Chronic norovirus infection in primary immune deficiency disorders: an international case series.

OBJECTIVE: Predictive factors associated with clinical outcomes of chronic norovirus infection (CNI) in primary immunodeficiency diseases (PIDD) are lacking. METHOD: We sought to characterize CNI using a multi-institutional cohort of patients with PIDD and CNI using the Clinical Immunology Society's CIS-PIDD Listserv e-mail group. RESULTS: Thirty-four subjects (21 males and 13 females) were reported from centers across North America, Europe, and Asia. All subjects were receiving high doses (median IgG dose: 1200 mg/kg/month) of supplemental immunoglobulin therapy. Fifty-three percent had a complete absence of B cells (median B-cell count 0; range 0-139 cells/µL). Common Variable Immune Deficiency (CVID) subjects manifested a unique phenotype with B-cell lymphopenia, non O+ blood type, and villous atrophy (logistic regression model, P = 0.01). Five subjects died, all of whom had no evidence of villous atrophy. CONCLUSION: While Norovirus (NoV) is thought to replicate in B cells, in this PIDD cohort of CNI, B-cell lymphopenia was common, indicating that the presence of B lymphocytes is not essential for CNI.

Influence of grinding size of the main cereal of the diet on egg production and eggs quality of brown egg laying hens from 33 to 65 weeks of age.

The influence of grinding size of the main cereal of the diet on production and egg quality traits was studied in brown hens from 33 to 65 wk of age. The experiment was completely randomized with 6 treatments arranged as a 3 × 2 factorial with 3 main cereals (barley, corn, and wheat) and 2 grinding size of the cereal (6 and 10 mm screen). Each treatment was replicated 11 times (10 hens/replicate). Diets were isonutritive and contained 2,740 kcal/kg AMEn and 16.8% CP. Egg production, ADFI, egg weight, and feed conversion ratio (FCR) were determined by period (4 wk) and for the entire experiment. Egg quality traits (percentage of undergrades, Haugh units, thickness, strength, color of the shell, and proportion of albumen, yolk, and shell) were measured also by period. No interactions between main cereal and grinding size of the main cereal of the diet were observed for any of the traits studied. Feed intake, egg production, and BW gain were not affected by diet or grinding size. Eggs were heavier (P < 0.01) in hens fed barley than in hens fed corn or wheat, probably because of the higher fat content of the barley diets. Also, FCR tended to improve in hens fed barley compared with hens fed corn or wheat (P = 0.07). Diet did not affect any of the egg quality traits studied. In summary, barley and wheat conveniently supplemented with enzymes, can be used in substitution of corn at levels of up to 55% in diets for laying hens, without any adverse effect on egg production or egg quality traits. Moreover, the substitution of corn by a combination of barley and supplemental fat increased egg size. Consequently, the inclusion of one or other cereal in the diet will depend primarily on their relative cost. Within the range studied, screen size (6 vs. 10 mm) of the cereal had limited effects on hen production.

Particle size affects short-term preference behavior of brown-egg laying hens fed diets based on corn or barley.

We studied the influence of particle size of the main cereal of the diet on preference behavior by laying hens. Diets formed a 2 × 5 factorial with 2 main cereals (corn vs. barley) and 5 grinding sizes of the cereal (4, 6, 8, 10, and 12 mm screen). Each treatment was replicated 5 times (10 hens each). After a fasting period of 8 h, hens received their respective experimental diets from 06.00 to 14.00 hours. The geometric mean diameter (GMD) and the geometric standard deviation of the residuals in the feeder were determined every 2 hours. In addition, CP, ash, and Ca contents of the feeds were determined at the start and at the end of the experimental period. The experimental design was completely randomized with data analyzed as repeated measures with particle size and cereal as main effects. The GMD of the original feeds increased with increases in screen size and was greater for the barley than for the corn diets. The difference in GMD between the original diets and the residuals measured at 2 h intervals decreased as the experiment progressed (P < 0.001 for the interaction). Crude protein, ash, and Ca concentrated in the coarse fraction of the original diets and of the uneaten feed, an effect more pronounced for the minerals. Independent of the coarseness of the feed sieve, ash and Ca contents were higher in the uneaten feed at 14.00 h than in the original diets. Hens showed a clear preference for coarse particles irrespective of the concentration of CP, ash, or Ca in the different fractions of the diets. Data showed that birds under-consumed Ca during the morning, a period in which the requirements for mineral deposition are low. In summary, hens showed a significant preference for coarser particles, an effect that was more evident when the cereals were ground coarse. Hens, however, did not show any preference for consuming those feed fractions with greater CP, ash, or Ca contents.

Influence of particle size of the main cereal of the diet on egg production, gastrointestinal tract traits, and body measurements of brown laying hens1.

The influence of the screen size used to grind the main cereal of the diet on egg production, gastrointestinal tract (GIT) development, and body measurements was studied in hens from 17 to 49 wk of age. Diets formed a 2 × 5 factorial with 2 main cereals (corn vs. barley) and 5 screen sizes of the cereal (4, 6, 8, 10, and 12 mm). Each treatment was replicated 5 times. No interactions between main cereal and screen size were observed for any of the traits studied. Cereal type and screen size did not affect feed intake, egg production, BW gain, or quality traits of the eggs. Eggs tended to be larger (P = 0.092) in hens fed the barley diet than in hens fed the corn diet. Also, feed conversion ratio tended to increase (P = 0.081) when the cereal of the diet was ground with a 4-mm screen as compared with the average of the other diets. At 49 wk of age, the relative weight (% BW) of the GIT and gizzard was greater (P < 0.05) in hens fed barley than in hens fed corn. An increase in the screen size increased linearly the relative weight of the GIT (P = 0.089), gizzard (P < 0.01), and liver (P = 0.056). None of the other GIT traits or body measurements was affected by the main cereal or the screen size. In summary, barley can substitute up to 45% of the corn in diets for laying hens without any adverse effect on egg production. Therefore, the use of one or other cereal will depend on their relative cost. An increase in screen size improved gizzard development but had little effect on hen productivity. Within the range studied, the size of the screen used for grinding the cereal had little effect on hen productivity, although the use of a 4-mm screen might increase feed conversion ratio and gizzard development.

Effect of level of fiber of the rearing phase diets on egg production, digestive tract traits, and body measurements of brown egg-laying hens fed diets differing in energy concentration.

This research studied the effects of additional fiber in the rearing phase diets on egg production, gastrointestinal tract (GIT) traits, and body measurements of brown egg-laying hens fed diets varying in energy concentration from 17 to 46 wk of age. The experiment was completely randomized with 10 treatments arranged as a 5 × 2 factorial with 5 rearing phase diets and 2 laying phase diets. During the rearing phase, treatments consisted of a control diet based on cereals and soybean meal and 4 additional diets with a combination of 2 fiber sources (cereal straw and sugar beet pulp, SBP) at 2 levels (2 and 4%). During the laying phase, diets differed in energy content (2,650 vs. 2,750 kcal AMEn/kg) but had the same amino acid content per unit of energy. The rearing diet did not affect any production trait except egg production that was lower in birds fed SBP than in birds fed straw (91.6 and 94.1%, respectively; P < 0.05). Laying hens fed the high energy diet had lower feed intake (P < 0.001), better feed conversion (P < 0.01), and greater BW gain (P < 0.05) than hens fed the low energy diet but egg production and egg weight were not affected. At 46 wk of age, none of the GIT traits was affected by previous dietary treatment. At this age, hen BW was positively related with body length (r = 0.500; P < 0.01), tarsus length (r = 0.758; P < 0.001), and body mass index (r = 0.762; P < 0.001) but no effects of type of diet on these traits were detected. In summary, the inclusion of up to 4% of a fiber source in the rearing diets did not affect GIT development of the hens but SBP reduced egg production. An increase in the energy content of the laying phase diet reduced ADFI and improved feed efficiency but did not affect any of the other traits studied.

Inclusion of fiber in diets for brown-egg laying pullets: Effects on growth performance and digestive tract traits from hatching to 17 weeks of age.

We investigated the effects of fiber inclusion in the diet on growth performance and digestive traits in pullets from hatching to 17 wk of age. The control diets of the 3 feeding periods (0 to 5 wk, 5 to 10 wk, and 10 to 17 wk) were based on corn and soybean meal and did not include any additional fiber source. The experimental diets included 2 or 4% of cereal straw or sugar beet pulp (SBP) at the expense (wt:wt) of the control diet. From 0 to 5 wk of age, fiber inclusion did not affect pullet performance. From hatch to 17 wk of age, the inclusion of straw had little effect on pullet performance but the inclusion of 4% SBP reduced (ADG) (P < 0.05) and reduced feed conversion ratio (FCR; P < 0.001). Pullets fed straw had greater ADG (P < 0.05) and better energy conversion ratio (P < 0.01) than pullets fed SBP. An increase in fiber from 2 to 4% reduced FCR (P < 0.05). Body weight uniformity was not affected by diet. Fiber inclusion increased the relative weight (% BW) of the gizzard at 5 wk (P = 0.056) and 10 wk (P < 0.01) of age, but no differences were detected between fiber sources. At same ages, the relative length (cm/kg BW) of the pullets (P = 0.058 and P < 0.01, respectively) and tarsus (P = 0.079 and P < 0.05, respectively) was higher in pullets fed SBP than in pullets fed straw. Fiber inclusion, however, did not affect any of these traits at 17 wk of age. In summary, the inclusion of 2% straw at the expense (wt:wt) of the whole diet did not affect pullet performance at 17 wk of age. An increase in the level of straw from 2 to 4% reduced FCR but did not affect ADG. The inclusion of SBP, however, reduced pullet growth, with effects being more pronounced at the higher level.

Effects of fiber inclusion on growth performance and nutrient digestibility of piglets reared under optimal or poor hygienic conditions.

Two experiments were conducted to study the effects of inclusion of additional fiber in the Phase I diet on growth performance and nutrient digestibility in piglets reared under "optimal" or "poor" hygienic conditions. In both experiments, the design was completely randomized with a control diet that contained 2.2% crude fiber and 8 additional isonutritive diets that included 2.5 or 5.0% of sugar beet pulp (SBP), straw, oat hulls (OH), or wheat middlings (WHM). Preplanned polynomial contrasts were used to study the effects of 1) fiber inclusion (control diet vs. average of the 8 fiber-containing diets), 2) source of fiber, 3) level of fiber, and 4) interaction between source and level of fiber. In Exp. 1 (clean barn), fiber inclusion increased ( < 0.01) the incidence of postweaning diarrhea (PWD) and reduced ( < 0.05) feed efficiency and apparent total tract digestibility (ATTD) of all nutrients except that of CP, which was not affected. Piglet performance was not affected by source or level of dietary fiber. The ATTD of all nutrients decreased ( < 0.05) as the level of fiber increased and was lower in pigs fed straw or OH than in pigs fed SBP or WHM. The apparent ileal digestibility of GE and DM decreased ( < 0.05) with fiber inclusion, a reduction that was more pronounced ( < 0.05) with straw or SBP than with OH inclusion, with WHM inclusion being intermediate. Fiber inclusion did not affect villous height to crypt depth ratio of the ileum mucosa. The inclusion of 5% of a fiber source increased and counts in the cecum ( < 0.001) but the to ratio was not affected. In Exp. 2 (dirty barn), fiber inclusion did not affect piglet performance but tended to increase PWD ( = 0.07). Also, fiber inclusion reduced ( < 0.05) the ATTD of all dietary components except that of CP, which was not affected. Source and level of fiber did not affect ATTD of nutrients except for DM, which was greater for pigs fed SBP than for pigs fed straw ( < 0.05). In conclusion, in the current research, pigs reared under optimal hygienic conditions had lower incidence of PWD, better growth performance, and greater DM and GE digestibility than pigs reared under poor hygienic conditions. An excess of dietary fiber was more detrimental for all these traits in piglets reared under optimal hygienic conditions. The effects of the source and level of fiber on piglet performance was limited in the 2 experiments.

Influence of the main cereal and feed form of the rearing phase diets on performance, digestive tract, and body traits of brown-egg laying pullets from hatch to 17 weeks of age.

The effects of the main cereal and feed form of the rearing phase diets on growth performance, gastrointestinal tract characteristics, and body traits were studied in brown-egg pullets from hatch to 17 wk of age. Eight dietary treatments that were a combination of 2 main cereals (corn vs. wheat) and 4 feeding programs were used. The feeding program consisted in feeding crumbles from 0 to 5, 0 to 10, or 0 to 17 wk of age followed by mash until 17 wk, or feeding mash continuously from 0 to 17 wk. Each treatment was replicated 9 times. From hatch to 17 wk of age, pullets fed corn had similar ADG but poorer feed conversion ratio (FCR; P < 0.001) than pullets fed wheat. Also, pullets fed crumbles continuously (0 to 17 wk) had greater ADG (12.3 vs. 11.5 g; P < 0.001) and better FCR (4.21 vs. 4.36; P < 0.001) than pullets feed mash continuously, with pullets that were changed at any age of the rearing period from crumbles to mash feeding showing intermediate results. At 17 wk of age, the relative weights (% BW) of the gastrointestinal tract and gizzard were greater in pullets fed corn than in pullets fed wheat (P < 0.01) but the relative length (cm/kg full BW) of the small intestine, body, and tarsus was not affected. Pullets fed crumbles continuously had lighter gizzards (P < 0.001), higher gizzard pH (P < 0.001), and were shorter (P < 0.01) than pullets fed mash continuously, with pullets fed the other 2 treatments being intermediate. In summary, wheat can be used in substitution of corn in pullet diets without any adverse effect on growth performance. Feeding crumbles improves pullet performance but hinders gizzard and gastrointestinal tract development. Growth performance, gastrointestinal tract, and body traits of the pullets re-adapt quickly to changes in feed form of the rearing diets.

Feed form and energy concentration of the diet affect growth performance and digestive tract traits of brown-egg laying pullets from hatching to 17 weeks of age.

The influence of feed form and energy concentration of the diet on growth performance and the development of the gastrointestinal tract (GIT) was studied in brown-egg laying pullets. Diets formed a 2 x 5 factorial with 2 feed forms (mash vs. crumbles) and 5 levels of energy differing in 50 kcal AMEn/kg. For the entire study (0 to 17 wk of age) feeding crumbles increased ADFI (52.9 vs. 49.7 g; P < 0.001) and ADG (12.7 vs. 11.6 g; P < 0.001) and improved feed conversion ratio (FCR; 4.18 vs. 4.27; P < 0.001). An increase in the energy content of the diet decreased ADFI linearly (P < 0.001) and improved FCR quadratically (P < 0.01) but energy intake (kcal AMEn/d) was not affected. BW uniformity was higher (P < 0.05) in pullets fed crumbles than in those fed mash but was not affected (P > 0.05) by energy content of the diet. At 5, 10, and 17 wk of age, the relative weight (RW, % BW) of the GIT and the gizzard, and gizzard digesta content were lower (P < 0.05 to P < 0.001) and gizzard pH was higher (P < 0.05 to P < 0.001) in pullets fed crumbles than in pullets fed mash. Energy concentration of the diet did not affect any of the GIT variables studied. In summary, feeding crumbles improved pullet performance and reduced the RW of the GIT and gizzard, and increased gizzard pH at all ages. An increase in the energy content of the diet improved FCR from 0 to 17 wk of age. The use of crumbles and the increase in the AMEn content of the diet might be used adventageously when the objetive is to increase the BW of the pullets. However, crumbles affected the development and weight of the organs of the GIT, which might have negative effects on feed intake and egg production at the beginning of the egg laying cycle.

Productive performance of brown-egg laying pullets from hatching to 5 weeks of age as affected by fiber inclusion, feed form, and energy concentration of the diet.

The effects of fiber inclusion, feed form, and energy concentration of the diet on the growth performance of pullets from hatching to 5 wk age were studied in 2 experiments. In Experiment 1, there was a control diet based on cereals and soybean meal, and 6 extra diets that included 2 or 4% of cereal straw, sugar beet pulp (SBP), or sunflower hulls (SFHs) at the expense (wt/wt) of the whole control diet. From hatching to 5 wk age fiber inclusion increased (P<0.05) ADG and ADFI, and improved (P<0.05) energy efficiency (EnE; kcal AMEn/g ADG), but body weight (BW) uniformity was not affected. Pullets fed SFH tended to have higher ADG than pullets fed SBP (P=0.072) with pullets fed straw being intermediate. The feed conversion ratio (FCR) was better (P<0.05) with 2% than with 4% fiber inclusion. In Experiment 2, 10 diets were arranged as a 2×5 factorial with 2 feed forms (mash vs. crumbles) and 5 levels of AMEn (2,850, 2,900, 2,950, 3,000, and 3,050 kcal/kg). Pullets fed crumbles were heavier and had better FCR than pullets fed mash (P<0.001). An increase in the energy content of the crumble diets reduced ADFI and improved FCR linearly, but no effects were detected with the mash diets (P<0.01 and P<0.05 for the interactions). Feeding crumbles tended to improve BW uniformity at 5 wk age (P=0.077) but no effects were detected with increases in energy concentration of the diet. In summary, the inclusion of moderate amounts of fiber in the diet improves pullet performance from hatching to 5 wk age. The response of pullets to increases in energy content of the diet depends on feed form with a decrease in feed intake when fed crumbles but no changes when fed mash. Feeding crumbles might be preferred to feeding mash in pullets from hatching to 5 wk age.

Influence of crude protein content, ingredient complexity, feed form, and duration of feeding of the Phase I diets on productive performance and nutrient digestibility of Iberian pigs.

The influence of CP content and ingredient complexity, feed form, and duration of feeding of the Phase I diets on growth performance and total tract apparent digestibility (TTAD) of energy and nutrients was studied in Iberian pigs weaned at 28 d of age. There were 12 dietary treatments with 2 type of feeds (high-quality, HQ; and low-quality, LQ), 2 feed forms (pellets vs. mash), and 3 durations (7, 14, and 21 d) of supply of the Phase I diets. From d 7, 14, or 21 (depending on treatment) to d 35, all pigs received a common diet in mash form. Each treatment was replicated 3 times (6 pigs/pen). For the entire experiment, ADG (P < 0.05) and ADFI (P < 0.01) were less with the HQ than the LQ Phase I diets, but G:F was not affected. Pelleting of the Phase I diets did not affect ADG but improved G:F (P < 0.01). Feeding the Phase I diets from d 0 to 21 improved G:F (P < 0.05) but decreased ADG (P < 0.01) as compared with 7 or 14 d of feeding. Postweaning diarrhea (PWD) tended to be greater (P = 0.06) for pigs fed the HQ diets than pigs fed the LQ diets and pigs fed pellets than those fed mash (P < 0.001). Also, PWD was greater for pigs fed the Phase I diet for 14 or 21 d than those fed the diet for 7 d (P < 0.01). From d 0 to 21, ADG and G:F were not affected (P > 0.10) by feed quality, but feeding pellets or increasing the duration of feeding the Phase I diets improved G:F (P < 0.01). Also, in this period, PWD was greater with pellets than with mash and for pigs fed the Phase I diets for 14 or 21 d than for pigs fed the diet for only 7 d (P < 0.01). From d 21 to 35, pigs previously fed the LQ diet had greater ADG than pigs fed the HQ Phase I diets (P < 0.001). Also, pigs fed the Phase I diets for 21 d had decreased ADG (P < 0.05) and ADFI (P < 0.001) and reduced G:F (P < 0.05) than pigs fed these diets for 7 or 14 d. Organic matter digestibility was greater for pigs fed the HQ Phase I diets than pigs fed the LQ Phase I diets (P < 0.05). Pelleting improved TTAD of all nutrients (P < 0.01). It is concluded that HQ Phase I diets increased TTAD of nutrients but not feed efficiency of Iberian pigs from d 0 to 35. Also, pelleting improved energy and nutrient digestibility and feed efficiency. Increasing the duration of supply of the Phase I diets from 7 to 21 d improved feed efficiency but reduced ADG. Therefore, the use of LQ Phase I diets in pellet form for no more than 7 d after weaning is recommended in Iberian pigs.

Adjuvant radio-chemotherapy after extended or simple cholecystectomy in gallbladder cancer

PURPOSE: To analyse results of combined treatment of adjuvant radio-chemotherapy (RT-CT) in patients diagnosed with gallbladder cancer (GBC) after complete resection. METHODS AND MATERIAL: From June 1993 until July 2006, 67 patients with a diagnosis of GBC who underwent R0 surgical resection and were staged as T1b-2-3N0-1M0 received adjuvant RT-CT. Radiotherapy consisted of whole abdominal irradiation (20 Gy at 100 cGy daily) plus a boost to the tumour bed for a total of 45-59.4 Gy. Concomitant chemotherapy (fluoropyrimidines) was given. Overall survival (OS) and median survival were analysed in relation to different prognostic factors. RESULTS: With a median follow-up of 90 months, 5-year OS was 41%, in the group who underwent extended cholecystectomy it reached 57% and it was only 27% in those who underwent simple cholecystectomy (p = 0.005). Median survival was 42 months for the whole population, not yet reached for the extended cholecystectomy subgroup and 23 months for the simple cholecystectomy subgroup. When analysing for histological grade, median survival was 23 months for those graded as high grade (III or IV) and 57 months for those of low-unknown grade (p = 0.029). In multivariate analysis, a statistically significant OS benefit was found for those who underwent extended cholecystectomy (p = 0.003). CONCLUSIONS: In the absence of randomised studies, these data support the use of extended cholecystectomy followed by adjuvant RT-CT in patients diagnosed as stages T1b-2- 3N0-1M0 GBC after R0 resection (AU)

Comportamiento del gammaglobulina de la saliva y suero de pacientes infectados con el virus del Sida y su relación con la patología bucal / Behavior of the gamma-globulins of the saliva and patients' whey infected with the virus of the AIDS, and his(her,your) relation with the mouth pathology

La investigación comprendió : 100 muestras, 20 grupo control (alumnos de la Universidad Nacional Agraria) y 80 pacientes infectados con HIV/SIDA; clasificados; 25 estadio II, 35 estadió III, y 20 pacientes estadío IV. Porcentaje de las fracciones proteicas y salival en promedio: Albúmina 45,15 por ciento, 10.29 por ciento alfa 2, 16.87 por ciento beta y la gammaglobulina 23.46 por ciento (nivel de confianza 95 por ciento, error 0.99 por ciento). Saliva: albúmina 15.2 por ciento, gammaglobulina 75.94 por ciento (nivel de significancia 1.00 por ciento). Muestra problema.- Muestra problema se observa notable alteración en las proteinas electroforéticas séricas.- Saliva: estadió II, 22.12 por ciento albúmina, gamma globulina 77.64 por ciento; estadió III, albúmina 16.35 por ciento, gammaglobulina 83.49 por ciento. IV 7.71 por ciento albúmina y 92.37 por ciento gammaglobulina.- Existe relación diferencial entre los valores normales de la gammaglobulina sérica y salival en pacientes infectados con HIV/SIDA; así como también agudiación de la patología bucal.

Determinación de la actividad de la proteasa sérica y salival en pacientes con HIV/SIDA, TBC con alteraciones endobucales / Determination of the activity of the serum and salivary protease in patients with HIV/AIDS, TBC with endobucales alterations

Se analizaron 89 muestras de las cuales 25 alumnos de 20 a 25 años de la Facultad de Odontología seleccionados como grupo control. 44 pacientes con HIV/SIDA, TBC, 24 pacientes con HIV/SIDA, 10 personas de 24 a 45, años de edad como grupo control. La actividad de la proteasa salival en el control, arrojó como promedio 0.067 (observancia), siendo la mayor lectura 0.084, la menor actividad 0.045. En cuanto a la proteasa sérica en 10 personas (sin HIV/SIDA, TBC), arrojó mayor actividad 0.092 y menor actividad 0.067 como promedio 0.078 (,abs.) La tuberculosis y la candidiasis evolucionan frondosamente en forma simbiótica, siendo desplazada otras enfermedades oportunistas (Sarcoma de Kaposi), observándose disminución progresiva de flujo saliva como constante inhibición del proceso carioso, periodontales (simple gingivitis). En pacientes con HIV/SIDA TBC, la actividad de la proteasa sérica y salival disminuye extraordinariamente. Considerando que los resultados obtenidos si se comprueba con mayor número de casos, empleando substrato de mayor especificidad (substrato para la proteasa aspárica como lo es HIV), sería una contribución importante en el esclarecimiento de la fisiopatología en el ciclo biológico del HIV/SIDA.

Bilateral tubal ectopic pregnancy: a tale of caution.

Diagnosis of ectopic pregnancy continues to be an important challenge facing emergency physicians. The authors present a case of bilateral tubal ectopic pregnancy and discuss its clinical features and diagnostic difficulties. A review of the English-language literature on the subject is discussed. Suggestions are made on ways to increase diagnostic accuracy, reduce complications, and preserve future fertility in this group of patients.

Tumor Carcinoide en el mediastino anterior: presentación de un caso y revision de la literatura / Carcinoid tumor in the anterior mediastinum: report of a case and review of the literature

The Carcinoide tumors are infrequent. The come from neuroendocrine argentafine cells, probably related to cells of the APUD system. They are rarely found in the mediastinum. We are reporting a case, and bringing forward some biological, epidemiological and clinical characteristics. We also emphasize over the diagnosis and treatment, and the basics to evaluate the prognosis

[Carcinoid tumor in the anterior mediastinum. Report of a case and review of the literature]. / Tumor Carcinoide en el mediastino anterior. Presentación de un caso y revision de la literatura.

The Carcinoide tumors are infrequent. The come from neuroendocrine argentafine cells, probably related to cells of the APUD system. They are rarely found in the mediastinum. We are reporting a case, and bringing forward some biological, epidemiological and clinical characteristics. We also emphasize over the diagnosis and treatment, and the basics to evaluate the prognosis.