ABSTRACT
A chronic etylist 46 year old female patient with a chronic active hepatitis of a probable alcoholic origin in presented. Between 1983 an 1987 she became pregnant three times and had normal children. We suggest probable hypotheses for etiology of hepatic cirrhosis, hypogonadism and sterility.
Subject(s)
Liver Cirrhosis, Alcoholic/diagnosis , Parity , Pregnancy Complications/diagnosis , Adult , Biopsy, Needle , Cesarean Section , Chronic Disease , Female , Hepatitis, Chronic/diagnosis , Hepatitis, Chronic/etiology , Humans , Liver/pathology , Liver Cirrhosis, Alcoholic/etiology , Pregnancy , Pregnancy Complications/surgerySubject(s)
Chromaffin System , Para-Aortic Bodies , Pheochromocytoma/pathology , Adult , Bone Neoplasms/secondary , Catecholamines/urine , Chromaffin System/pathology , Female , Humans , Mandelic Acids/urine , Para-Aortic Bodies/pathology , Pheochromocytoma/secondary , Pheochromocytoma/therapy , Pheochromocytoma/urine , PrognosisABSTRACT
Se presenta una paciente mujer de 15 anos de edad portadora de un feocromocitoma maligno del organo de Zuckerkandl con multiples metastasis oseas (craneo, clavicula, vertebras). Se destaca su prolongada sobrevida (7,5 anos desde el momento del diagnostico) y el beneficio obtenido (clinico y bioquimico) con la extirpacion quirurgica y la radioterapia administrada. Su buena evolucion se vincula estrechamente con el control hemodinamico de la enfermedad logrado con la terapeutica combinada de alfa y beta bloqueantes