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561.
Ali Azghar Mohammed Bensalah Abdelilah Berhili Mounia Slaoui Boutaina Mouhoub Imane El Mezgueldi Oumaima Nassiri Jalila El Malki Adil Maleb Rachid Seddik 《The Journal of international medical research》2022,50(7)
ObjectiveCoronavirus disease 2019 (COVID-19) is a viral disease caused by severe acute respiratory syndrome coronavirus 2. The clinical manifestations and the evolution of patients with COVID-19 are variable. In addition to respiratory involvement, COVID-19 leads to systemic involvement and can affect the hematopoietic system. This study aimed to evaluate the prognostic value of hematological and hemocytometric parameters in predicting the severity of patients with COVID-19.MethodsWe performed a retrospective study at Mohammed VI university Hospital from 1 March to 11 November 2020. We collected demographic characteristics and hematological findings of incident COVID-19 cases.ResultsA total of 245 patients were included in our study. We found that the rate of lymphopenia was significantly reduced in patients who were severely affected by COVID-19. Additionally, the rate of neutrophilia, the neutrophil side fluorescence light signal, monocyte fluorescent intensity, monocyte size, the neutrophil-to-lymphocyte ratio, the platelet-to-lymphocyte ratio, and the lymphocyte-to-monocyte ratio were significantly elevated in patients who were severely affected by COVID-19.ConclusionsThese results are consistent with the literature regarding the predictive value of these markers. A prospective validation in a large population with a longer follow-up is required. 相似文献
562.
Adenoid cystic carcinoma (ACC) represents approximately 10% of all epithelial salivary neoplasms and most commonly involves the parotid gland.We report CT and MRI finding of a 38-year-old young man presented to our ENT department with 02 years history of an external auditory canal stenosis. Physical examination revealed bilateral parotid gland swelling with a complete stenosis of the left external auditory canal.Temporal bone contrast enhanced CT-SCAN revealed is an isodense enhancing mass measuring 4 cm involving posterior and inferior external auditory canal wall, and invading the superficial lobe of the homolateral parotid gland. No bone erosion was noted. MRI investigation has shown a tumor process highly suspicious of malignancy centered on the left EAC involving the superficial lobe of the homolateral parotid gland. Adenoid cystic carcinoma (ACC) of the parotid gland was the final diagnosis, after surgical biopsy and histopathological examination. The Pre-operative check-up demonstrated multiple round shape lung lesions suggestive of multiple metastases. Considering the metastatic stage of the tumor, a collegial decision to adopt a palliative treatment approach based on chemotherapy was taken by the multidisciplinary oncology board. 相似文献
563.
Zouaki Zakaria Boui Meriem Roukhsi Redouane Hammoune Nabil Slioui Badr BenElhend Salah Bellasri Salah Atmane Mehdi Mouhsine Abdelilah 《Radiology Case Reports》2022,17(1):208
Xanthogranulomatous cholecystitis (CXG) is a rare entity of cholecystitis, characterized by the presence of xanthogranulomas within the gallbladder wall, that could be misdiagnosed as a vesicular carcinoma. We report a case of 66-year-old man with xanthogranulomatous cholecystitis associated with an incidental finding of a fusion of the planes of the liver which is a rare anatomic variant. Imaging especially ultrasounds, CT scan, and MRI play a key role in the characterization of those anomaly, thus avoiding a non–suitable surgical procedure. 相似文献
564.
Amine Naggar Zakaria Toufga Najoua Ech-cherif El Kettani Mohamed Jiddane Meriem Fikri 《Radiology Case Reports》2022,17(8):2626
We report a case of a patient with no medical history, admitted for right exophthalmos. For whom imaging showed orbital masses without inflammatory signs pointing to a granulomatous origin. However, the histological and immunological workup revealed the diagnosis of Granulomatosis with polyangiitis. 相似文献
565.
Farid Aassouani Ghita Bassim Alami Yahya Charifi Hicham Assofi Aicha Attar Nizar El Bouardi Hakima Abid Meryem Haloua Karim Ibnmajdoub Moulay Youssef Alaoui Lamrani Meriem Boubbou Mustapha Maaroufi Badreeddine Alami 《Radiology Case Reports》2022,17(10):3955
Acute intestinal intussusception in adults is a rare condition, most often secondary to an organic lesion (tumor or inflammation), representing 1%-5% of intestinal obstructions. Pure colic intussusception on lipoma rectal causing bowel obstruction is an exceptional situation. A 60-year-old man presented to the emergency department for acute abdominal pain with marked abdominal distention and red rectal bleeding. A contrast-enhanced abdominal CT scan was performed, which revealed a recto-sigmoid intussusception on lipoma, causing mechanical intestinal obstruction. The patient underwent a partial reduction of the intussusception with partial sigmoid resection and end colostomy. Colonic lipomas of the recto-sigmoid region represent a very rare condition and a subsequent etiology for intussusception and bowel obstruction in adults. However, it should be considered in the differential diagnosis of such situations. 相似文献
566.
Amal Akammar Ghita Sekkat Sylvie Kolani Nizar El Bouardi Meriem Haloua Meriem Boubbou Mustapha Maroufi Moulay Youssef Alaoui Lamrani Badreeddine Alami 《Radiology Case Reports》2021,16(9):2605
Cavernous hemangiomas are rare account representing 5%-13% of the intracranial vascular malformations and occur in approximately 0.5%-1% of the population. We report the case of 34-years-old woman, having a medical history of seizure, admitted for headache with binocular diplopia. The radiology investigation and operatory piece has shown an association of cavernous sinus hemangioma and frontal focal cortical dysplasia. This study highlights clinical, radiological and therapeutic features of this entity. 相似文献
567.
Asma Kardi Ibtissem Oueslati Meriem Yazidi Mohamed Sadok Boudaya Nadia Znaidi Melika Chihaoui 《Clinical Case Reports》2021,9(12)
Primary mediastinal goiter is extremely uncommon. The majority of primary mediastinal goiters were reported as incidental findings on chest imaging of asymptomatic patients. Symptoms related to compression of adjacent structures or hyperthyroidism were rarely described. Herein we report a case of hyperthyroidism secondary to a primary mediastinal goiter. 相似文献
568.
Astrid Boulenger de Hauteclocque Loïc Ferrer Damien Ambrosetti Solene Ricard Pierre Bigot Karim Bensalah François Henon Nicolas Doumerc Arnaud Méjean Virginie Verkarre Charles Dariane Stéphane Larré Cécile Champy Alexandre de La Taille Franck Bruyère Morgan Rouprêt Philippe Paparel Stéphane Droupy Alexis Fontenil Jean-Jacques Patard Xavier Durand Thibaut Waeckel Herve Lang Cédric Lebâcle Laurent Guy Geraldine Pignot Matthieu Durand Jean-Alexandre Long Thomas Charles Evanguelos Xylinas Romain Boissier Mokrane Yacoub Thierry Colin Jean-Christophe Bernhard 《BJU international》2023,132(2):160-169
Objectives
To assess the impact of pathological upstaging from clinically localized to locally advanced pT3a on survival in patients with renal cell carcinoma (RCC), as well as the oncological safety of various surgical approaches in this setting, and to develop a machine-learning-based, contemporary, clinically relevant model for individual preoperative prediction of pT3a upstaging.Materials and Methods
Clinical data from patients treated with either partial nephrectomy (PN) or radical nephrectomy (RN) for cT1/cT2a RCC from 2000 to 2019, included in the French multi-institutional kidney cancer database UroCCR, were retrospectively analysed. Seven machine-learning algorithms were applied to the cohort after a training/testing split to develop a predictive model for upstaging to pT3a. Survival curves for disease-free survival (DFS) and overall survival (OS) rates were compared between PN and RN after G-computation for pT3a tumours.Results
A total of 4395 patients were included, among whom 667 patients (15%, 337 PN and 330 RN) had a pT3a-upstaged RCC. The UroCCR-15 predictive model presented an area under the receiver-operating characteristic curve of 0.77. Survival analysis after adjustment for confounders showed no difference in DFS or OS for PN vs RN in pT3a tumours (DFS: hazard ratio [HR] 1.08, P = 0.7; OS: HR 1.03, P > 0.9).Conclusions
Our study shows that machine-learning technology can play a useful role in the evaluation and prognosis of upstaged RCC. In the context of incidental upstaging, PN does not compromise oncological outcomes, even for large tumour sizes. 相似文献569.
Meriem El Fessikh Hakim Belghiti Zouhair Elkarhat Hassania Guerinech Nadia Dakka Jamila El Baghdadi 《Clinical Case Reports》2021,9(11)
Screening the MC4R gene showed one rare mutation p.Met215Ile in a Moroccan patient with morbid obesity, which leads to a change in the protein structure. The analysis of MC4R variants may be useful for future therapeutic approaches. 相似文献
570.
Small bowel carcinoid tumor causing intestinal ischemia: A case report with review of the literature
Farid Aassouani Ayoub Ettabyaoui Khadija Hinaje Mohamed Oussama Bahri Nizar El Bouardi Karima Oualla Meryem Haloua Badreeddine Alami El Bachir Benjelloun Nadia Ismaili Alaoui Meriem Boubbou Mustapha Maroufi My Youssef Alaoui Lamrani 《Radiology Case Reports》2022,17(10):3523
Background: Intestinal carcinoid tumors are well-differentiated neuroendocrine tumors that are capable of secreting bioactive hormones and/or amines; These tumors are uncommon but are the most common primary tumors of the small intestine. Case presentation: We report the case of an 80-year-old woman who presented with a long history (about 14 years ago) of atypical digestive symptoms such as vague abdominal pain, alternating diarrhea, and constipation, treated as functional colopathy without improvement, until the day when she presented with worsening pain that prompted her consultation. CT scan revealed typical manifestations of a carcinoid tumor associated with signs of subacute small bowel ischemia. Despite the surgery being considered a gold standard treatment, it was rejected due to the extent of tumor mesenteric involvement, therefore, the patient received only somatostatin treatment. Conclusion: Small bowel carcinoid tumors are rare, with typical imaging features based on cross-sectional imaging (CE CT/MRI). Intestinal ischemia is a well-known complication that can be a factor in mortality. 相似文献