ABSTRACT
El objetivo de este estudio es la valoración de la técnica de localización de nódulos pulmonares periféricos con arpón guiado con TAC para su posterior resección por cirugía video toracoscópica. Se realizó un estudio retrospectivo con 60 pacientes obteniendo el diagnóstico de certeza en el 100% de los casos, representando los procesos malignos el 71,6% de los nódulos estudiados y el28,4% correspondieron a procesos benignos. La localización de nódulos pulmonares mediante aguja con arpón es un método sencillo y seguro para la localización del nódulo y la obtención de un diagnóstico, previa extirpación video toracoscópica de los mismos, aunque a veces, sean lesiones de difícil abordaje (AU)
The aim of this paper is to study the technique of solitary pulmonary nodules localization using CT guided hook wire in the way to make it possible to be resected by VATS. We performed a retrospective study of 60 patients. In all of them a certain diagnosis was obtained. There were 71.6% malignant diseases and 28.4% benign nodules. Localization of solitary pulmonary nodules using hook wire is an easy and safe method to identify this kind of lesion and to get a true diagnosis due VATS resection even in small and central nodules (AU)
Subject(s)
Humans , Solitary Pulmonary Nodule/diagnosis , Thoracic Surgery, Video-Assisted/methods , Lung Neoplasms/diagnosis , Tomography, X-Ray Computed/methods , Solitary Pulmonary Nodule/surgery , Retrospective Studies , Lung Neoplasms/surgeryABSTRACT
El hemotórax espontáneo como forma de presentación de uncarcinoma de pulmón es extremadamente raro, siendo muy pocos los casos reflejados en la literatura. Hemos tenido la oportunidad de tratar a una paciente de 64 años, no fumadora, cuyo ingreso hospitalario fue debido a un hemotórax masivo izquierdo que estaba originado por un carcinoma de células gigantes en lóbulo inferior, como se comprobó en la intervención, y a la que se le pudo realizar una lobectomía inferior izquierda y linfadenectomía
Haemothorax as a form of presentation of lung cancer isextremely rare, and very few cases have been reported in the literature. We have had the opportunity to treat a 64 year old, nonsmoker patient, whose hospital admission was due to a massive left haemothorax that was originated by a giant cell carcinoma in the lower lobe and confirmed in the intervention. A left lower lobectomyand lymphadenectomy was completed
Subject(s)
Humans , Female , Middle Aged , Hemothorax/etiology , Lung Neoplasms/diagnosis , Pleural Effusion/pathology , Thoracic Surgery, Video-AssistedABSTRACT
El hemotórax espontáneo como forma de presentación de uncarcinoma de pulmón es extremadamente raro, siendo muy pocoslos casos reflejados en la literatura. Hemos tenido la oportunidadde tratar a una paciente de 64 años, no fumadora, cuyo ingresohospitalario fue debido a un hemotórax masivo izquierdo queestaba originado por un carcinoma de células gigantes en lóbuloinferior, como se comprobó en la intervención, y a la que se le pudorealizar una lobectomía inferior izquierda y linfadenectomía (AU)
Haemothorax as a form of presentation of lung cancer isextremely rare, and very few cases have been reported in the literature.We have had the opportunity to treat a 64 year old, nonsmokerpatient, whose hospital admission was due to a massive lefthaemothorax that was originated by a giant cell carcinoma in thelower lobe and confirmed in the intervention. A left lower lobectomyand lymphadenectomy was completed (AU)
Subject(s)
Humans , Female , Middle Aged , Carcinoma, Giant Cell/complications , Carcinoma, Giant Cell/diagnosis , Lung Neoplasms/complications , Lung Neoplasms/diagnosis , Hemothorax/etiology , Carcinoma, Giant Cell/surgery , Lung Neoplasms/surgeryABSTRACT
No disponible
Subject(s)
Humans , Education, Graduate/trends , Professional Competence , Nutritional Physiological Phenomena/education , Research/trends , Nutritionists , Primary Health Care , Diet Therapy/trends , Food and Nutrition EducationSubject(s)
Animal Husbandry , Animal Welfare , Biological Products , Animals , Animals, Laboratory , Euthanasia , Guidelines as Topic , Humans , PainABSTRACT
Neonatal diabetes mellitus is defined as hyperglycemia detected in the first month of life of more than 2 weeks' duration, requiring insulin treatment. It is extremely uncommon (1/500,000 neonates) and is permanent in only 30% of cases. Several hypotheses concerning its etiology have been postulated, such as pancreatic immaturity, paternal uniparental isidisomy of chromosome 6, and the existence of a gene located in the 6 q 22-23 chromosome region subjected to imprinting and exclusively of paternal expression. The management of these patients is usually difficult. These neonates are underweight for their gestational age, and neither anti-insulin antibodies nor anti-islets are detected. We studied a neonate hospitalized because of low weight for his gestational age with dimorphic features and hyperglycemia since the 17 th day of life. Clinical and anatomical follow-up has been periodically performed to the present date. The child presents permanent neonatal diabetes with negative antibodies. Although various insulin patterns have been used since the onset of the syndrome, management remains difficult. The child presents hypothyroidism, bilateral neurosensory deafness, bilateral congenital cataract, myopia, dimorphic features, congenital stridor and slow weight-stature curve. The results of muscle biopsy and metabolic studies were normal. Wolfram's syndrome and mitochondrial diabetes were ruled out. This is an exceptional case of permanent neonatal diabetes associated with other malformations corresponding to no known syndromic patterns.
Subject(s)
Abnormalities, Multiple , Deafness/complications , Diabetes Complications , Hypothyroidism/complications , Humans , Infant, Newborn , SyndromeABSTRACT
La diabetes mellitus neonatal se define como una hiperglucemia detectada durante el primer mes de vida, de más de 2 semanas de duración, que precisa tratamiento con insulina. Es muy rara (1/500.000 recién nacidos) y sólo el 30% de los casos es permanente. Se han postulado varias hipótesis sobre su etiología, tales como inmadurez pancreática, isodisomía del cromosoma 6 paterno o la existencia de un gen localizado en la región cromosómica 6 q 22-23 sometido a impregnación y de expresión exclusivamente paterna. Se caracterizan por ser pacientes de difícil tratamiento, bajo peso para su edad gestacional y no se detectan anticuerpos antiinsulina ni antiislotes. Se ha estudiado un recién nacido ingresado por bajo peso para la edad gestacional con rasgos dismórficos e hiperglucemia desde el día 17 de vida. Se realiza el seguimiento clínico y analítico periódico hasta la actualidad, en el que se ha observado se trata de una diabetes neonatal permanente con anticuerpos negativos, y de difícil tratamiento a pesar de utilizar diversas pautas insulínicas desde el inicio del cuadro, hipotiroidismo, sordera neurosensorial bilateral, catarata congénita bilateral, miopía, rasgos dismórficos, estridor congénito y curva ponderostatural lenta. El estudio de biopsia muscular y metabólico fue normal. Se descartó un síndrome de Wolfram y una diabetes mitocondrial. Se trata de un caso excepcional de diabetes neonatal permanente asociado a otras malformaciones no encuadrable dentro de un patrón sindrómico conocido (AU)
Subject(s)
Infant, Newborn , Humans , Abnormalities, Multiple , Syndrome , Deafness , Diabetes Mellitus , HypothyroidismABSTRACT
283 samples of meat and sausages made from pork from the Meat-Works Colombia in the Country of Las Tunas--Republic of Cuba--have been analysed on their contents of nitrite and nitrate. On an average the investigated quantities lie much below the present tolerance limit in Cuba (125 mg/kg nitrite and 500 mg/kg nitrate). The authors recommend to lower the tolerance limit for nitrate in meat and sausages to 300 mg/kg.
Subject(s)
Food Contamination/analysis , Meat Products/analysis , Meat/analysis , Nitrates/analysis , Nitrites/analysis , Animals , Cuba , Humans , SwineABSTRACT
Primary malignant lymphomas of the stomach are the most frequent non-epithelial neoplasms of this organ (3%). Their onset and their development are insidious and a proved diagnosis is established only by laparatomy and biopsy specimens. In the absence of proved distant spread, surgical treatment in conjunction with radiation therapy and chemotherapy, gives very good results, with a five years survival rate of 50-70%, even in the presence of regional metastases, and sometimes a final cure is observed.
