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An intracranial mixed germ cell tumour with germinoma and teratoma components is reported. The patient presented with parinaud's syndrome and precocious puberty. The treatment involved partial surgical debulking followed by whole brain radiotherapy (4500 cGY in 25 fraction over 5 weeks) and chemotherapy (consisting of cisplatin and etoposide). Post treatment MRI showed no residual lesion. The controversies in the management are discussed. 相似文献
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Sanjiv Sharma S. C. Sharma Sandeep Singhal Y. N. Mehra B. D. Gupta Sushmita Ghoshal A. P. S. Sandhu 《Indian journal of otolaryngology and head and neck surgery》1991,43(4):191-194
A retrospective analysis was performed of 250 cases of carcinoma of the maxillary antrum seen over a 10 years period (1975–1984). 98.24% patients were seen in T3 and T4 stages (UICC 1985). 40.7% patients presented with clinically palpable nodes. 42.9% patients were treated by radical radiation and 18.6% by a combination of preoperative radiation followed by surgery. Rest 38.5% patients were treated with palliative intention. Three year disease free survival was 39.58% with radiation alone and 51.91% with combined modality treatment which includes patients salvaged by surgery. Failures were mainly at the local site, 75.86% with radiation alone and 60% with combined modality treatment. Combined modality treatment, preferably preoperative radiation followed by radical surgery, gives the best results in the management of carcinoma of the maxillary antrum. 相似文献
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Irritable bowel syndrome in Asia: Pathogenesis,natural history,epidemiology, and management
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Kok‐Ann Gwee Uday Chand Ghoshal Minhu Chen 《Journal of gastroenterology and hepatology》2018,33(1):99-110
Historically, the epidemiology of gastrointestinal diseases in Asia was different from that in Western countries. Early studies suggested a low prevalence of irritable bowel syndrome (IBS) in Asia. As the diagnosis of IBS is symptom‐based and as symptom perception, expression, and interpretation are influenced by sociocultural perspectives including language, the presentation of IBS is expected to vary in different communities. Furthermore, the pathogenesis is multifactorial with psychosocial (stress, illness, behavior, and diet) and biological (infection, gut microbiota, and immune activation) variables interacting, and so, the present study can anticipate that the development of IBS will vary in different environments. In recognition of this aspect of functional gastrointestinal disorders, the recently published Rome IV documents have provided greater focus on cross‐cultural factors. In this review, the present study seeks to highlight Asian perspectives by identifying historical trends and recent publications from the region and comparing these with the observations from Western societies. 相似文献
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Rome foundation Asian working team report: Real world treatment experience of Asian patients with functional bowel disorders
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Lishou Xiong Xiaorong Gong Kewin Tien‐Ho Siah Nitesh Pratap Uday Chand Ghoshal Murdani Abdullah Ari Fahrial Syam Young‐Tae Bak Myung‐gyu Choi Ching‐Liang Lu Sutep Gonlachanvit Andrew Seng Boon Chua Kuck‐Meng Chong Jane D Ricaforte‐Campos Quan Shi Xiaohua Hou William E Whitehead Kok‐Ann Gwee Minhu Chen 《Journal of gastroenterology and hepatology》2017,32(8):1450-1456
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Uday C. Ghoshal Deepakshi Srivastava Asha Misra 《Indian journal of gastroenterology》2018,37(5):416-423