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Combined treatment modality for invasive ocular surface squamous neoplasia in an HIV positive patient: a case report HIV阳性患者侵袭性眼表鳞状瘤的综合治疗方法1例
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113487
S. Nigwekar, A. Gupta, Megha Bhosale, Tanvi Haldipurkar, B. Baviskar, S. Misra
Squamous cell carcinoma is an invasive type of ocular surface squamous neoplasia which is a term introduced for premalignant and malignant epithelial lesions from conjunctiva and cornea. Treatment outcome of ocular surface squamous neoplasia (OSSN) depends on its type and stage, which is confirmed by histopathological examination. Invasive type of OSSN as squamous cell carcinoma needs combined treatment to reduce its recurrence. We present a case of a 45 year old female patient with positive HIV status, presenting to our outpatient clinic with a progressive limbal mass. She underwent combined treatment modality with total excision along with cryo-application and topical mitomycin-C drops with no evidence of recurrence on follow-up for a year. Emphasis on various adjunctive therapies along with the surgical approach is also discussed.
鳞状细胞癌是一种侵袭性的眼表鳞状瘤变,是指结膜和角膜的癌前和恶性上皮病变。眼表鳞状瘤变(OSSN)的治疗结果取决于其类型和分期,这是由组织病理学检查证实的。侵袭型OSSN为鳞状细胞癌,需综合治疗以减少复发。我们提出的情况下,45岁的女性患者艾滋病毒阳性状态,提出我们的门诊门诊进展的边缘肿块。她接受了全切除、冷冻应用和局部滴注丝裂霉素c的联合治疗方式,随访一年无复发迹象。强调各种辅助治疗以及手术方法也进行了讨论。
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引用次数: 1
Radiographic pattern of extra-nodal non-Hodgkin's lymphoma 结外非霍奇金淋巴瘤的影像学表现
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.180082
Minakshi R Hivarkar, H. Umarji, Sonali G. Kadam, K. Kumar
Diffuse large B-cell lymphoma is a Non-Hodgkin's lymphoma (NHL), which has diverse manifestations. Extra-nodal NHL is extremely rare entity. Diagnosis, staging and treatment plan of the patient depends on the clinical findings and radiographic investigations. Positron emission tomography computed tomography (PET CT) scan helps in localization of the lesion and also for posttreatment restaging. Here we are presenting a case report of a 21-year-old patient with diffuse large B-cell lymphoma. This case report highlights the importance of imaging for localization of the lesion and posttreatment evaluation of the lesion.
弥漫性大b细胞淋巴瘤是一种非霍奇金淋巴瘤(NHL),具有多种表现。结外NHL是一种极为罕见的疾病。患者的诊断、分期和治疗方案取决于临床表现和影像学检查。正电子发射断层扫描计算机断层扫描(PET CT)有助于病灶的定位和治疗后的再定位。我们报告一位21岁的弥漫性大b细胞淋巴瘤患者。本病例报告强调了影像学对病灶定位和病灶治疗后评估的重要性。
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引用次数: 2
Conducting research- a beginner's guidelines 进行研究——初学者指南
Pub Date : 1900-01-01 DOI: 10.5549/IJSR.1.1.14-15
H. Yadav
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引用次数: 0
Localization of S-100 and CD1a positive dendritic cells in the human thymus S-100和CD1a阳性树突状细胞在人胸腺中的定位
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113494
Mikalai Luhautsou, Andrei Platonau, Andrei Beloveshkin
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引用次数: 0
Inflammatory myofibroblastic tumor of the liver: A rare pathological entity 肝脏炎性肌纤维母细胞瘤:一种罕见的病理实体
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113821
S. S. Shastry
Inflammatory myofibroblastic tumor (IMT) of the liver is a rare tumor like lesion that can mimic malignant liver neoplasm. IMT is a lesion composed of myofibroblastic spindle cells, plasma cells, lymphocytes, and eosinophils. It can occur in soft tissues and viscera. It was previously called plasma cell granuloma, inflammatory myofibrohistiocytic proliferation, and inflammatory pseudo tumor, but IMT is the designation currently used. IMT is more frequently described in the lung and abdomen of young patients, but it can also be found in the central nervous system, salivary glands, larynx, bladder, breast, spleen, skin, and liver. Here, we present a case of IMT of the liver in a 55-year-old female patient which is a rare presentation.
肝脏炎症性肌纤维母细胞瘤是一种罕见的肿瘤样病变,可模拟肝脏恶性肿瘤。IMT是一种由肌成纤维梭形细胞、浆细胞、淋巴细胞和嗜酸性粒细胞组成的病变。它可以发生在软组织和内脏。它以前被称为浆细胞肉芽肿、炎症性肌纤维组织细胞增殖和炎症性假性肿瘤,但目前使用的名称是IMT。IMT多见于年轻患者的肺和腹部,但也可见于中枢神经系统、唾液腺、喉部、膀胱、乳房、脾脏、皮肤和肝脏。在此,我们报告一位55岁女性患者的肝脏IMT,这是一种罕见的表现。
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引用次数: 7
Violence against healthcare professionals: are we looking for the peaceful truce? 针对医护人员的暴力:我们是否期待和平休战?
Pub Date : 1900-01-01 DOI: 10.4103/IJSR.INT_J_STUD_RES_8_17
M. Syed
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引用次数: 8
International Journal of Students' Research: making strides forward 国际学生研究杂志:大步前进
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113479
P. Kalakoti, M. Aarif, P. Thacker, S. Veeranki
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引用次数: 1
Central giant cell granuloma: A case report with diagnostic dilemma 中央巨细胞肉芽肿:诊断困境1例报告
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.180086
Garima Singh, A. Thakur, H. Sadiq, Priti Gupta
Central Giant Cell Granuloma (CGCG) was differentiated from Giant Cell Tumor of bone by Jaffe in 1953. Various authors have advocated this intraosseous lesion as a reactive lesion or developmental anomaly or a benign neoplasm. Actual etiology is not comprehensible till date and it has also been hypothesized to have a genetic etiology. Lesions are most commonly found in mandible but frequently crossing the midline. However, variable clinical features and radiological changes have been demonstrated by giant cell lesions of the jaws. In this case report, a young female patient reported with the chief complaint of swelling in right mandibular posterior tooth region since 2 wks after dental extraction from the same region. The patient underwent the treatment as surgical curettage followed by removal of the lesion and subsequent histopathological examination which confirmed the diagnosis of CGCG. There was no recurrence reported in 10 months of follow up.
中央巨细胞肉芽肿(CGCG)是1953年由Jaffe从骨巨细胞瘤中鉴别出来的。许多作者都认为这种骨内病变是反应性病变或发育异常或良性肿瘤。实际的病因尚不清楚,直到今天,它也被假设有遗传病因。病变最常见于下颌骨,但经常越过中线。然而,颌骨巨细胞病变的不同临床特征和影像学改变已被证明。在这个病例报告中,一位年轻的女性患者报告的主诉是右下颌后牙区域的肿胀,从同一区域拔牙后2周。患者接受手术刮除后切除病变并进行组织病理学检查,确诊为CGCG。随访10个月无复发。
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引用次数: 3
Non-endocrine tumors causing endocrine syndromes: a brief review 引起内分泌综合征的非内分泌肿瘤:综述
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.113481
I. Christakis, Ilias-Dimitrios Kafetzis, A. Diamantopoulos, V. Leoutsakos
In the early decades of the 20th century it was established that some non neuro-endocrine malignant tumors and their metastasis, were secreting substances with biologic properties and causing clinical syndromes similar to the ones caused by naturally occurring hormones. The most known syndromes are caused by substances mimicking the biologic properties of ACTH, erythropoietin, insulin and PTH. Many theories have been postulated in an attempt to explain the synthesis process of hormone mimetic substances. Ectopic secretion of ACTH syndrome comprises 10%-20% of all cases presenting with Cushing's syndrome. The clinical picture manifests in a variable way. The increased plasma levels of cortisol in these cases, cause symptoms distinct from the ones of true Cushing's syndrome. In general these patients have an ominous prognosis. Survival is limited to 6-12 months and is attributed to hypercortisolemia that is known to increase the risk of metastasis. Hypercalcemia syndrome from ectopic secretion of hypercalcemic factors is a severe complication of cancer patients with an incidence of 5-10%. Increased serum calcium is caused either by the osteolytic metastasis of malignant tumors or by their secretions. The clinical picture caused is similar to the findings of primary hyperparathyroidism. Treatment options in case of acute and severe hypercalcemia in patients with malignancy are limited. The endocrine syndromes produced by non-endocrine tumors not only affect patient's quality of life but also occasionally cause severe complications and can disrupt surgical or medical treatment of the primary tumor. Searching for the occurrence of such syndromes demands a high index of suspicion. This paper brings the spotlight back to the clinical syndromes of hypercortisolemia and hypercalcemia caused by ectopic ACTH and hypercalcemic factors respectively, re-iterating the need for early diagnosis and prompt management in such cases.
20世纪初,人们发现一些非神经内分泌恶性肿瘤及其转移瘤分泌具有生物学特性的物质,引起的临床症状与天然激素引起的症状相似。最著名的综合征是由模仿ACTH、促红细胞生成素、胰岛素和甲状旁腺激素生物学特性的物质引起的。人们提出了许多理论,试图解释激素模拟物质的合成过程。ACTH异位分泌综合征占库欣综合征所有病例的10%-20%。临床表现是多种多样的。在这些病例中,血浆皮质醇水平升高导致的症状与真正的库欣综合征截然不同。一般来说,这些病人预后不好。生存期限制为6-12个月,归因于已知会增加转移风险的高皮质醇血症。高钙血症因子异位分泌引起的高钙血症综合征是癌症患者的严重并发症,发病率为5-10%。血清钙升高是由恶性肿瘤的溶骨转移或其分泌物引起的。其临床表现与原发性甲状旁腺功能亢进相似。恶性肿瘤患者急性和严重高钙血症的治疗选择是有限的。非内分泌肿瘤产生的内分泌综合征不仅影响患者的生活质量,有时还会引起严重的并发症,扰乱原发肿瘤的手术或药物治疗。寻找这些症状的发生需要高度的怀疑。本文将重点放在异位ACTH和高钙血症因素分别引起的高皮质醇血症和高钙血症的临床综合征上,重申对此类病例的早期诊断和及时处理的必要性。
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引用次数: 0
Doctor-patient relationship: Great expectations 医患关系:期望很高
Pub Date : 1900-01-01 DOI: 10.4103/2230-7095.180090
A. Jena, R. Patnayak, G. Reddy
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引用次数: 0
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International journal of students' research
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