anterior capsule was noted and removed. Ultrastructural analysis of the anterior lens capsule showed a thinner central zone compared with the periphery. Conclusions: The course of Alport’s syndrome can be ameliorated by early diagnosis. Therefore, the ophthalmological examination of a patient with anterior lenticonus must be combined with a detailed medical evaluation. Ultrastructural analysis of the lens capsule can support the diagnosis of Alport’s syndrome. 相似文献
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Lung cancer risk in iron and steel foundry workers: a nested case control study in Asturias, Spain 总被引:2,自引:0,他引:2
Rodríguez V Tardón A Kogevinas M Prieto CS Cueto A García M Menéndez IA Zaplana J 《American journal of industrial medicine》2000,38(6):644-650
BACKGROUND: Workers of iron and steel foundries have a high lung cancer risk but the findings on specific processes associated with this risk are inconsistent. We examined the risk of lung cancer among workers in the main industrial processes of a large iron and steel foundry in Asturias, Spain. METHODS: We conducted a nested case-control study comprised of 144 male lung cancer cases and 558 controls, selected from a study base of about 24,400 workers employed in the industry between 1952 and 1995. Cases were identified through linkage of industry records with those of two cancer registries. Controls were selected through industry records using incidence density sampling, were matched to cases by age and date of birth and had to be alive and without lung cancer at the time of selection. Smoking history was obtained through company medical records. Unconditional logistic regression was applied and all ORs were adjusted for age and tobacco consumption. RESULTS: Workers were, on an average, heavy smokers and a very strong relation was observed for smoking (OR for "ever smoker" = 32.4). Workers having ever been employed in the blast furnace had an excess lung cancer risk (OR = 2.55, 95% CI 1.25-5.21) compared to a reference group of workers not employed in metal producing departments. A similar excess was observed for workers having as their longest held job employment in the blast furnace. A two-fold risk was also observed for workers in the main foundry. For subgroups of workers, tobacco smoking appeared to be an important positive or negative confounder. CONCLUSIONS: In this large Spanish foundry, a high risk was observed for workers employed in departments with high exposure to crystalline silica, PAHs, and various other carcinogenic chemicals. Although comparisons were made between workers of the same industry, smoking habits differed and adjustment by smoking modified considerably the risk estimates. 相似文献
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Targeting HIV: antiretroviral therapy and development of drug resistance 总被引:10,自引:0,他引:10
Menéndez-Arias L 《Trends in pharmacological sciences》2002,23(8):381-388
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指出卫生工作要以“三个代表”重要思想为指导,紧扣改革与发展的总目标;要按照“三个代表”的要求,加快卫生体制的改革与创新,要明确政府卫生职责,转变职能,实现“政事分开”,建立符合社会主义市场经济规律和人民健康需求的卫生服务体系,建立权责明晰、富有生机的医疗机构管理体制;要全面引入竞争机制,加快医疗机构运行机制的改革与创新,继续推进病人选医院和选医生,调动医疗机构内在的动力和广大医务人员的积极性,发展多样化、多种形式办医模式,形成公平、有序的竞争局面。 相似文献
110.
转变作风真抓实干做好2002年重点卫生工作 总被引:1,自引:0,他引:1
根据中共中央、国务院要求,结合卫生工作实际提出卫生部2002年的重点工作是:认真贯彻落实农村卫生改革与发展的指导意见,加快配套文件出台,探索和实行多种形式农民健康保障办法;继续深化城镇医药卫生体制改革,加强医疗服务质量管理,推进医疗机构属地化管理,发展多种形式办医模式,推进社区卫生服务;继续加强重大疾病控制,尤其是艾滋病、结核病、乙型肝炎、血吸病和地方病的预防控制,加强疾病监测和建设,防范生化恐怖活动;进一步依法行政,加大综合执法力度;加强精神文明建设,全面推进各项卫生工作。 相似文献