RESUMO
Alterations in axillary lymph nodes (ALNs) after complete axillary lymph node dissection (ALND) in comparison to the preoperative status were evaluated using lymphoscintigraphy performed preoperatively and 1-6 weeks after surgery in 30 women with a new diagnosis of unilateral, invasive breast carcinoma. Analysis of lymphoscintigrams revealed that ALNs after surgery were present in 26 of 30 examined women. In comparison to preoperative status, they were visualized in the same location (12 women), in the same and additionally in different locations (9 women), or only in different locations (4 women). No lymph nodes were visualized in one woman and lymphocoele were in 4 women. Thus, after ALND, a variable number of axillary lymph nodes remain and were visualized on lymphoscintigraphy in the majority of women. The classical ALND, therefore, does not allow complete dissection and removal of axillary nodes with total disruption of axillary lymphatic pathways, accounting in part for the variable incidence and severity of lymphedema after the procedure.
Assuntos
Neoplasias da Mama/cirurgia , Excisão de Linfonodo/métodos , Linfedema/etiologia , Linfocintigrafia , Adulto , Idoso , Idoso de 80 Anos ou mais , Braço , Axila , Drenagem , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
The coexistance of tuberculous infection (TB-infection) and lung cancer in patients treated in Pulmonary Department of Medical Academy in Lublin during last ten years (1990-2000) has been evaluated. Inclusion criteria involved: aging from 50 to 80 years, tobacco smoking, tuberculous infection in present or in past, lung cancer. All analyzed patients (32 males, 13 females) were heavy smokers (from 10 to 70 cigarettes per day, during at least 5 years). 27 patients were suffered from lung tuberculosis in past, the rest of them had active tuberculous infection. In 19 cases we detected carcinoma planoepitheliale, in 13 cases carcinoma macrocellulare, in 7 cases carcinoma microcellulare and in 6 cases adenocarcinoma. We concluded, that increased occurrence of lung cancer in TB reinfected patients may be connected with immunodepression caused by chronic TB infection. In patients with new active TB-infection in whom the clinical status and chest X-ray were getting worse in spite of antituberculotic treatment recommended procedures for cancer diagnosis were performed. We suggest that bad results of anti-tuberculotic treatment in TB-infected patients are not always caused by bactericidal resistance. In these cases, the proper diagnosis of lung cancer should be considered.
Assuntos
Carcinoma de Células Grandes/epidemiologia , Carcinoma de Células Pequenas/epidemiologia , Neoplasias Pulmonares/epidemiologia , Tuberculose Pulmonar/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polônia/epidemiologia , Fumar/epidemiologiaRESUMO
A case of acute cerebellar ataxia caused by ECHO virus 30.5-year-old boy admitted to the Clinic of Gastroenterology and Nutrition in Warsaw, in September, 1996, complaining of headache, dizziness, weakness, somnolence, dysarthria and an unsteady walk. On neurological examination he had imparied coordination, rombergism, generalized hypotonia. There was no history of exposure to contagious diseases, ear discharge, convulsions, trauma. Parents suggested that the child could have swallowed an unidentified pill--toxicological tests ruled out poisoning. The diagnosis is based on the clinical examination and amplification ECHO virus from CSF.
Assuntos
Ataxia Cerebelar/diagnóstico , Ataxia Cerebelar/virologia , Infecções por Echovirus/virologia , Doença Aguda , Pré-Escolar , Infecções por Echovirus/líquido cefalorraquidiano , Humanos , MasculinoRESUMO
An analysis of pulmonary tuberculosis morbidity risk factors has been presented among patients treated in the Clinic during the period 1990-94. Among the morbidity risk factors, apart from the presence of concomitant diseases, the deterioration of the standard of living of the population and the low level of health education, observed even among people with higher education, was of prime importance, followed by a limited number of radiographic, catastral examinations.
Assuntos
Tuberculose Pulmonar/epidemiologia , Adulto , Escolaridade , Feminino , Educação em Saúde , Humanos , Tempo de Internação , Masculino , Polônia/epidemiologia , Prevalência , Radiografia , Fatores de Risco , Fumar/epidemiologia , Tuberculose Pulmonar/diagnóstico por imagem , Tuberculose Pulmonar/etiologiaRESUMO
Tuberculous meningitis is one of the most serious form of tuberculosis. The delay in diagnosing of tuberculous meningitis results in high mortality. An early diagnosis allows to achieve successful effects of treatment.
Assuntos
Tuberculose Meníngea/diagnóstico , Adulto , Encéfalo/diagnóstico por imagem , Feminino , Humanos , Pulmão/diagnóstico por imagem , Masculino , Fatores de Risco , Tomografia Computadorizada por Raios XRESUMO
We present a case of a 3-year-old boy with type B viral hepatitis. Because of an abnormal immunological response to HBV, we observed Gianotti-Crosti syndrome and nephrotic syndrome as a result of glomerulonephritis.