Результаты поиска

Poor outcomes after SLAP repair: descriptive analysis and prognosis.

PURPOSE: In the first part of this study, we analyzed a subset of patients to determine what factors may have been present in those with poor outcomes after SLAP repair. In part 2, we evaluated clinical outcomes of these patients after further treatment. METHODS: We completed a retrospective medical record review of consecutive patients presenting between 2000 and 2007 with pain, stiffness, and/or mechanical symptoms after a SLAP repair. To evaluate for similarities among this cohort, data collection included demographics, age at initial SLAP repair, history of trauma, medical history, nonope

Selection of local therapy after neoadjuvant chemotherapy in patients with stage IIIA,B breast cancer.

BACKGROUND: Stage IIIA,B breast cancer is commonly treated with neoadjuvant chemotherapy because of high objective response rates and improved operability. Criteria for subsequent selection of local therapy--mastectomy, radiotherapy, or both--are not well defined. We adopted a policy of selective local therapy based on rebiopsy of the breast and clinical axillary lymph node status at the time of best response to chemotherapy. METHODS: Between 1980 and 1993, 126 patients with stage IIIA,B breast cancer were treated with neoadjuvant chemotherapy and definitive local therapy. The long-term incid

A China-Based exploration of surgical timing for polytrauma with a focus on fracture reconstruction.

BACKGROUND: For patients with severe polytrauma and fractures, early fracture reconstruction surgery under stable conditions can significant … , acetabular fractures (n = 12), humeral fractures (n = 12), and other fractures (n = 5) (including clavicle, radius and ulna, calcaneus, and patella). Among these patients, 151 underwent single-fracture reconstruction, 42 had two fractures reconstructed, and 5 had three fractures treated during the first surgery. The study protocol excluded patients with …

Sling compared with plate osteosynthesis for treatment of displaced midshaft clavicular fractures: a randomized clinical trial.

BACKGROUND: Few randomized controlled trials have compared operative with nonoperative treatment of clavicular fractures. METHODS: Patients with displaced midshaft clavicular fractures were randomized either to nonoperative treatment with a sling or to operative treatment with a stainless steel 3.5-mm reconstruction plate. Outcome measures were the Constant shoulder score, DASH (Disabilities of the Arm, Shoulder and Hand) score, pain, fracture-healing, and complications. The null hypothesis was that the Constant and DASH scores would not differ between the groups at the one-year follow-up eva

Fusion genes in angiomatoid fibrous histiocytoma.

Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumor of low malignant potential and uncertain differentiation. Only three genetically investigated cases of AFH have been reported. Two of them displayed a FUS-ATF1 fusion gene and one showed an EWSR1-ATF1 chimera. Using RT-PCR analysis, we have identified the EWSR1-ATF1 fusion transcript, and delineated the genomic breakpoints, in two new cases of AFH. Previously, the EWSR1-ATF1 fusion protein has been suggested to activate expression of the MITF-M transcript, and therefore the expression pattern of the MITF gene was studied. The M

[Topical pharmacologic approach with 5% lidocaine medicated plaster in the treatment of localized neuropathic pain].

The treatment of neuropathic pain is a medical challenge. The responsiveness to the different classes of drugs is often unsatisfactory and frequently associated to a wide range of side effects. International guidelines suggest for the "localized" neuropathic pain the topical treatment with 5% lidocaine medicated plaster, alone or associated to systemic drugs, as the first choice since its favorable efficacy and tolerability profile. Many clinical experiences support the rationale for using 5% lidocaine medicated plaster in different kinds of localized neuropathic pain, such as postherpetic and

The spectrum of arterial compression at the thoracic outlet.

OBJECTIVE: In the absence of ischemic events, arterial pathology at the thoracic outlet (TO) is rarely identified because findings of chronic arterial pathology may be masked by symptoms of neurogenic compression. This study describes the clinical presentations and significance of arterial compression at the TO. METHODS: This was a retrospective analysis of the clinical records and imaging studies of 41 patients with objective findings of arterial compression at the TO. Sixteen were diagnosed from 1990 to 2003, during which 284 patients underwent surgery for TO decompression with selective ar

Axilloaxillary cardiopulmonary bypass: a practical alternative to femorofemoral bypass.

BACKGROUND: Peripheral arterial and venous cannulation for cardiopulmonary bypass is used increasingly for patients undergoing minimally invasive cardiac operations, complex reoperations, or repair of aortic dissection or aneurysm, and for patients with extensive arteriosclerotic aortic disease in whom aortic cannulation is a prohibitive embolic risk. The common femoral artery and vein are most commonly used for peripheral cannulation, but these sites may be predisposed to complications, primarily because the femoral vessels are commonly involved with arteriosclerotic disease. We have recently

Plasmablastic lymphoma in immunocompetent and in immunocompromised patients: Experience at a regional cancer centre in India.

IntroductionPlasmablastic lymphoma (PBL) is a rare lymphoma associated with immunosuppression. It is strongly associated with immunosuppression (human immunodeficiency virus [HIV]) and often occurs within the oral cavity. PBL is also seen in patients receiving immunosuppressive therapy; however, despite its predisposition for the immunocompromised patients, PBL has been diagnosed in immunocompetent patients.AimThis study aims to prognostic factors and outcome of PBL in immunocompromised and in immunocompetent patients.Materials and methodsWe conducted a retrospective study at our institute fro

Совпадение в полном тексте источника
… The first case was a 10-year-old girl who had clavicular swelling with an expansile lytic lesion at the medial end of the clavicle on X-ray chest and increased uptake in the right clavicle on bone scan. Her workup for multiple myeloma was negative. … CHOP was given to a 10-year-old girl with PBL of the clavicle who had excellent response and is in CR with regular follow-up for the last 18 months. …

[Treatment of the thoracic outlet vascular syndrome].

INTRODUCTION: The title "Thoracic Outlet Syndrome" (TOS) was introduced by Peet in 1956 [1]. In 1958 Charles Rob defined TOS as a "set of sy … ultrasonographic examination was performed. The cervical rib caused TOS in four of our patients and clavicle fracture calus in one case. In 7 patients bone anomalies were not found (Figure 3). The operative treatment was carried out in 3 patients with venous and 7 patients with arterial TOS. In two patients with DVT of the axillary-subclavian segment, 6 mo …

Интерпретация [18F]FDG-avid переломов после индуктивной терапии в множестве миеломы: выводы из подисследования PET/CT фазы 3 GMMG-HD7 суд.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Совпадение в полном тексте источника
… The localization and highest SUVmax of post-induction fractures are also reported Baseline PET/CT Post-induction PET/CT DS BM DS FL Fx Lx PMD EMD DS BM DS FL Fx Lx PMD EMD Localization new fractures Highest SUVmax fractures Patient 1 4 1 1 4 neg pos 3 1 1 4 neg neg Clavicle 6.6 Patient 2 4 5 4 4 pos … neg 3 3 1 4 neg neg Clavicle, sternum 5.0 Patient 3 4 4 2 4 neg neg 3 3 1 4 neg neg Ribs, sternum 4.8 Patient 4 3 4 4 4 pos neg 3 3 1 4 neg neg Rib 3.0 Patient 5 3 5 4 4 pos neg 3 3 1 4 neg neg Iliac bone 4.0 Patient 6 4 4 2 2 neg neg 3 3 1 3 neg neg Ribs 8.1 DS BM , Deauville score in the bone marrow …

11C-choline vs. 18F-FDG PET/CT in assessing bone involvement in patients with multiple myeloma.

BackgroundMultiple Myeloma (MM) is a B cell neoplasm causing lytic or osteopenic bone abnormalities. Whole body skeletal survey (WBSS), Magnetic resonance (MR) and 18F-FDG PET/CT are imaging techniques routinely used for the evaluation of bone involvement in MM patients.AimAs MM bone lesions may present low 18F-FDG uptake; the aim of this study was to assess the possible added value and limitations of 11C-Choline to that of 18F-FDG PET/CT in patients affected with MM.MethodsTen patients affected with MM underwent a standard 11C-Choline PET/CT and an 18F-FDG PET/CT within one week. The results

Совпадение в полном тексте источника
… The skull, femura, humeri, clavicles and ribs are often affected by lytic lesions but are not included in MRI field of view. Whole Body MRI is now available for a complete skeletal survey, but is rarely employed on a routine basis. … | 9 10 | sacrum D8–D10 | 5.6 2.0 | 2.8 1.0 5 | Male | 62 | IgG/K IA | Chemotherapy + autotranspalnt | Follow-up | 16 | Clinical follow-up | 0 | | | 6 | Female | 55 | IgG/lamba IIIA | Chemo-radiotherapy | Suspect relapse | 16 | Clinical follow-up | 11 12 13 14 15 16 17 18 19 20 21 | skull scapula clavicle …

Evaluation of the impact of cardiac implantable electronic devices on cine MRI for real-time adaptive cardiac radioablation on a 1.5 T MR-linac.

BACKGROUND: Stereotactic arrhythmia radioablation (STAR) is a novel treatment approach for refractory ventricular tachycardia (VT). The risk … healthy volunteers, with and without an implantable cardioverter- defibrillator (ICD) placed on the clavicle, and a VT patient. Generalized divergence-curl (GDC) deformable image registration (DIR) was used for automated landmark motion estimation in the left ventricle (LV). Gaussian processes (GP), a machine-learning technique, was trained using GDC landm …

Use of the pedicle of previously harvested pectoral myocutaneous flap as a recipient for free flaps in head and neck reconstruction.

INTRODUCTION: The pectoral myocutaneous flap (PMF) is a workhorse regional reconstructive option for head and neck defects. It is commonly u … n graft which was used for coverage of the muscle stalk. The Doppler device was used first over the clavicle where the PMF was flipped for vessel identification. After marking the vessels, a vertical zigzag incision was made on the skin or skin graft. The perivascular fatty tissue and the pedicle were encountered with minimal dissection by the guidance of …

Sternal Tumor Resection and Complex Chest Wall Reconstruction of a Solitary Plasmacytoma: A Report of a Rare Case.

Localized sternal plasmacytoma is a rare and aggressive oncologic condition. Surgical resection followed by radiotherapy offers the highest chance of cure. Radical resection of the chest wall is technically feasible and is associated with improved outcomes. Subsequent reconstruction using meshes, plates, and both autologous and allogenic tissues allows for the restoration of chest wall function and may prolong survival. Patients with solitary plasmacytoma require close follow-up to monitor for local recurrence or distant disease progression. We present a case of a 63-year-old man diagnosed wit

Совпадение в полном тексте источника
… The sternal body, clavicles, and adjacent ribs were not affected. Figure 2 Chest X-rays demonstrating a manubrial opacity (white arrow indicates the tumor). (A) Anteroposterior view; (B) lateral view Figure 3 Computed tomography scan showing a manubrial tumor (white arrow indicates the lesion). … The medial segments of both clavicles were also excised. The prethyroid muscles and both sternocleidomastoid muscles were disinserted. The lesion extended into the anterior mediastinum and was closely adherent to the right venous angle and the right brachiocephalic vein. …

A strategy for supraclavicular lymph node dissection using recurrent laryngeal nerve lymph node status in thoracic esophageal squamous cell carcinoma.

BACKGROUND: The desirability of supraclavicular lymph node (LN) dissection, which is the cervical part of three-field LN dissection, has been discussed for a long time. In this study, we examine the pattern of supraclavicular LN metastasis in esophageal cancer, with a particular focus on the correlation between recurrent laryngeal nerve (RLN) LN and supraclavicular LN metastasis. METHODS: In all, 220 cases of R0 resected T1 to T3 squamous cell carcinomas were retrospectively examined. All of these patients underwent bilateral RLN LNs dissection; none received cancer treatment before surgery.

An unusual presentation of metastatic prostate cancer in a 44-year-old man: A case report and review of the literature.

UNLABELLED: Prostate cancer is one of the two most common non-cutaneous cancers in men. Its presentation might be with unusual symptoms and cause the wrong initial diagnosis. This case report discusses a rare neurologic manifestation of advanced metastatic cancer in a low-risk man. He had been receiving treatment for multiple sclerosis incorrectly due to unusual manifestations such as claudication and pelvic, leg, and shoulder pain. The patient underwent a whole-body bone scan and then a transrectal ultrasound-guided biopsy, which confirmed metastatic prostate cancer with a Gleason score betwe

Совпадение в полном тексте источника
… The whole‐body bone scan showed multiple focal areas of abnormally increased radiotracer uptake in the right clavicle and shoulder, right scapula, sternum, several ribs, pelvic bones, femur, many vertebral bodies, and skull. … osteolysis areas in the premolars, molars and in the left region of the chin in CT‐scan/adenocarcinoma (clear cell type) with necrosis areas and infiltrating bone and soft tissue in incisional biopsy/mandibular region, where increased uptake of the radiocontrast agent as in other areas, such as the right clavicle …

A new prediction model for overall survival of elderly patients with solitary bone plasmacytoma: A population-based study.

BackgroundComprehensive studies on the prognosis of solitary bone plasmacytoma (SPB) are lacking, especially in elderly patients with SPB. This study aims to establish a novel nomogram and risk stratification system to predict the overall survival (OS) of elderly patients with SPB.MethodsThe data of elderly patients with SPB from 2000 to 2017 were identified in the SEER database. SPB patients were randomly assigned to the training set (n = 825) and validation set (n = 354). The Cox regression analysis was used to determine the independent risk factors for OS in elderly SPB patients. The nomogr

Совпадение в полном тексте источника
… The most common primary sites of tumor were vertebrae bone (42.7%), followed by pelvis (17.6%), ribs/sternum/clavicle (16.6%), extremities (14.4%), and facial/skull bone (8.7%). … 67.0%) | 225 (63.6%) | Primary cancer | | | | 0.374 Yes | 860 (72.9%) | 608 (73.7%) | 252 (71.2%) | No | 319 (27.1%) | 217 (26.3%) | 102 (28.8%) | Primary site | | | | 0.365 Vertebrae | 504 (42.7%) | 358 (43.4%) | 146 (41.2%) | Pelvis | 207 (17.6%) | 148 (17.9 %) | 59 (16.7%) | Ribs/Stenum/Clavicle …

Denosumab administration for bone metastases from solid tumors: a retrospective cross-sectional study.

BackgroundLittle is known on how denosumab reduces skeletal-related events (SREs) by bone metastases from solid tumors. We sought to evaluate the effect of denosumab administration in patients with bone metastases from solid tumors.MethodsData of patients treated with denosumab were collected from electronic medical charts (n = 496). Eligible participants in this study were adult patients (age ≥ 18 years) with metastatic bone lesions from solid tumors treated with denosumab. SREs, surgical interventions, the spinal instability neoplastic score (SINS) for spinal region, and Mirels' score for th

Совпадение в полном тексте источника
… Other region SREs occurred in 2 patients (0.4%) (clavicle and intradural). SREs included pains in seven patients, pathological fractures in seven patients, and spinal cord injuries in five patients. … administration Before SREs, n (%) 2 (0.8) After SREs, n (%) 17 (6.9) n, number Table 2 Skeletal-related events & rates n, number Total, n (%) | 19 (7.7) Location | Appendicular, n (%) | 12 (4.9) Femur, n | 8 Humerus, n | 3 Radius, n | 1 Spine, n (%) | 5 (2.0) Others, n (%) | 2 (0.8) Clavicle, n | …