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41.
Snezana Vujosevic Djordjije Krnjevic Milan Bogojevic Ljiljana Vuckovic Aleksandar Filipovic Du?ko Dun?erovi? Jelena Sopta 《World Journal of Clinical Cases》2019,7(4):473-481
BACKGROUND Leiomyosarcoma(LMS) of the thyroid gland is a rarely presented tumor that offers poor prognosis. To the best of the authors' knowledge, there currently exist only 28 known cases described in the literature(limited to English).CASE SUMMARY Herein a case is reported of a 60-year-old female patient who had an LMS of the thyroid, which was accompanied by periodic dysphonia and breathing disorder as well as the feeling of pressure in the chest and neck. At the time the disease was diagnosed, no metastases were detected. Prior to the diagnosis, the patient experienced a uterine adenocarcinoma that had been treated by surgical procedure and radiotherapy. For the LMS, a total thyroidectomy was performed,followed by radiotherapy. Since metastases were also discovered in the lungs,sternum, and femur, chemotherapy was administered as well.Immunohistochemically, the tumor cells in the thyroid indicated positively for alpha smooth muscle actin, calponin, and H-caldesmon, but were negative for CD34, p63, estrogen receptor, progesterone receptor, and Epstein-Barr virus.CONCLUSION Although the etiology of the LMS is as of yet unknown, prior malignancy and radiation should be considered as risk factors. 相似文献
42.
Markić D Valencić M Maricić A Oguić R Sotosek S Spanjol J Krpina K Ahel J Zivcić-Cosić S Fuckar Z 《Acta medica Croatica : c?asopis Hravatske akademije medicinskih znanosti》2011,65(4):305-309
Lymphoceles are a well-known surgical complication of kidney transplantation. We retrospectively analyzed patients with lymphoceles among our renal transplant recipients. During the last 39 years, we performed 922 renal transplantations. Lymphoceles were diagnosed and treated in 45 (4.9%) patients. We used the following methods: percutaneous drainage with instillation of povidone-iodide in 36 (80%), percutaneous drainage with instillation of tetracycline in one (2.2%), percutaneous aspiration in four (8.9%) and surgical treatment in four (8.9%) patients. In all four (8.9%) patients with relapse, secondary procedure was successful. In total, open surgery was done in five (11.1%) and laparoscopy in four (8.9%) patients. Percutaneous drainage of lymphoceles, with or without the instillation of a sclerosant, is the first-line treatment. Laparoscopic fenestration of lymphoceles has become an alternative to percutaneous drainage, especially in case of post-drainage relapse. 相似文献
43.
Snia Maria Miranda Pereira Daniela Etlinger Luciana Silva Aguiar Stela Verzinhasse Peres Adhemar Longatto Filho 《Diagnostic cytopathology》2010,38(6):397-401
Pregnancy is associated with HPV infection and with Chlamydia trachomatis (CT) infection mostly due to the natural immunosuppression. In addition, pregnancy associated to CT infection can lead to adverse conditions to the woman and fetus, and CT is also believed to be a co‐factor in human immunodeficiency virus infection and HPV‐induced cervical cancer. The aim of this study was to establish the odds ratios (OR) of CT infection in to HPV‐infected pregnant women and vice versa of women stratified by age (<25 years) and marital status. This work is part of a national multicentric transversal study carried out in six Brazilian cities supported by the Ministry of Health of Federal Government of Brazil in 2003. Cervical scrapes of 371 pregnant women were sampled. We performed a hybrid capture‐2 technique to diagnose these samples on HPV and CT infection, and the women responded a questionnaire. Significant association was observed between nonstable marital status and hr‐HPV infection [OR = 2.61 (1.38–4.97) P = 0.003)], and age <25 years old [OR = 2.26 (1.09–4.71) P = 0.029]. Nonstable marital status was also associated with lr‐HPV infection [OR = 2.67 (1.59–4.50) P < 0.001), and age <25 years old [OR = 2.55 (1.51–4.32) P < 0.001). Fifty of the 371 pregnant women were infected with hr‐HPV (13.5%) and 111 (30.0%) were infected with lr‐HPV. The coinfections of HPV and CT were found in 31 women, that is, 8.36% of the pregnant women (P < 0.001). The high rate of simultaneous CT and HPV infection in pregnant women favors the recommendation to screen pregnant women for both CT and HPV. Diagn. Cytopathol. 2010. © 2009 Wiley‐Liss, Inc. 相似文献
44.
Diabetic retinopathy has an enormous impact on visual function, even before permanent visual acuity loss. Moreover, adequate functional tests are mandatory to diagnose and follow diabetic patients treated for diabetic macular edema (DME). More precisely, the visual function safety profile of any therapy for DME should be accurately investigated. Microperimetry offers the possibility to obtain an exact fundus-related quantification of retinal sensitivity, and it is changing the current approach to the functional investigation of diabetic retinopathy. 相似文献
45.
Glucose-6-Phosphate Dehydrogenase Deficiency in an Endemic Area for Malaria in Manaus: A Cross-Sectional Survey in the Brazilian Amazon 下载免费PDF全文
46.
de Almeida Aline Castilho Aily Jessica Bianca Pedroso Maria Gabriela Gonçalves Glaucia Helena de Carvalho Felinto Jonas Ferrari Ricardo José Pastre Carlos Marcelo Mattiello Stela Marcia 《Clinical rheumatology》2020,39(4):1265-1275
Clinical Rheumatology - To analyze the influence of a 14-week periodized circuit training (CT) protocol on thigh intermuscular fat and muscle quality (force per unit area of lean tissue) in... 相似文献
47.
Fernando Augusto Vasilceac Adriana Frias Renner Walcy Ros��lia Teodoro Stela M��rcia Mattiello-Rosa 《Rheumatology international》2011,31(6):737-742
To evaluate the remodeling of collagen fibers in the articular cartilage of rat ankles, with and without immobilization, after
application of muscle stretching protocol. Twenty three Wistar rats were divided into four groups: immobilized (I), n = 6; immobilized and stretched (IS), n = 6; stretched (S), n = 6 and control (C), n = 5. The animals in groups I and IS were submitted to immobilization. After the period of immobilization, the animals in
groups IS and S were submitted to a muscle stretching protocol. At the end of the experiment, the animals were euthanized
and the joints removed, processed and stained with Picrosirius red. The analysis was carried out using a polarized light microscope.
The density of collagen fibers were quantified according to the intensity of birefringence displayed. By way of statistical
analyses, the right and left hind limbs of the different groups were compared based on the total density of collagen fibers,
the density of thick collagen fibers and the density of thin collagen fibers. Immobilization promoted a reduction in density
of the thin fibers and of total collagen. The muscle stretching protocol after immobilization promoted a reduction in density
of the total collagen and of the thick fibers, but the density of the thin fibers showed the same values as control. The collagen
fibers were remodeled by the different stimuli. Immobilization was harmful to the collagen fibers and the muscle stretching
protocol only recovered the thin collagen fibers. 相似文献
48.
Aily Jéssica Bianca de Noronha Marcos de Almeida Aline Castilho Pedroso Maria Gabriela Maciel Jamilly Gomes Mattiello-Sverzut Ana Cláudia Mattiello Stela Marcia 《Clinical rheumatology》2019,38(9):2603-2611
Clinical Rheumatology - To investigate any differences in muscle architecture (fascicle angle, fascicle length, and muscle thickness) and muscle strength in people of different ages with and... 相似文献
49.
Aily Jessica Bianca de Almeida Aline Castilho Ramírez Paula C. da Silva Alexandre Tiago Mattiello Stela Marcia 《Clinical rheumatology》2021,40(6):2361-2367
Clinical Rheumatology - To analyze if socioeconomic characteristics as lower education and lower family income are associated factors with the combination of pain catastrophizing and kinesiophobia... 相似文献
50.
Zivcić-Cosić S Grzetić M Valencić M Oguić R Maricić A Dordević G Balen S Orlić L Racki S Fuckar Z 《Renal failure》2007,29(7):861-865
GOAL: Analysis of the incidence of urothelial cancer and outcome of treatment in patients with Endemic Balkan Nephropathy (EN) after renal transplantation. METHODS: From January 1985 until October 2006, 550 kidney transplantations (389 cadaveric) and 5 combined kidney and pancreas transplantations were performed in University Hospital Center Rijeka. In only 6 (1.1%) of 555 transplant recipients, EN was diagnosed as the original kidney disease, based on medical history, clinical findings, and laboratory results, but without pathohistologic verification. All patients with EN received the first renal transplant from a cadaver. Patients' mean age at transplantation was 50.3 +/-15.9 yrs, five patients (83.3%) were male. The incidence of malignant tumors in all 555 transplant recipients was analyzed, with an emphasis on the incidence of urothelial cancer and outcome of treatment in the group of patients with EN. RESULTS: During posttransplant follow-up period, malignancy was diagnosed in 27 (4.9%) out of 555 transplant recipients. Skin cancer was diagnosed in 7 patients (1.3%), followed by cancer of the urinary tract in 6 patients (1.1%) and breast cancer in 3 patients (0.5%). In 3 of 6 patients with EN, urothelial cancer was diagnosed, resulting in the death in two patients. In the third patient, urothelial cancer showed a high affinity for recurrence, and besides the strong reduction of immunosuppressive therapy, repeated surgical treatment was needed. CONCLUSIONS: Patients with EN show a high incidence of urothelial cancer after renal transplantation. A thorough nephro-urological evaluation is needed before transplantation, and a careful follow-up is required afterward to ensure an early diagnosis of malignancy. Preventive nephroureterectomy is recommended. 相似文献