RESUMO
AIM: To investigate the effect of 5-aminosalicylic acid (5-ASA) suppositories on rectal band ligation-induced pain. METHODS: Sixty patients were randomized into two treatment groups. RESULTS: Our results showed that there was no difference between 5-ASA suppository group and the control group for pain control. CONCLUSION: 5-ASA may be an alternative treatment for hemorrhoids; however, it does not affect the rectal band ligation-induced pain.
Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Hemorroidas/terapia , Mesalamina/uso terapêutico , Dor/tratamento farmacológico , Adulto , Anti-Inflamatórios não Esteroides/administração & dosagem , Método Duplo-Cego , Feminino , Humanos , Ligadura/efeitos adversos , Estudos Longitudinais , Masculino , Mesalamina/administração & dosagem , Dor/etiologia , Medição da Dor , SupositóriosRESUMO
We report a 35-year-old female patient who presented with pseudotumoral abdominal mass with final diagnosis of ectopic spleen and hypoplastic pancreas. Clinical diagnosis is difficult due to lack of symptoms. Laboratory findings are commonly non-specific; diagnosis can be confirmed by imaging studies. This patient complained only of abdominal painless mass. The laboratory findings were all within normal limits. Diagnostic images revealed ectopic spleen and absence of the dorsal pancreas. This interesting and rare combination has not been reported previously in the literature.
Assuntos
Abdome , Coristoma/diagnóstico , Anormalidades do Sistema Digestório/diagnóstico , Pâncreas/anormalidades , Baço , Adulto , Feminino , Humanos , Tomografia Computadorizada por Raios X , Ultrassonografia de IntervençãoRESUMO
BACKGROUND: Autonomously functioning toxic adenomas are a common cause of hyperthyroidism. Although 131I seems to be a good therapeutic option with little postablative hypothyroidism for these patients, only a small number of recent studies have objectively evaluated changes in nodule size by ultrasonography following radioiodine therapy. METHODS: We prospectively followed 39 patients with a mean age of 51.2 (35-75) years for 12 months and the patients who remained toxic thereafter, until euthyroidism was provided. Thyroid function tests, sonographic volumes were determined initially and 3, 6 and 12 months after treatment. Radioiodine doses of 3.7 MBq.g(-1) thyroid tissue corrected to a 100% 24 h 131I uptake were given. Thirty patients received a single dose, two required two doses and three required three to five doses of 131I due to persistent thyrotoxicosis. Sonographic volumes of the diffuse parts of the glands decreased significantly by 18% from a mean+/-SD value of 50+/-27.6 ml to 41+/-27.4 ml by the end of the 12 months. A significant decrease (8.3%, P=0.002) was achieved in the first three months. Toxic adenomas decreased in size more efficiently (54%) from a mean of 26+/-24 ml to 12+/-10 ml during 12 months, but also most significantly (28.8%, P=0.003) in the first 3 months of the follow-up. Thirty of the patients (76.9%) became euthyroid at the end of 12 months of follow-up. Four patients (10.3%) became overtly hypothyroid during the follow-up. CONCLUSION: Single or multiple doses of radioiodine can successfully treat toxic adenomas with a low rate of hypothyroidism and considerable nodule-volume reduction.
Assuntos
Adenoma/diagnóstico por imagem , Adenoma/radioterapia , Radioisótopos do Iodo/administração & dosagem , Nódulo da Glândula Tireoide/diagnóstico por imagem , Nódulo da Glândula Tireoide/radioterapia , Tireotoxicose/diagnóstico por imagem , Tireotoxicose/radioterapia , Adenoma/complicações , Adenoma/diagnóstico , Adulto , Idoso , Relação Dose-Resposta à Radiação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Compostos Radiofarmacêuticos/administração & dosagem , Dosagem Radioterapêutica , Nódulo da Glândula Tireoide/complicações , Nódulo da Glândula Tireoide/diagnóstico , Tireotoxicose/etiologia , Resultado do Tratamento , UltrassonografiaRESUMO
Ewing Sarcoma has been the second most common primary osseous malignancy in childhood and adolescence. It has been described as a highly aggressive neoplasm. This is the oldest case report in the literature with Ewing Sarcoma.