RESUMO
Leiomyosarcoma is one of the most common types of soft tissue sarcoma in adults, and it can occur in almost any part of the body. Uterine leiomyosarcoma constitutes 1% of all gynaecological tumours. Most diagnosed sarcomas are not even suspected before surgery. However, in recent years, awareness of their presence in society has increased. Our case aims to draw attention to the need for better cooperation between pathologists and clinicians and reduce the time from suspicion of the disease to final diagnosis.
Assuntos
Leiomiossarcoma , Neoplasias Pélvicas , Sarcoma , Neoplasias de Tecidos Moles , Adulto , HumanosRESUMO
The article presents a case of sudden death of a 56-year-old woman at the workplace, caused by a very rare primary cardiac tumor. The patient's family reported a crime to the prosecutor's office suggesting participation of third parties in causing the death or malpractice in physical examinations before the death. A review of clinical data concerning cardiac angiosarcoma, available in electronic databases (e.g., Web of Science, PubMed), was presented, which could be useful in the practice of occupational medicine specialists. A legal analysis of potential claims to occupational medicine specialist in the case of failure to recognize primary cardiac tumors was also included in the article. Med Pr. 2020;71(6):757-64.
Assuntos
Hemangiossarcoma/diagnóstico , Hemangiossarcoma/mortalidade , Imperícia/legislação & jurisprudência , Medicina do Trabalho/legislação & jurisprudência , Medicina do Trabalho/normas , Exame Físico/mortalidade , Exame Físico/normas , Local de Trabalho/legislação & jurisprudência , Feminino , Neoplasias Cardíacas/diagnóstico , Neoplasias Cardíacas/mortalidade , Neoplasias Cardíacas/fisiopatologia , Hemangiossarcoma/fisiopatologia , Humanos , Imperícia/estatística & dados numéricos , Pessoa de Meia-Idade , Polônia , Local de Trabalho/estatística & dados numéricosRESUMO
Infections with hepatitis C virus (HCV) are widespread in most countries. Vertical transmission of HCV has become quite frequent. This study presents the case of a female neonate infected in the womb. The mother had been exposed to infectious material, and developed asymptomatic acute hepatitis with high-maternal viral load, which was the primary cause of the infection in the neonate. At birth, the neonate developed hyperbilirubinemia, followed by an increased aminotransferase activity, resulting in liver insufficiency, and finally the neonate's death. In conclusion, it seems that maternal viral load is extremely significant when vertical transmission of the infection to the fetus is concerned.