scholarly journals Primary Pleuropulmonary Synovial Sarcoma: A Case

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Fatima Zahra Mrabet ◽  
Hafsa El Ouazzani ◽  
Leila El Akkari ◽  
Sanaa Hammi ◽  
Jamal Eddine Bourkadi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Rare Disease ◽  
Synovial Sarcoma ◽  
Diagnostic Procedure ◽  
Histological Study ◽  
Pet Scan ◽  
Primitive Character ◽  
Therapeutic Tool ◽  
The Past

Primary pleuropulmonary synovial sarcoma is extremely rare. The diagnosis can only be made after having eliminated an extrapleuropulmonary localization in the past and at the time of diagnosis. Our presentation is about a 40-year-old woman having a cough and dyspnea since three weeks ago; imaging had showed a left pleurisy with pleuropulmonary process. Histological study of the biopsy confirmed the diagnosis of pleuropulmonary synovial sarcoma. PET-SCAN had not identified any extrathoracic localization. This tumor is known for its aggressive nature and high risk of metastasis. Its primitive character is retained following a diagnostic procedure of exclusion. Surgical treatment remains the best therapeutic tool when it is technically feasible; otherwise the prognosis is often unfortunate. In this paper, we report a case of primary pleuropulmonary synovial sarcoma. Through this case, we present a rare disease that is often difficult to diagnose.

scholarly journals Mitral Regurgitation – A Multidisciplinary Challenge

2014 ◽  
Vol 9 (1) ◽  
pp. 49
Author(s):  
Eduardo Alegria-Barrero ◽  
Olaf W Franzen ◽  
◽  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Mitral Regurgitation ◽  
Standard Of Care ◽  
Surgical Approaches ◽  
Repair Technique ◽  
The Past ◽  
Standard Of Care Treatment ◽  
Risk Patients ◽  
Management Challenge

Mitral regurgitation is an increasing valvular disease that represents a difficult management challenge. Surgical treatment for degenerative mitral regurgitation is the standard of care treatment. Percutaneous therapies have emerged rapidly over the past years as an option for treatment of mitral regurgitation for selected, predominantly high-risk patients. Catheter-based devices mimic these surgical approaches with less procedural risk. Mitraclip® implantation mimics the surgical edge-to-edge leaflet repair technique, reducing the regurgitant area. We review the increasing evidence with the Mitraclip device reported to date.

scholarly journals Clinical Study of 23 Male Patients with Congenital Ventral Penile Angulation without Hypospadias

2016 ◽  
Vol 59 (4) ◽  
pp. 113-116
Author(s):  
Ioannis Patoulias ◽  
Dimitrios Patoulias ◽  
Konstantinos Farmakis ◽  
Maria Kalogirou
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Rare Disease ◽  
Ventral Part ◽  
Surgical Team ◽  
Corpora Cavernosa ◽  
The Past ◽  
Satisfactory Treatment ◽  
Male Patients

Congenital ventral penile angulation without hypospadias is a rare disease and causes great anxiety to the parents. The aim of our study is the presentation of this disease, especially the indications of surgical treatment and the protocol applied in our clinic. We retrospectively studied 23 male patients aged 2.5 to 7 years old (av 5.2 y) with important penile angulation (over 45°) without hypospadias, treated during the past 15 years in our department. In 9 patients the cause was the skin chordee (fibrosis of the ventral part of the prepuce), in 4 the fibrotic fascia (incomplete development of dartos and Buck’s fascia) and in 10 the disproportion of the corpora cavernosa. No case of congenital short urethra was reported. In our opinion, the appliance of the algorithm suggested by Donnahoo KK et al. in uncomplicated cases, along with the experience of the surgical team, results in satisfactory treatment and avoidance of complications.

1610: High-Risk Patients Undergoing Radical Prostatectomy Today are Less High-Risk than in the Past

2005 ◽  
Vol 173 (4S) ◽  
pp. 436-436
Author(s):  
Christopher J. Kane ◽  
Martha K. Terris ◽  
William J. Aronson ◽  
Joseph C. Presti ◽  
Christopher L. Amling ◽  
...  
Keyword(s):  
High Risk ◽  
Radical Prostatectomy ◽  
High Risk Patients ◽  
The Past ◽  
Risk Patients

scholarly journals Implications of Recent Revelations from Basic and Clinical Studies of Barrett’s Esophagus for Screening and Surveillance Strategies

2021 ◽  
Vol 1 (1) ◽  
pp. 86-92
Author(s):  
Stuart Jon Spechler ◽  
Rhonda F. Souza
Keyword(s):  
High Risk ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Prevention Strategies ◽  
Endoscopic Screening ◽  
Screening Practices ◽  
The Past ◽  
Screening And Surveillance ◽  
Gerd Symptoms ◽  
Current Screening

During the past several decades, while the incidence of esophageal adenocarcinoma (EAC) has risen dramatically, our primary EAC-prevention strategies have been endoscopic screening of individuals with GERD symptoms for Barrett’s esophagus (BE), and endoscopic surveillance for those found to have BE. Unfortunately, current screening practices have failed to identify most patients who develop EAC, and the efficacy of surveillance remains highly questionable. We review potential reasons for failure of these practices including recent evidence that most EACs develop through a rapid genomic doubling pathway, and recent data suggesting that many EACs develop from segments of esophageal intestinal metaplasia too short to be recognized as BE. We highlight need for a biomarker to identify BE patients at high risk for neoplasia (who would benefit from early therapeutic intervention), and BE patients at low risk (who would not benefit from surveillance). Promising recent efforts to identify such a biomarker are reviewed herein.

Corynebacterium Diphtheriae Endocarditis - Surgery for Some but Not All!

2005 ◽  
Vol 13 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Bashisth Mishra ◽  
Rebecca J Dignan ◽  
Clifford F Hughes ◽  
Nick Hendel
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Medical Treatment ◽  
Rare Disease ◽  
Corynebacterium Diphtheriae ◽  
Aggressive Disease ◽  
Prosthetic Valves ◽  
Immediate Surgery

Corynebacterium diphtheriae endocarditis was thought to be a rare disease. We reviewed our experience in four cases of this disease treated over a period of 10 years. Seventy cases reported in literature were reviewed. The outcome is good if cases are carefully selected for medical or surgical treatment. We conclude that infective endocarditis due to C. diphtheriae, is perhaps more common than expected. It may be recognized more frequently and on occasion may be an aggressive disease. Those patients with an abnormal valve (including prosthetic valves) should be subjected to surgery at the earliest available opportunity, whereas patients with normal valves may be carefully watched during the course of medical treatment as long as immediate surgery can occur if needed.

Translabyrinthine Approach for Acoustic Neuroma

Neurosurgery ◽  
2004 ◽  
Vol 54 (2) ◽  
pp. 391-396 ◽  
Author(s):  
John Diaz Day ◽  
Douglas A. Chen ◽  
Moises Arriaga
Keyword(s):  
Surgical Treatment ◽  
Acoustic Neuroma ◽  
Cerebellopontine Angle ◽  
Hearing Preservation ◽  
Retrosigmoid Approach ◽  
The Past ◽  
Translabyrinthine Approach ◽  
Acoustic Neuromas

Abstract THE TRANSLABYRINTHINE APPROACH has been popularized during the past 30 years for the surgical treatment of acoustic neuromas. It serves as an alternative to the retrosigmoid approach in patients when hearing preservation is not a primary consideration. Patients with a tumor of any size may be treated by the translabyrinthine approach. The corridor of access to the cerebellopontine angle is shifted anteriorly in contrast to the retrosigmoid approach, resulting in minimized retraction of the cerebellum. Successful use of the approach relies on a number of technical nuances that are outlined in this article.

Correlation of high-risk human papillomavirus genotypes persistence and risk of residual or recurrent cervical disease after surgical treatment

2008 ◽  
Vol 80 (8) ◽  
pp. 1434-1440 ◽  
Author(s):  
Simona Venturoli ◽  
Simone Ambretti ◽  
Monica Cricca ◽  
Elisa Leo ◽  
Silvano Costa ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Surgical Treatment ◽  
High Risk ◽  
Cervical Disease

Changing Profile of Congenital Heart Disease

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 790-791
Author(s):  
D. WOODROW BENSON ◽  
James Moller ◽  
Donald C. Fyler ◽  
David E. Fixler
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart ◽  
Considerable Change ◽  
Diagnostic Methods ◽  
Younger Patients ◽  
The Past ◽  
Steady Improvement ◽  
Complex Lesions

In the past 20 years, considerable change has occurred in the profile of congenital heart disease regarding both diagnosis and treatment. The profile has changed from older to younger patients; the essence of this change has been from pediatric to infant to neonatal cardiology. There has been a shift from palliative to more definitive surgical procedures and a change from invasive (cardiac catheterization) to noninvasive (echocardiography) diagnostic methods. The profile has changed from definitive surgical treatment limited to simple lesions to surgical treatment of the most complex lesions. There has been steady improvement in the recognition of cases of congenital heart disease. Of all children admitted to hospitals for treatment of congenital heart disease, the portion less than three days of age has increased from 24% in 1969 to 1972 to 33% in 1982 to 1986.

Surgical treatment for acute testicular diseases in boys

1985 ◽  
Vol 66 (5) ◽  
pp. 375-375
Author(s):  
A. I. Papikyan
Keyword(s):  
Surgical Treatment ◽  
Regional Hospital ◽  
The Past

In the children's regional hospital in Kirov, over the past 5 years, 88 children aged from 2 months to 14 years have been treated for acute testicular diseases.

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