RESUMEN
Background: The genus Clavicornaltica Scherer 1974 consists of very small, soil-dwelling flea beetles in South, Southeast and East Asia. Due to their diminutive size and morphological similarities, very little is known about their ecology and taxonomical diversity. It is likely that further studies will reveal this genus to be much more speciose than the 30 species currently recognised. New information: A new species of Clavicornaltica from Brunei Darussalam is described, C.mataikanensis Otani et al., sp. nov. This is the second species of this genus recorded from Ulu Temburong National Park.
RESUMEN
El carcinoma suprarrenal es una enfermedad infrecuente que afecta entre 0.45 a 2 personas cada millón. Relación mujer: hombre 2.7:1, con un promedio de edad de 45 años. Mayor compromiso de la glándula izquierda. En el 53% de los casos se diagnostica por síndromes funcionantes. El resto se expresa por efecto de masa o por detección de metástasis. Son fundamentales las imágenes y el testeo hormonal. Es muy agresivo, de mal pronóstico y generalmente avanzado al diagnóstico. A la fecha existen escasos recursos terapéuticos. A continuación, se presenta una paciente de 23 años con un cáncer de suprarrenal funcionante estadio IV.
The adrenal carcinoma is an infrequent disease that affects0.45 to 2 cases per millon population per year. Women aremore frequently affected than men (2.7:1), with an averageage of 45 years. More common is the commitment of theleft gland. In 53% of cases, functioning tumor exists. Therest are diagnosed from local tumour invasion. Images andhormonal laboratory are basic. It is very aggressive, withpoor prognosis and advanced at diagnosis. To date thereare few therapeutic resources. We present here a 23 yearsold patient with such diagnosis and metastatic stage.