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A Surprising Diagnosis in a Breast Lump: The First Case Report of Uterine Carcinosarcoma Presenting as Breast – Only Metastasis 乳房肿块的惊人诊断:第一例以乳房转移为表现的子宫癌肉瘤
Pub Date : 2022-12-31 DOI: 10.33425/2768-6647.1025
Ghadeer AlHamaqi, Susan AlGhamdi, Jamila Alazhri, M. Mashhour, Buthina AlYuosof
Extra-mammary breast malignancies are rarely the source of a metastatic breast mass. Uterine carcinosarcoma (UCS) is a rare disease with aggressive features and poor survival due to late presentation and advanced stage at diagnosis. Peritoneal seeding and cancer dissemination are not uncommon, but metastasis to the breast is extremely rare. Here we report a case of metastatic carcinosarcoma of uterus with unusual presentation as a breast lump without gynecological symptoms. Tissue biopsy and immunostaining confirmed the diagnosis. Few cases have been reported in the literature, mainly of serous type with the development of metastatic disease at multiple sites. To date, this is the only reported case of uterine carcinosarcoma metastasizing to the breast only, without intrabdominal dissemination, peritoneal carcinomatosis or another distant metastasis. We discuss presentation, diagnosis, methods of differentiation, and the up-to date treatment recommendations.
乳腺外恶性肿瘤很少是转移性乳腺肿块的来源。子宫癌肉瘤(UCS)是一种罕见的疾病,具有侵袭性特征,由于出现较晚和诊断阶段较晚,生存率较低。腹膜播种和肿瘤播散并不罕见,但转移到乳房极为罕见。我们在此报告一例子宫转移性癌肉瘤,其不寻常的表现为乳房肿块而无妇科症状。组织活检和免疫染色证实了诊断。文献中报道的病例很少,主要是浆液型,多部位转移性疾病。迄今为止,这是唯一一例仅转移至乳房的子宫癌肉瘤,没有腹腔内播散、腹膜癌或其他远处转移。我们讨论的表现,诊断,鉴别方法,和最新的治疗建议。
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引用次数: 0
Massive Liver, and Kidney Cysts Excision: A Case Report 大块肝、肾囊肿切除1例
Pub Date : 2022-12-31 DOI: 10.23937/2378-3656/1410414
Yazar Çağla, E. Mesher, Çekmen Nedim
Polycystic kidney disease is a multisystemic familial inherited disease. A symptomatic treatment approach is the standard modality for autosomal dominant polycystic kidney disease (ADPKD) complications and life-long 50% chronic renal failure risk, as renal transplantation is the only definitive treatment. We aimed to explain the anesthesia management of our patient who had an 18 kg cyst removed. There are various complications that; include hypertension, urinary tract infections, hematuria, pain due to solid organ compression, liver cysts, and hernias. Comprehensive preparation, including detailed anamnesis and physical examination
多囊肾病是一种多系统的家族遗传性疾病。对症治疗是常染色体显性多囊肾病(ADPKD)并发症和终身50%慢性肾衰竭风险的标准治疗方式,因为肾移植是唯一确定的治疗方法。我们的目的是解释我们的病人的麻醉管理,他切除了一个18公斤的囊肿。有各种各样的并发症;包括高血压、尿路感染、血尿、实体器官压迫引起的疼痛、肝囊肿和疝气。全面的准备,包括详细的记忆和体检
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引用次数: 0
Atypical Presentation of Classic Kaposi's Disease: About a New Observation 经典卡波西氏病的不典型表现:关于一个新的观察
Pub Date : 2022-11-30 DOI: 10.23937/2378-3656/1410413
Ammar Najoua, Meziane Mariame, B. Laila, Senouci Karima
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引用次数: 0
Online Learning on Students during the COVID-19 Pandemic COVID-19大流行期间的在线学生学习
Pub Date : 2022-11-30 DOI: 10.23937/2378-3656/1410412
Amer Hamida, Ouhida Amal
In this Covid-19 pandemic phase, all teaching and learning process is done by online learning. The COVID-19 pandemic has created the largest disruption of education systems in human history, affecting nearly 1.6 billion learners in more than 200 countries. Closures of schools, institutions and other learning spaces have impacted more than 94% of the world’s student population. There is a fear of losing 2020 academic year or even more in the coming future. The need of the hour is to innovate and implement alternative educational system and assessment strategies. The COVID-19 pandemic has provided us with an opportunity to pave the way for introducing digital learning. This article aims to provide a comprehensive report on the impact of the COVID-19 pandemic on online teaching and learning of various papers and indicate the way forward. Research methodology: This is a review paper. Results: This article present on the psychological impact of online learning on students.
在Covid-19大流行阶段,所有教学过程都通过在线学习完成。2019冠状病毒病大流行对教育系统造成了人类历史上最严重的破坏,影响了200多个国家的近16亿学习者。学校、机构和其他学习场所的关闭影响了世界94%以上的学生。人们担心在未来失去2020学年甚至更多的学年。当务之急是创新和实施替代的教育制度和评估策略。2019冠状病毒病大流行为我们提供了一个为引入数字学习铺平道路的机会。本文旨在全面报告新冠肺炎疫情对各类论文在线教学的影响,并指出今后的发展方向。研究方法:这是一篇综述性论文。结果:本文探讨了网络学习对学生心理的影响。
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引用次数: 0
ADM-Assisted Implant Based Breast Reconstruction vs. Free Tissue Transfer Breast Reconstruction adm辅助假体乳房重建与游离组织转移乳房重建
Pub Date : 2022-11-30 DOI: 10.23937/2378-3656/1410411
Mohammad Mohammad
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引用次数: 0
Laryngeal and Pharyngeal Reconstruction: A Worldwide Review of the Current Guidelines and Standards of Practice. Does a Universal Reconstruction Algorithm Exist? 喉咽重建:当前指南和实践标准的全球回顾。是否存在通用的重构算法?
Pub Date : 2022-10-31 DOI: 10.23937/2378-3656/1410409
Mohammad Mohammad, Dimovelis Giannis, Mostafa Ashraf, Machin Aenone Harper
Introduction: The reconstruction of hypopharynx and larynx post ablative surgery has been always a demanding challenge. Not only the restoration of the anatomy and achieving robust wound healing, but also the complexity of function in the area for the airway and upper digestive tract not to be compromised. Moreover, the age of this group of patients and perioperative radiotherapy adds to the existing obstacles in reconstruction. The evolution of microsurgery and free tissue transfer replacing the previous gold standard pedicled flaps revolutionized the head and neck reconstruction. It became a necessity to elicit how far the head and neck reconstruction practice has gone around the globe and what is considered the gold standard technique for reconstruction of each of the defects encountered at the present time. We performed a systematic review appraising the current head and neck reconstruction practice around the world aiming at concluding the gold standard methods of reconstruction of the defects in this area. Methods: Search strategy: Medline using the PubMed interface on 1st of October 2020. Results and search outcome: 236 papers were found. Of which 66 publications in the last 10 years were shortlisted reflecting the most recent practice. 20 of these were identified addressing the reconstructive approach Figure 1. Conclusions: Various reconstructive methods are reliably used in certain indications with comparable results around the globe. We present an unprecedented evidence-based universal algorithm for post ablative surgery reconstruction for the laryngeal and pharyngeal defects.
摘要下咽及喉部消融术后的重建一直是一项艰巨的挑战。不仅要恢复解剖结构,实现强健的伤口愈合,而且要使该区域的功能复杂性不受气道和上消化道的损害。此外,这组患者的年龄和围手术期放疗增加了重建的障碍。显微外科手术的发展和自由组织移植取代了以前的金标准带蒂皮瓣,彻底改变了头颈部重建。有必要引出头颈部重建实践在全球范围内走了多远,以及目前遇到的每个缺陷重建的黄金标准技术是什么。我们进行了一项系统的回顾,评估了目前世界各地的头颈部重建实践,旨在总结出该地区缺陷重建的金标准方法。方法:检索策略:Medline,于2020年10月1日使用PubMed接口。结果与检索结果:共检索到236篇论文。其中,过去10年中有66种出版物入围,反映了最新的做法。其中20个被确定为处理重构方法(图1)。结论:各种重建方法在某些适应症中可靠地使用,并且在全球范围内具有可比性。我们提出了一种前所未有的基于证据的通用算法,用于喉咽缺损的消融手术后重建。
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引用次数: 0
Registration of the First Case Study in Cyprus of a Critically Ill Patient with Tuberculosis and Simultaneous Infection with Mycobacterium Soft Tissue on the Medial Surface of the Thighs 塞浦路斯首例重症肺结核患者合并大腿内侧软组织分枝杆菌感染的病例登记
Pub Date : 2022-10-31 DOI: 10.23937/2378-3656/1410408
Syka Andria, Palazis Lakis
The first critically ill case with medial soft tissue tuberculosis is recorded for the first time in Cyprus. She is a young patient with a rich medical history. Tuberculosis was detected in the soft tissues of the medial degree in the Intensive Care Unit of the Nicosia General Hospital. The purpose of this specific study is to record and analyze the first clinical case in Cyprus of a critically ill patient with tuberculosis and simultaneous infection with Mycobacterium soft tissue on the medial surface of the thighs. For the publication of this study, a consent form was obtained
塞浦路斯首次记录了第一例内侧软组织结核重症病例。她是一位有着丰富病史的年轻病人。在尼科西亚总医院重症监护室,在中等程度的软组织中发现了结核病。本研究的目的是记录和分析塞浦路斯的第一例重症结核病患者并同时感染大腿内侧软组织分枝杆菌的临床病例。为了发表本研究,我们获得了一份同意书
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引用次数: 0
Unusual Variant of Cutaneous Amelanotic Melanoma of the Cheek 皮肤无色素黑色素瘤的不寻常变异
Pub Date : 2022-10-31 DOI: 10.23937/2378-3656/1410410
Haouane Mohamed Amine, Rharrassi Issam, A. Abouchadi, Bouhamidi Ahmed, Azami Mohamed Amine
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引用次数: 0
Myoglomus Tumor: Glomus Tumor with Prominent Smooth Muscle Differentiation 肌球瘤:有明显平滑肌分化的血管球瘤
Pub Date : 2022-09-30 DOI: 10.33425/2768-6647.1024
Tondi Resta Isabella, X. Xiaowei
Glomus tumors are rare benign mesenchymal tumors with various subclassifications. This is a case of a 71-yearold female with a 1.0 cm painful, firm nodule on her right heel who underwent surgical resection. The tumor demonstrated glomus cells with prominent smooth muscle differentiation that stained positively for SMA and caldesmin. Though glomangiomyomas are defined as having both a smooth muscle and vascular component, they do not account for such extensive smooth muscle differentiation. This case report proposes a new entity to better define these such tumors as a myoglomus tumor.
血管球瘤是一种罕见的良性间充质肿瘤,有不同的亚分类。这是一个71岁的女性病例,她的右脚跟有1.0厘米疼痛,坚固的结节,她接受了手术切除。肿瘤表现为血管球细胞,平滑肌分化明显,SMA和caldesmin染色阳性。虽然血管瘤被定义为同时具有平滑肌和血管成分,但它们并不能解释如此广泛的平滑肌分化。本病例报告提出了一个新的实体来更好地定义这些肿瘤为肌黏液瘤。
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引用次数: 0
Gastric Schwannoma, Rare Presentation of a Gastric Mass, with an Excellent Outcome 胃神经鞘瘤,罕见的胃肿块,预后良好
Pub Date : 2022-09-30 DOI: 10.23937/2378-3656/1410407
Oudad Fadwa, Benayad Samira, B. Zineb, B. Nadia, T. Nezha, Jouhadi Hassan, Sahraoui Souha, Benider Abdellatif
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引用次数: 0
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Clinical Medical Reviews and Case Reports
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