Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Quimioterapia Adjuvante , Neoplasias do Colo/tratamento farmacológico , Adjuvantes Imunológicos/administração & dosagem , Antídotos/administração & dosagem , Antimetabólitos Antineoplásicos/administração & dosagem , Neoplasias do Colo/mortalidade , Fluoruracila/administração & dosagem , Alemanha , Humanos , Imunoterapia , Leucovorina/administração & dosagem , Levamisol/administração & dosagem , Guias de Prática Clínica como Assunto , Prognóstico , Sociedades MédicasRESUMO
Fournier's gangrene is a rapidly spreading soft tissue infection. Applying our main principles of therapy to the four patients we have treated in the past 4 years, all patients survived. One case report is presented in detail. Early diagnosis is essential. CT plays an important role. Aggressive resuscitation, daily surgical exploration and debridement remain the key to the management of this disease. The prevention of orchidectomy is one of our aims. Faecal diversion is seldom necessary.
Assuntos
Gangrena de Fournier/cirurgia , Adulto , Cuidados Críticos , Desbridamento , Feminino , Gangrena de Fournier/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Escroto/patologia , Escroto/cirurgia , Tomografia Computadorizada por Raios XRESUMO
The granulosa cell tumour is a rare and malignant neoplasia of the ovary. As it has a low grade of malignancy a long course of the disease is observed. Following surgical resection, life-long tumour follow-up is recommended. Based on a case report and a review of the literature, the possible sites of metastases are demonstrated. This paper presents the latest therapeutic concepts and discusses the usefulness of metastasis resection.