RESUMO
This study aimed to investigate whether pregnant women with a normal 28-week gestation platelet count and no high-risk conditions for thrombocytopenia require a pre-epidural platelet count. All 1844 included women (platelet count > 150 × 10(9) /L at 28 weeks' gestation, term singleton birth, no thrombocytopenia risk conditions) had a platelet count > 100 × 10(9) /L prebirth, suggesting low-risk pregnant women do not require pre-epidural full blood count solely to check platelet count.
Assuntos
Contagem de Células Sanguíneas/estatística & dados numéricos , Plaquetas/fisiologia , Complicações Hematológicas na Gravidez/prevenção & controle , Trombocitopenia/diagnóstico , Procedimentos Desnecessários , Adulto , Analgesia Epidural/métodos , Austrália , Estudos de Coortes , Feminino , Humanos , Parto , Contagem de Plaquetas/métodos , Gravidez , Segundo Trimestre da Gravidez , Valores de Referência , Estudos Retrospectivos , Medição de RiscoRESUMO
Malignant duodenal tumors can be primary or secondary. Although the most common primary tumor involving the duodenum is an adenocarcinoma, primary malignant melanomas arising in the small intestine are exceedingly rare and remain a controversial clinical entity. In this report, we present a unique case of primary duodenal melanoma with brain metastasis managed successfully by surgical excision, stereotactic radiation, and adjuvant immunotherapy.