Asunto(s)
Adenocarcinoma/diagnóstico , Cromosomas Humanos Par 2/genética , Malformación Adenomatoide Quística Congénita del Pulmón/diagnóstico , Hibridación Fluorescente in Situ , Neoplasias Pulmonares/diagnóstico , Blastoma Pulmonar/diagnóstico , Adenocarcinoma/congénito , Adenocarcinoma/cirugía , Cromosomas Humanos Par 8/genética , Malformación Adenomatoide Quística Congénita del Pulmón/genética , Malformación Adenomatoide Quística Congénita del Pulmón/cirugía , Diagnóstico Diferencial , Errores Diagnósticos/prevención & control , Humanos , Recién Nacido , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/cirugía , Diagnóstico Prenatal , Blastoma Pulmonar/genética , Trisomía/genéticaRESUMEN
PURPOSE: To examine the effect of an internet-based aid to informed consent on parent recall of potential surgical complications. METHODS: Parents of children scheduled for elective inguinal hernia repair were assigned to a control group or were enrolled in an internet-based program designed to aid in the consent process. Nine potential surgical complications were presented to the parent(s) in the consent discussion and in the Internet program. Parent recall of potential surgical complications was assessed immediately after the consent discussion and on the day of surgery. RESULTS: Overall recall of complications was poor in both groups, both immediately and on the day of surgery. Parents in the control group (n = 13) recalled a mean of 2.9 complications immediately and 1.5 on the day of surgery, approaching statistical significance (P = .056). The parents in the internet program group (n = 17) recalled a mean of 2.6 complications immediately and 2.9 on the day of surgery (P = NS). There was no significant difference in immediate recall between the two groups, but there was a trend towards statistically significant improvement in recall in the study group the day of surgery vs. controls (P = .06). CONCLUSION: Although overall recall of potential surgical complications was poor in both groups, there was a trend towards a significant improvement in recall in the study group after viewing the Internet-based program.
Asunto(s)
Hernia Inguinal/cirugía , Consentimiento Informado/estadística & datos numéricos , Internet/estadística & datos numéricos , Relaciones Padres-Hijo , Complicaciones Posoperatorias/prevención & control , Evaluación de Programas y Proyectos de Salud/métodos , Hidrocele Testicular/cirugía , Adulto , Niño , Femenino , Estudios de Seguimiento , Humanos , Masculino , Proyectos Piloto , Estudios Prospectivos , Reproducibilidad de los ResultadosRESUMEN
This report describes the youngest patient to develop a malignant peripheral nerve sheath tumor arising from a ganglioneuroma (MPNST ex Ganglioneuroma). The patient, a 6-year-old boy, was never irradiated and had no history or stigmata of neurofibromatosis. The report also includes a review of the previously published related cases, and an analysis of the immunohistochemistry and electron microscopy data available to date on the subject.