scholarly journals Efficacy of conservative treatment modalities used in epistaxis

2004 ◽  
Vol 56 (1) ◽  
pp. 20-22
Author(s):  
Urvashi Razdan ◽  
R. M. Raizada ◽  
V. N. Chaturvedi
Keyword(s):  
Conservative Treatment ◽  
Treatment Modalities

Vanishing Mandible in a 7-year Old Child: Response to Radiation Therapy

2017 ◽  
Vol 41 (6) ◽  
pp. 472-477
Author(s):  
Mounabati Mohapatra ◽  
Ashok Kumar Jena ◽  
Arun Kumar Dandapat ◽  
Sombir Singh
Keyword(s):  
Radiation Therapy ◽  
Conservative Treatment ◽  
Standard Therapy ◽  
Case Reports ◽  
Rare Condition ◽  
Treatment Modalities ◽  
Course Of Disease ◽  
Massive Osteolysis ◽  
Early Course ◽  
Accepted Form

Massive osteolysis in a 7-year old child is a rare condition. The etiology of massive osteolysis is unknown and it results in the progressive destruction of bony structures. There is no standard therapy available in the literature. Conservative treatment is often used for its management. Radiotherapy is considered as an accepted form of treatment with greater chance of success when it is used in the early course of disease. There are few case reports in the literature in which radiotherapy has been used for the treatment. This article highlights the literature update on various treatment modalities and a case managed by radiation therapy.

scholarly journals Primary Gastric Lymphoma: Conservative Treatment Modality Is Not Inferior to Surgery for Early-Stage Disease

ISRN Oncology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Fatih Selçukbiricik ◽  
Deniz Tural ◽  
Olgun Elicin ◽  
Selin Berk ◽  
Mustafa Özgüroğlu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Conservative Treatment ◽  
Treatment Modality ◽  
Performance Status ◽  
Gastric Lymphoma ◽  
Poor Performance ◽  
Treatment Modalities ◽  
Poor Performance Status ◽  
Advanced Stage ◽  
Primary Gastric Lymphoma

Objectives. The aim of this study was to evaluate clinical characteristics, prognostic factors, survival rates, and treatment modalities in patients with primary gastric lymphoma (PGL). Methods. We retrospectively reviewed and analyzed data from patients treated for PGL in our clinic from 1998 through 2010. Staging was performed using the Lugano Staging System. Overall and disease-free survival (OS and DFS) were calculated from the date of diagnosis. Results. We identified 79 patients. Thirty-seven patients (47%) were male. The median age at presentation was 57 (18–85) years. The median follow-up time was 41 (9–52) months. Thirty patients (38%) underwent surgery, 74 (92%) received chemotherapy, and 18 (23%) received radiotherapy. The five-year OS and DFS rates were 91.2% and 83.9%, respectively, in patients with stage I/II or IIE disease and 70.6% and 65.5%, respectively, in patients with stage IV disease ( for both rates). Treatment modality (surgical or conservative) had no impact on OS or DFS in early stages. In a multivariate analysis, poor performance status, advanced stage, and high LDH levels were significant bad prognostic factors for DFS, while advanced stage, poor performance status, and age > 60 years were significant bad prognostic factors for OS. Conclusion. Surgery provides no advantage for survival over conservative treatment; thus, conservative treatment modalities should be preferred initially at early stages of PGL.

Conservative Treatment Modalities and Outcomes for Osteoarthritis: The Concomitant Pyramid of Treatment

2010 ◽  
Vol 38 (2) ◽  
pp. 133-145 ◽  
Author(s):  
Michael J. Langworthy ◽  
Amira Saad ◽  
Nadia M. Langworthy
Keyword(s):  
Conservative Treatment ◽  
Treatment Modalities

scholarly journals Renal Abscess: Invasive Treatment or not

2020 ◽  
Author(s):  
Mingrui Xia ◽  
Jun Liu ◽  
Yang Hong ◽  
Lizhe An ◽  
Liulin Xiong ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Initial Treatment ◽  
Univariate Analysis ◽  
Treatment Modalities ◽  
Renal Abscess ◽  
Invasive Treatment ◽  
Clinical Indicators ◽  
Choice Of Treatment

Abstract Objective To identify possible clinical indicators to guide the choice of treatment in patients with renal abscess. Methods According to different treatment methods, 38 patients initially diagnosed with renal abscess and received no prior treatment (antipyretics excepted) in our institution from April 2006 to November 2019 were divided into conservative treatment group and invasive treatment group, with the clinical data of all the cases being analyzed retrospectively. Results In the conservative treatment group, 19 patients got success and 1 failed in initial treatment, while in the invasive treatment group, 15 patients got success and 3 failed. Of the 4 patients who failed the initial treatment, 3 had a renal abscess between 3 cm and 5 cm, and 1 failed due to long-term use of bone marrow suppressive drugs. In univariate analysis, there were significant differences between the two groups in the following factors: diabetes mellitus, body temperature ≥ 38.5℃, PLT, RDW, BUN, PLR, AG, WBC in urine, size of abscess. In logistic regression analysis, diabetes mellitus, RDW and size of renal abscess were retained. The cut-off of RDW and size of renal abscess were 14.07% and 3.9 cm respectively. Conclusions Size of renal abscess is still the most important factor that determining treatment modalities. Other than size, high RDW and the comorbidity of diabetes mellitus may also be used as the possible clinical indicators for the determination of invasive treatment, especially in patients with renal abscess between 3 ~ 5 cm in size.

scholarly journals Diffuse Iris Melanoma: Conservative Treatment with Proton Beam Therapy after Limbal Stem Cell Preservation or Enucleation?

2019 ◽  
Vol 5 (6) ◽  
pp. 396-401 ◽  
Author(s):  
Alice Leblanc ◽  
Livia Lumbroso-Le Rouic ◽  
Laurence Desjardins ◽  
Rémi Dendale ◽  
Nathalie Cassoux
Keyword(s):  
Stem Cell ◽  
Conservative Treatment ◽  
Proton Beam ◽  
Anterior Segment ◽  
Proton Beam Therapy ◽  
Treatment Modalities ◽  
Local Tumour ◽  
Global Survival ◽  
Limbal Stem Cell ◽  
Cell Preservation

Objectives: Iris melanomas represent 2–3% of uveal melanomas; the diffuse variant accounts for approximately 10% of all iris melanomas. Different treatment modalities for diffuse iris melanomas (DIM) have been proposed depending on the local status as well as the age and general condition of the patient. Methods: This study is a single-centre retrospective case series describing the diagnosis, treatments and outcomes of DIM. Treatment consisted of enucleation or proton beam therapy (PT) of the whole anterior segment. Patients who were treated with PT benefitted from limbal stem cell preservation before irradiation. Results: Between 1996 and 2016, a total of 14 patients with DIM presented to our institution and were included in the database. The global survival was 86%. The median follow-up was 4.6 years (range 4 months to 15 years). Only 1 patient (7%) developed metastatic disease of the DIM (gastric location). No patient developed liver metastasis. Seven patients were treated by enucleation and 7 by PT after limbal stem cell preservation. After a conservative attempt, local tumour recurrence occurred in 2 patients at 2 years, requiring enucleation. The cornea was clear after irradiation in all patients. Cataract (n = 6) and glaucoma (n = 4) were the main complications after irradiation. Conclusions: DIM is a very rare tumour. The global survival is excellent. Conservative treatment with PT is an efficient alternative to enucleation and allows good local tumour control. Cataract and glaucoma are the main radiation-related complications, but the corneal status was excellent due to the stem cell harvest prior to radiotherapy.

scholarly journals Presentation, diagnosis, management, and outcomes of prostatic abscess: comparison of three treatment modalities

2020 ◽  
Vol 12 ◽  
pp. 175628722093062
Author(s):  
Ibrahim Alnadhari ◽  
Venkata Ramana Pai Sampige ◽  
Osama Abdeljaleel ◽  
Walid El Ansari ◽  
Omar Ali ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Hospital Stay ◽  
Clinical Laboratory ◽  
Transrectal Ultrasound ◽  
Needle Aspiration ◽  
Treatment Modalities ◽  
Prostatic Abscess ◽  
Urinary Tract Symptoms ◽  
Management Modality

Purpose: The lack of available guidelines for the management of prostatic abscess (PA) results in inconsistencies in its management. The most commonly used management modalities were conservative treatment with parenteral antibiotics alone, transrectal ultrasound-guided (TRUS) needle aspiration, or transurethral deroofing (TUD). The current study is a retrospective study and examines prostatic abscess cases treated by either one or more of the different modalities. We assess and compare presentation, diagnosis, management, and outcomes of prostatic abscess and we compare the outcomes of the three management modalities. Methods: We retrieved the records of all patients ( n = 23) admitted to the Urology department at Al Wakra hospital with the computed tomography (CT) diagnosis of prostatic abscess from January 2013 to March 2018. Data collected included demographic, clinical, laboratory, and imaging findings, as well as management modality, duration of hospital stay, duration of follow up, outcome, and recurrence. Results: A total of nine (39.1%) patients had conservative treatment only; eight (34.8%) had TUD, and six (26.1%) had TRUS needle aspiration. The mean age was 52.7 years. Lower urinary tract symptoms and fever were the most common presentations (95.7% and 82.6%, respectively). CT scan of the abdomen and pelvis with contrast was undertaken for all patients and it showed that multiple abscesses were observed in 14 (60.9%) cases. The overall mean hospital stay was 8.45 days (range 2–21 days). We observed no recurrences for patients treated conservatively or those who undertook TUD, but three patient (50%) recurrences were noted in TRUS aspiration patients. There was no mortality across the sample. Conclusion: Early diagnosis of prostatic abscess and prompt management may have decreased the morbidity and mortality. Conservative management can succeed in subcentimeter abscesses but TUD is the definite therapy for large and multiloculated abscess. TRUS aspiration does have a role in treatment, but it has higher recurrence and longer hospital stay.

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