Percutaneous needle aspiration and sclerotherapy with rolitetracycline in the treatment of hydrocele

1992 ◽  
Vol 59 (4) ◽  
pp. 63-64
Author(s):  
M. De Siati ◽  
D. Grassi ◽  
E Marzoli ◽  
N. Franzolin
Keyword(s):  
Needle Aspiration ◽  
The Third ◽  
One Year

Thirty-one patients with unilateral or bilateral hydrocele were treated by percutaneous needle aspiration and subsequent sclerotherapy with rolitetracycline. Thirty patients were considered cured after a follow-up of one year. In 20 pts. the procedure proved to be definitive after the first sitting, in 6 cases the treatment was repeated twice and in 4 cases three times. Only in 1 a recurrence was observed after the third treatment. No complications related to the procedure were recorded.

scholarly journals Methylmalonic Acidemia – Cause of Recurrent Neonatal Death and Its Social Implications

2014 ◽  
Vol 34 (2) ◽  
pp. 150-153
Author(s):  
Vasikarla Madhavi ◽  
Deepak Kumar Sharma ◽  
Srinivas Murki ◽  
Tejo Pratap
Keyword(s):  
Short Chain Fatty Acid ◽  
Neonatal Period ◽  
Chain Fatty Acid ◽  
Methylmalonic Acidemia ◽  
Acid Oxidase ◽  
Oxidase Deficiency ◽  
The Third ◽  
History Of ◽  
One Year

Mr and Mrs R, non-consanguineous couple had history of all their children during neonatal period. First two neonates were normal at birth, then presented with lethargy, vomiting and decreased acceptance of feeds. Both the babies expired after birth without being investigated for cause of death. The third neonate was investigated for inborn error of metabolism and found to be affected with methylmalonic acidemia. The couple departed away inspite of extensive counselling. In the fourth pregnancy antenatally fetus was diagnosed as carrier case of methylmalonic acidemia and short chain fatty acid oxidase deficiency. The fourth baby was normal and was in follow up till one year age. DOI: http://dx.doi.org/10.3126/jnps.v34i2.10577 J Nepal Paediatr Soc 2014;34(2):150-153 

Electrochemotherapy with intra-tumoral cisplatin for the treatment of fibrosarcoma in a horse

2018 ◽  
Author(s):  
M. Bharathidasan ◽  
B. Justin William ◽  
Ravi Sundar George Sundar George ◽  
A. Arunprasad ◽  
R. Sivasankar
Keyword(s):  
Complete Response ◽  
Tumour Volume ◽  
Needle Aspiration ◽  
Medial Aspect ◽  
History Of ◽  
Subcutaneous Tissues ◽  
Needle Aspiration Cytology ◽  
One Year ◽  
The Right

A two years old Kathiawar stallion was reported with the history of two, pedunculated hard mass medially on the thigh and hock of the right hind limb, progressively increasing for the past two months. Fine needle aspiration cytology revealed fibrosarcoma.The tumour on the medial aspect of the thigh was injected with cisplatin intra-tumorally at a dose rate of 0.3 mg/cm3 of tumour volume and was exposed to ECT. The tumour on the medial aspect of the hock was excised incompletely to preserve skin and subcutaneous tissues around the tumour for wound opposition and treated with intra-tumoral injection of cisplatin followed by ECT. Following electrochemotherapy complete response was noticed onthe 3rd and 4th week for the tumours on the thigh and hock respectively. No recurrence was noticed during the follow-up period of one year revealing ETC with cisplatin as a single treatment and also in combination with surgery is effective for the treatment of fibrosarcoma in equines.

Lipomas of the larynx and hypopharynx: a review of the literature with the addition of three new cases

1995 ◽  
Vol 109 (4) ◽  
pp. 353-357 ◽  
Author(s):  
Bruce M. Wenig
Keyword(s):  
Polypoid Lesion ◽  
Pyriform Sinus ◽  
Review Of The Literature ◽  
Complete Excision ◽  
The Third ◽  
Mesenchymal Neoplasms ◽  
One Year ◽  
Initial Resection ◽  
Supraglottic Larynx

AbstractLipomas of the larynx and hypopharynx are uncommon mesenchymal neoplasms. This report discusses the clinical and pathological features of three cases of laryngeal and hypopharyngeal lipomas. Two of the cases occurred in females and one in a male. The ages of the patients were 28, 51 and 51 years respectively. Two of the cases involved the supraglottic larynx (left arytenoid and left vestibular fold); the third involved the pyriform sinus. Symptoms included airway obstruction. dysphagia, throat discomfort, a sensation of excessive secretions in the throat and an increase in snoring. The complaints occurred over periods ranging from several months to one year in duration. Clinically, a polypoid lesion described as yellow in appearance was seen. Histologically. the tumours were composed of mature adipocytes without evidence of pleomorphism, lipoblasts or infiltrative growth. Surgery was the treatment of choice and included simple but complete excision in two of the cases. In these two cases, surgery proved curative with follow-up periods of 11 and seven years, respectively. In one case. the initial tumour was removed in pieces. This lesion recurred 15 years after the initial resection and was totally excised at that time. This patient has been free of tumour for more than five years.

scholarly journals Evaluation of comparative results of rehabilitation of patients with acromioclavicular dislocation of the third degree treated by surgical techniques by phemister and vukov

2012 ◽  
Vol 59 (1) ◽  
pp. 81-85
Author(s):  
Tatjana Radovanovic ◽  
Vladimir Vukov ◽  
Marko Bumbasirevic ◽  
Mirjana Manojlovic-Opacic ◽  
Mirko Grajic ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Surgical Techniques ◽  
Acute Injury ◽  
Access To Treatment ◽  
Rehabilitation Process ◽  
The Third ◽  
The Difference ◽  
Comparative Results ◽  
One Year

Introduction: In terms of access to treatment of acromioclavicular joint injuries, there are many controversies, especially after the appearance of works that promote "neglecting of injury". Goal: The aim of this paper is to give a comparative analysis of the results of rehabilitation of patients after acute injury of the acromioclavicular joint of the third degree, treated by two surgical techniques: by Phemister and Vukov. Material and methods: In this study, we investigated a total of 60 operated patients: 30 patients were operated by Phemister technique, and 30 by Vukov technique. Results: Postoperative follow-up lasted for one year. Between these two groups, the time when the rehabilitation process began is significantly different p<0.01. With technique by Vukov, the rehabilitation begins on the first postoperative day and with technique by Phemister it begins later (after 7 weeks outpatient). With technique by Phemister, rehabilitation lasted on average 60 days, and with technique by Vukov on average 40 days. The duration of recovery is also significantly different p< 0.01, with technique by Vukov the duration time is shorter, and therefore the process of rehabilitation in days - is shorter than with the other technique. Both techniques gave good stability of the lateral end of clavicle. The difference was not statistically significant p> 0.05, which means that both techniques can be applied depending on the indication and the experience of the surgeon.

scholarly journals Primary Thyroid Lymphoma

2018 ◽  
Vol 26 (2) ◽  
pp. 122-126
Author(s):  
Manish Gupta ◽  
Ginni Datta ◽  
Naiya Rao ◽  
Eshita Dadwal
Keyword(s):  
Needle Aspiration ◽  
Whole Body ◽  
Thyroid Lymphoma ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Management Protocol ◽  
History Of ◽  
Needle Aspiration Cytology ◽  
One Year

Introduction Lymphoma primarily arising from thyroid gland is very rare. Most patients give a history of previous Hashimoto’s thyroiditis and hypothyroidism. Case Report We hereby report one such rare case, who presented with neck swelling and hoarseness. The fine needle aspiration cytology being inconclusive, the patient was taken up for near total thyroidectomy. The histopathology revealed it to be lymphoma, which was further confirmed on immunohistochemistry. The further whole body checkup showed it to be Stage IIE tumor. The patient received chemotherapy for residual mass in neck and is under follow-up for last one year with no recurrence. Discussion The case is being presented here due to its rarity, diagnostic dilemma and to discuss the management protocol for same.

scholarly journals Ultrasound Examination and Navigation for Repeat/Delayed Reconstruction of the Ankle Extensor Tendons

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1408
Author(s):  
Kamal Mezian ◽  
Karolína Sobotová ◽  
David Zámečník ◽  
Levent Özçakar
Keyword(s):  
Surgical Management ◽  
Surgical Repair ◽  
Ultrasound Examination ◽  
Penetrating Injury ◽  
Unique Case ◽  
Extensor Tendons ◽  
The Third ◽  
One Year ◽  
Delayed Reconstruction

Herein, we describe a 46-year-old woman with persistent pain and weakness in her left ankle/foot one year after surgical repair of all three ankle extensor tendons following a penetrating injury. This report presents a unique case whereby US imaging played a paramount role in the diagnosis and surgical management of a previous nonanatomic repair of the ankle extensor tendons after a penetrating injury one year prior. The above-quoted findings were subsequently corrected with end-to-end sutures. On the third postoperative month follow-up, the patient was free of any complaints or complications.

scholarly journals 435. Iliopsoas Abscess in Egyptian Patients Presenting to Cairo University Hospitals

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S216-S216
Author(s):  
Mervat Elanany ◽  
Reham Abdel Mageed ◽  
Maha Hasaballah
Keyword(s):  
Back Pain ◽  
Outpatient Clinic ◽  
Needle Aspiration ◽  
University Hospitals ◽  
Iliopsoas Abscess ◽  
Egyptian Patients ◽  
Mgit Culture ◽  
One Year ◽  
Delays In Diagnosis

Abstract Background The incidence of iliopsoas abscess (IPA) is rare but the frequency of this diagnosis has increased with the use of ultrasonography and computed tomography (CT). The vague presentation leads to delays in diagnosis and increases morbidity. Managing iliopsoas abscess is still forming a therapeutic challenge. The aim of this research was to study the features of iliopsoas abscess cases including the etiology and clinical presentation. Methods Patients and Methods. all patients presented to the orthopedic outpatient clinic (Cairo university hospitals) by back pain were screened by plain X-ray and IPA was by ultrasonography (US). The confirmed patients were diagnosed as having psoas or iliopsoas collection and subjected to: full history taking, full laboratory workup, screening for tuberculosis, radiological studies and ultrasound-guided needle aspiration of the abscess. The aspirate samples were microbiologically tested by culture (aerobic, anaerobic and MGIT) and PCR technique. Follow-up US was done within 7 days from the first aspiration. Results The outpatient clinic received 40 thousand back pain cases during a one-year study. Only 14 patients were diagnosed as IPA. The age ranged 19–65years (mean 37years) and 57% were male. 44.4% patients had primary IPA while 55.5% patients had secondary IPA. All patients had limping and flank pain, backache or both. Fever was common 90% of patients. Leukocytosis was found in 55.5% of patients, ESR was elevated and CRP was positive in all patients. Z.N stain for AFB was negative in all patients. Culture of aspirated fluid revealed S.aureus as the commonest organism (44% of cultures), then E.coli in (22% of cultures), Mycobacterial tuberculosis in 7% by MGIT culture and PCR. Other cultures were negative. All patients were treated by drainage and appropriate antibiotics. surgical intervention was needed in 22% patients. Recurrence occurred in only 1 patient with tuberculous iliopsoas abscess. Conclusion Although IPA is rare, the appropriate diagnosis by US is needed. S.aureus is the commonest pathogen but Mycobacterial tuberculosis could be a cause for recurrence. Disclosures All authors: No reported disclosures.

scholarly journals Endobronchial ultrasound-guided transbronchial needle aspiration biopsy is useful evaluating mediastinal lymphadenopathy in a cancer center

CytoJournal ◽  
2011 ◽  
Vol 8 ◽  
pp. 10 ◽  
Author(s):  
Laila Khazai ◽  
Uma R. Kundu ◽  
Betsy Jacob ◽  
Shobha Patel ◽  
Nour Sneige ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Mediastinal Lymphadenopathy ◽  
Cancer Center ◽  
Mediastinal Lymph Nodes ◽  
Ultrasound Guided ◽  
One Year ◽  
Sensitivity Specificity

Background: Endobronchial ultrasound-guided tra0nsbronchial needle aspiration (EBUS-TBNA) biopsy is used to stage mediastinal lymph nodes in cancer patients to optimize treatment strategies. In this retrospective study, the authors determined the utility of EBUS-TBNA biopsy in the evaluation of mediastinal lymphadenopathy at a high-volume cancer center. Materials and Methods: The pathology database was searched for all patients who had undergone EBUS-TBNA biopsy of mediastinal lymph nodes over a one-year period. Cytologic diagnoses were correlated with clinical histories, subsequent resection, and clinical follow-up data. Results: Of 928 lymph node samples, 226 (24%) were diagnosed as malignant, 4 (0.4%) were suspicious for malignancy, 9 (1%) were atypical, 640 (69%) were benign, and 47 (5%) were insufficient for evaluation. In 89 (9.6%) cases, the patients had surgical resection. There was one false positive, in which the primary tumor contained infiltrating lymphocytes, had been sampled. There were five false-negative cases, which resulted from sampling errors, including two with micrometastases. The sensitivity, specificity, and positive and negative predictive value rates for EBUS-TBNA biopsy in the evaluation of mediastinal lymph nodes were 68.7% and 98.6% and 91.6% and 93.5%, respectively on a per lymph node basis. The overall clinical sensitivity, specificity, and positive and negative predictive value rates after one year clinical/radiological and histologic follow-up were 97%, 99.3%, 96.7% and 99.4%, respectively. Conclusions: EBUS-TBNA biopsy is a sensitive and specific method for evaluating mediastinal lymphadenopathy in patients with lung and other primary tumors.

Shrinkage by the third month predicts long-term response of macroprolactinoma after cabergoline

2021 ◽  
Author(s):  
Betina Biagetti ◽  
Silvana Sarria-Estrada ◽  
Yiken Karelys Ng-Wong ◽  
Elena Martinez-Saez ◽  
Anna Casteràs ◽  
...  
Keyword(s):  
Tumour Size ◽  
Tumour Volume ◽  
Inclusion Criteria ◽  
Good Tool ◽  
The Third ◽  
One Year ◽  
Term Response ◽  
Valuable Predictor

Objective: Transsphenoidal surgery (TSS) is mainly indicated in prolactinomas when dopamine agonist treatment fails. However, there is no established early predictor of cabergoline (CBG) response. The present study was aimed to identify predictors of CBG resistance in order to select patients who may benefit from early TSS. Design: retrospective longitudinal study Methods: We reviewed the medical record of patients diagnosed with prolactinoma after 2010. Inclusion criteria: macroprolactinomas under CBG treatment with serial prolactin levels and MRI before treatment and 3 and 12 months afterwards. The main outcome was tumour size shrinkage ≥50% after 12 months of CBG (TS_50). The capacity of the most important clinical and biochemical variables in predicting the main outcome was examined. Results: A total of 185 prolactinomas where included: 124 (67.0 %) were microadenomas and 61 (33.0%) were macroadenomas of which 27 patients meet de inclusion criteria; median age [42.5 years; (IQR: 28.0)]. The median of follow up was [67.5 months; (IQR: 30.2)]. Ten patients (37.0%) underwent surgery after more than one year of CBG. The volume reduction at the first MRI (3-4 months) was the unique valuable predictor: [OR: 1.16 (IC 95% 1.02-1.32)] of TS_50. A tumour volume shrinkage ≥30% in the first 3-4 months of CBG therapy predicts TS_50 with an AUC [ 0.95 (CI: 0.76-0.99)]. Conclusion: Tumor shrinkage in the first 3-4 month after starting treatment with CBG is a good tool for predicting the long term response and can help clinicians to take more appropriated and personalized decisions.

scholarly journals Endoscopic Transcortical Transventricular Colloid Cyst Excision — Our Experience

2020 ◽  
Vol 9 (2) ◽  
pp. 94-98
Author(s):  
Kaisar Haroon ◽  
Tania Taher ◽  
Abdullah Alamgir ◽  
Arif Reza ◽  
Sk Sader Hossain
Keyword(s):  
Third Ventricle ◽  
Colloid Cyst ◽  
Foramen Of Monro ◽  
Cyst Excision ◽  
The Third ◽  
Endoscopic Excision ◽  
Microsurgical Resection ◽  
One Year ◽  
Established Technique

Background: Colloid cyst of the third ventricle is a tumour arising from the roof of the third ventricle at the foramen of Monro. Endoscopic excision of colloid cyst is well established technique. There is less morbidity in comparison to the microsurgical resection. Materials and method: Seven patients with colloid cyst were treated with endoscopic excision. Of these five were males and two were female patients. Age ranged thirty to fifty five years from a period from Jan 2016 to Mar 2019 in NINS&H. Results: Most patients had signs of raised intracranial pressure before surgery. Six patients needed post operative VP shunt. Some patients had contusion of the fornix but did not have any memory impairment. Five patients had remnant but there was no symptoms after surgery. Conclusion: Endoscopic excision of the colloid cyst is a good option. Total removal of the tumour is the goal but little remnant of the tumour attached to the tela choroidae is accepted. One year follow-up showed no recurrence of the cyst. Bang. J Neurosurgery 2020; 9(2): 94-98

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