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Distant cutaneous metastases of prostate cancer: case 1 report 前列腺癌远处皮肤转移1例报告
Pub Date : 2019-12-31 DOI: 10.15406/mojcr.2019.09.00328
Suarez Conde María Florencia
Prostate cancer is one of the most common malignant tumors in men but despite a high prevalence and incidence, there are few published cases of cutaneous metastases in literature. Skin lesions usually appear late and with a peculiar clinical presentation, which generally leads to delays in the suspicion of cutaneous metastasis of prostate cancer. In this paper, we present the case of a patient with nodular lesions at the glans level in which the histopathological study and the clinical history were critical in the diagnosis.
前列腺癌是男性最常见的恶性肿瘤之一,尽管发病率和患病率都很高,但文献中很少报道皮肤转移的病例。皮肤病变通常出现较晚,具有特殊的临床表现,这通常导致延迟怀疑前列腺癌的皮肤转移。在本文中,我们提出的病例患者结节病变在龟头水平,其中组织病理学研究和临床病史是诊断的关键。
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引用次数: 0
Adrenal teratoma: a rare retroperitoneal tumor 肾上腺畸胎瘤:一种罕见的腹膜后肿瘤
Pub Date : 2019-12-10 DOI: 10.15406/mojcr.2019.09.00327
A. Kanwal
Teratoma is a germ cell tumor, usually manifesting in children and adolescents. It typically forms in gonads or in axial structures, probably, following the path of germ cells during embryonic development. Retroperitoneal teratoma is a very uncommon variety of germ cell tumors, seen in only approximately 5% of infantile cases. Whereas adrenal teratoma is extremely rare.1 In this case report, we present such a rare case of a boy with adrenal teratoma.
畸胎瘤是一种生殖细胞肿瘤,常见于儿童和青少年。它通常在性腺或轴状结构中形成,可能在胚胎发育过程中遵循生殖细胞的路径。腹膜后畸胎瘤是一种非常罕见的生殖细胞肿瘤,仅在约5%的婴儿病例中可见。而肾上腺畸胎瘤极为罕见。1在本病例报告中,我们报告了一例罕见的男孩肾上腺畸胎瘤病例。
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引用次数: 3
Fetus in fetu: a very rare cause of abdominal mass in a male infant, case report 胎中胎:一个非常罕见的原因,腹部肿块的男婴,病例报告
Pub Date : 2019-12-03 DOI: 10.15406/mojcr.2019.09.00326
Bassel Banjah
Fetus in fetu is an extremely rare congenital pathology that has an incidence of one in 500 000 births.1 The cases reported in the literature are about or fewer than 100 cases in the last two centuries.2 The clinical manifestation is usually resumed to an abdominal mass which is located in the upper right retro-peritoneum space and is often deformed due to compression by the host’s abdominal organ, and there are other manifestations. Our patient presented with abdominal mass and hydronephrosis caused by compression of the ureter via the mass.
胎儿胎是一种极为罕见的先天性疾病,其发生率为五十万分之一。1文献中报道的病例在过去两个世纪中约为100例或少于100例。2临床表现通常恢复为位于右上腹膜后间隙的腹部肿块,常因受试者腹部压迫而变形器官,还有其他表现。我们的患者表现为腹部肿块和肾积水,由肿块压迫输尿管引起。
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引用次数: 0
Fatal respiratory syncytial virus infection in immunocompetent adult: a case report 免疫正常成人致死性呼吸道合胞病毒感染1例报告
Pub Date : 2019-11-27 DOI: 10.15406/mojcr.2019.09.00325
Mohamed Rida Tagajdid
A previously-healthy 42-year-old man, a military worker, was admitted to the Emergency Department for was admitted to the Emergency Department with cough, dyspnea and fever. The patient has never been a smoker, was never followed for a medical condition. The initial assessment revealed the presence of respiratory rales in both lung fields without abnormal sign on heart auscultation. Patient had severe hypoxemia (SaO2 86%). His body temperature was 39.0°C. A chest X-ray revealed diffuse haziness dominant in his right lung field. Chest computed tomography revealed ground glass opacity. Lab examination revealed elevated white blood cell (WBC) count (20 320/ mm3) with 97% neutrophils, and high C-reactive protein (CRP) rate (45mg/l).
一名以前健康的42岁男子,一名军人,因咳嗽、呼吸困难和发烧被送入急诊科。病人从未吸烟,也从未被跟踪调查过任何健康状况。初步检查显示双肺野均有呼吸杂音,心脏听诊无异常征象。患者严重低氧血症(SaO2 86%)。体温39.0℃。胸部x光片示右肺野弥漫性模糊为主。胸部电脑断层显示磨玻璃影。实验室检查显示白细胞(WBC)计数升高(20320 / mm3),中性粒细胞97%,c反应蛋白(CRP)率高(45mg/l)。
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引用次数: 0
Nephroblastoma with spinal metastasis in a 12 year old Nigerian female: A case report 尼日利亚12岁女性肾母细胞瘤伴脊柱转移1例报告
Pub Date : 2019-11-06 DOI: 10.15406/mojcr.2019.09.00324
Chukwubuike Kevin Emeka
Nephroblastoma, also known as Wilms’ tumour, is the most common malignant renal tumor in children accounting for about 95% of all pediatric tumors of the kidney. Overall, nephroblastoma is the fifth most common pediatric malignancy.1 It is an embryonal tumor that develops from the remnant of persistent metanephric tissue and is made up of histologic elements namely blastemal, stromal and epithelial.1 Nephroblastoma is relatively more common in blacks than in whites and is associated with a number of syndromes such as WAGR, Beckwith Wiedemann, and Denys-Drash syndromes.2 Nephroblastoma usually present as a painless abdominal mass which may be associated with haematuria, hypertension, and fever. The peak age of incidence of nephroblastoma is 3.5 years. Incidence beyond 5 years of age is rare.3 Prognosis of nephroblastoma depends on the tumor stage, biological factors and histological subtype. Treatment of nephroblastoma is multimodal which includes surgery, chemotherapy and/or radiotherapy.3 We report an unusual case of nephroblastoma with spinal metastasis in a 12 year old Nigerian female. The focus of this article is to draw attention to this unusual case of nephroblastoma, which was painful, in a 12 year old and for clinicians to consider the diagnosis of nephroblastoma in older children that have renal masses.
肾母细胞瘤又称肾母细胞瘤,是儿童最常见的恶性肾脏肿瘤,约占儿童肾脏肿瘤的95%。总之,肾母细胞瘤是第五常见的儿科恶性肿瘤它是一种胚胎性肿瘤,由持久后肾组织的残余发展而来,由胚质、间质和上皮组成相对而言,肾母细胞瘤在黑人中比在白人中更常见,并与许多综合征(如WAGR、Beckwith Wiedemann和denis - drash综合征)有关肾母细胞瘤通常表现为腹部无痛肿块,可伴有血尿、高血压和发热。肾母细胞瘤的发病高峰年龄为3.5岁。5岁以上的发病率很少见肾母细胞瘤的预后取决于肿瘤分期、生物学因素和组织学亚型。肾母细胞瘤的治疗是多模式的,包括手术、化疗和/或放疗我们报告一个罕见的病例肾母细胞瘤脊柱转移在一个12岁的尼日利亚女性。这篇文章的重点是提请注意这个罕见的肾母细胞瘤病例,这是痛苦的,在一个12岁的孩子和临床医生考虑肾母细胞瘤的诊断大龄儿童有肾肿块。
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引用次数: 0
The use of Nd:YAG laser in the treatment of hypertrophic venous lake of the upper lip Nd:YAG激光治疗上唇肥厚性静脉湖
Pub Date : 2019-10-29 DOI: 10.15406/mojcr.2019.09.00323
Safin Da
According to the ISSVA classification, all vascular anomalies are divided into tumors and malformations. Malformations are divided into venous, lymphatic, capillary and arteriovenous malformations and fistulas. Venous lake (VL) is a special case of venous malformation, which has virtually no communication with the draining veins and is located superficially in the papillary layer of the dermis.1 This formation is often mistakenly called “hemangioma”. VL was first described in 1956 by Bean and Walsh.2 This formation is typical for age-related patients. Clinically manifested by a flat spot of blue or purple color, located at the level of the skin or slightly rising above it. The size of the formation averages from 2 to 10mm.3 Under palpation it soft consistence, painless, under you click is emptied, but under omission finger again is filled with blood (color is returning). Microscopically, the VM is an expanded vein containing several channels and located in the papillary layer of the dermis. Most often located in the lips, face, neck and ear, that is, it is the area that most often can be damaged by the sun. In addition, it can be located on the mucous membrane of the cheeks, tongue or gums. Predisposing factors that cause the appearance of VL include: solar damage, chronic trauma, which cause damage to the adventitia of blood vessels or the occurrence of vascular thrombosis.4 This malformation causes significant cosmetic and psychological discomfort5 for the patient, in some cases there may be rapid growth, which is accompanied by the appearance of a defect of the skin over the formation and bleeding, which is accompanied by a pronounced pain syndrome.
根据ISSVA分类,所有血管异常分为肿瘤和畸形。畸形分为静脉畸形、淋巴畸形、毛细血管畸形和动静脉畸形及瘘管。静脉湖(VL)是一种特殊的静脉畸形,它与引流静脉几乎没有联系,位于真皮乳头状层的表面这种形成经常被错误地称为“血管瘤”。VL最早是由Bean和walsh在1956年描述的。2这种形成在与年龄相关的患者中是典型的。临床上表现为位于皮肤水平或略高于皮肤的蓝色或紫色扁平斑点。地层的平均尺寸为2 ~ 10mm下触诊它柔软一致,无痛,下你点击是空的,但下遗漏手指又充血(颜色还在)。镜下,VM是一条扩张的静脉,包含几个通道,位于真皮层的乳头层。最常位于嘴唇、面部、颈部和耳朵,也就是说,这是最容易被太阳损伤的区域。此外,它可以位于脸颊、舌头或牙龈的粘膜上。导致VL出现的易感因素包括:日光损伤、慢性创伤等导致血管外膜损伤或血管血栓形成的发生这种畸形会给患者带来严重的美容和心理上的不适,在某些情况下,可能会出现快速生长,并伴有形成的皮肤缺陷和出血,并伴有明显的疼痛综合征。
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引用次数: 0
Stromal tumor of unknown malignant potential of prostate: a challenge in diagnosis and management 前列腺恶性潜能不明的间质瘤:诊断和治疗的挑战
Pub Date : 2019-10-21 DOI: 10.15406/mojcr.2019.09.00322
S. Navriya
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引用次数: 0
Silent colonic perforation complicating a ventriculoperitoneal shunt with trans-anal protrusion 无症状结肠穿孔合并经肛门突出的脑室腹腔分流
Pub Date : 2019-10-07 DOI: 10.15406/mojcr.2019.09.00320
Mostafa Zain
Ventriculoperitoneal (VP) shunt surgery is the treatment of choice for hydrocephalus with approved efficacy. Nonetheless, in 10-30% of patients, abdominal complications may develop. These complications include peritoneal pseudocyst, migration of the catheter to various organs including intestine, vagina, scrotum, umbilicus, and urinary bladder, in addition to volvulus, ascitis, inguinal hernia and intestinal obstruction.1
脑室-腹膜(VP)分流手术是脑积水的治疗选择,其疗效已获批准。尽管如此,10-30%的患者可能会出现腹部并发症。这些并发症包括腹膜假性囊肿、导管移位到肠、阴道、阴囊、脐、膀胱等各器官,以及肠扭转、腹水炎、腹股沟疝和肠梗阻
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引用次数: 2
Handsfree techniques onthoracic pedicle screws insertion in congenital scoliosis patients with a history of previous surgery 有手术史的先天性脊柱侧凸患者胸蒂螺钉插入的免提技术
Pub Date : 2019-09-27 DOI: 10.15406/mojcr.2019.09.00319
Muhammad Reza Saputra
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引用次数: 0
Comprehensive palliative treatment on Ewing sarcoma patient post forequarter amputation 前肢截肢后尤文氏肉瘤患者的综合姑息治疗
Pub Date : 2019-09-25 DOI: 10.15406/mojcr.2019.09.00318
Muhammad Reza Saputra
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引用次数: 0
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