scholarly journals PATTERNS OF MEDIASTINAL TUMORS

2016 ◽  
Vol 23 (02) ◽  
pp. 223-227
Author(s):  
Niaz Hussain Soomro ◽  
Dr. Ali Shan Shariff ◽  
Aneeqa Ahsan Zafar ◽  
Omar Ehtisham ◽  
Guzel Maxood ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Medical Records ◽  
Germ Cell Tumors ◽  
Descriptive Study ◽  
Posterior Mediastinum ◽  
Anterior Mediastinum ◽  
Common Type ◽  
Mediastinal Tumors ◽  
Mediastinal Masses ◽  
Common Location

Objective: To review all the mediastinal tumors and cysts operated uponat Department of Thoracic Surgery, OICD, DUHS over a 2.5 year period. Study design:Retrospective descriptive study. Place and duration of study: Ojha Institute of Chest Diseases,Dow University of Health Sciences, Karachi, Pakistan from November 2012- April 2015. Materialand methods: 50 patients with mediastinal masses of either sex were included in the study.Tumors were categorized as arising from the anterior, middle and posterior mediastinum onthe basis of CT scan chest. Tumors were classified into various type based on the results ofhistopathology. Data was obtained from hospital medical records and proformas were filledfor each patient. Results: A total of 50 patients with mediastinal masses were seen at theDepartment of Thoracic Surgery, Ojha Institute of Chest Diseases between Nov 2012- April2015. There were 30 males and 20 females (ratio 1.5:1). Most of the patients were between 11-70 years of age, with mean age of 32 years. The most common location for mediastinal tumorswas found to be the anterior mediastinum which comprised of 40% of all tumors, followed byposterior (32%) and middle mediastinum respectively (28.0%). Shwanomma (18%) was themost common type of tumor observed, followed by lymphoma (12%) and germ cell tumors(10%). Conclusion: Mediastinal tumors are relatively uncommon in clinical setting. Thesetumors represent a group of heterogeneous masses present between two pleural cavities. Adefinitive early diagnosis is the key in management and prognosis of the patient.We present our5 year experience of patterns of mediastinal tumors.

scholarly journals Computerized tomography of mediastinal tumors

2009 ◽  
Vol 56 (4) ◽  
pp. 69-75
Author(s):  
D.U. Nenezic ◽  
R. Stevic
Keyword(s):  
Computerized Tomography ◽  
Germ Cell Tumors ◽  
Posterior Mediastinum ◽  
Anterior Mediastinum ◽  
Mediastinal Tumors ◽  
Neurogenic Tumors ◽  
Complex Anatomy ◽  
Common Causes ◽  
Additional Imaging ◽  
Pericardial Cysts

Tumors of the mediastinum represent a very heterogeneous group of primary and metastatic tumors. Most tumors of the mediastinum are detected on chest radiography, but for more precise view additional imaging methods are necessary. The most common causes of tumor mass in anterior mediastinum are thymoma, germ cell tumors, retrosternal goitre and Hodgkin's lymphoma. In the middle mediastinum most commonly tumors are congenital cysts, such as bronhogenic and pericardial cysts, and enlarged lymph nodes, while in the posterior mediastinum dominantly present neurogenic tumors. Complex anatomy of mediastinum infrequently makes difficulties in radiological diagnosis of these tumors. Computerized tomography (CT) is a radiological method of choice in the diagnosis of primary and / or secondary mediastinal lesions. Localization and structure of the tumor masses are very important for diagnosis. Knowledge of anatomy, with the standard topographic divisions on the anterior, middle and posterior mediastinum is necessary prerequisite for a valid CT diagnostic. Lesions in all parts of the mediastinum are systematically presented from the aspect of practical recommendations, with a view of the typical pathological findings.

scholarly journals Pola Kasus dan Penatalaksanaan Peritonitis Akut di Bangsal Bedah RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi
Keyword(s):  
Medical Records ◽  
Surgical Procedure ◽  
Sampling Technique ◽  
Exploratory Laparotomy ◽  
Descriptive Study ◽  
Common Type ◽  
Age Group ◽  
Exclusion Criteria ◽  
Common Cause ◽  
Abdominal Emergency

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern

scholarly journals Profil keloid di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2011-Desember 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rina D.S. Andisi ◽  
Pieter L. Suling ◽  
Marlyn G. Kapantow
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Steroid Injection ◽  
Healing Process ◽  
Descriptive Study ◽  
Wound Healing Process ◽  
Age Group ◽  
Skin Tension ◽  
Common Location ◽  
Using Data

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan. Kata kunci: keloid, bekas luka, profil

scholarly journals Primary intrathoracic goiter: a rare mediastinal tumor

2017 ◽  
Vol 4 (6) ◽  
pp. 1833
Author(s):  
Hazem Zribi ◽  
Amina Abdelkbir ◽  
Sarra Maazaoui ◽  
Imen Bouacida ◽  
Hanen Smadhi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Thoracic Surgery ◽  
Postoperative Complication ◽  
Mediastinal Tumor ◽  
Posterior Mediastinum ◽  
Anterior Mediastinum ◽  
Transthoracic Approach ◽  
Intrathoracic Goiter ◽  
Cervical Approach ◽  
The Right

Background: Substernal goiters are usually classified as secondary or primary intrathoracic goiters. Primary ones result from an abnormal embryologic migration of the thyroid and represents less than 1% of all goiters. Secondary substernal goiters develop from the descent of the thyroid into the mediastinum and represents 98-99% of goiters.Methods: This was a retrospective study which discuss the symptoms, the diagnosis and the treatment of 7 primary intrathoracic goiters.Results: Goiter was located in the anterior mediastinum in 5 cases, in the posterior mediastinum in 1 case and in the medium mediastinum in 1 case. The mass was located on the right in 5 cases cervical approach was performed in 3 cases. Two patients required a transthoracic approach, 1 required sternotomy and in 1 case video-thoracic surgery was sufficient. Only one patient had postoperative complication which was secondary pneumothorax. All tumors were benign.Conclusions: Mediastinal ectopic goitre is rare. However it should be discussed among the different etiologies of mediastinal masses.

scholarly journals Keloids Profile in the Dermatovenerology Clinic of RSUP Dr. M. Djamil Padang Indonesia from January 2014 to December 2018

2020 ◽  
Vol 13 (4) ◽  
pp. 383-387
Author(s):  
Sherly Birawati ◽  
Ennesta Asri
Keyword(s):  
Risk Factors ◽  
Wound Healing ◽  
Medical Records ◽  
Healing Process ◽  
Descriptive Study ◽  
Wound Healing Process ◽  
Age Group ◽  
Skin Tension ◽  
Common Location ◽  
Using Data

Keloid is an abnormal scar that appears as an impact of the wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatovenereology RSUP. Dr. M. Djamil Padang in the period 2014-2018. This was a retrospective descriptive study using data of medical records. The results showed that the incidence of keloid in the period 2014-2018 was 157 cases. Based on gender, females were the most (51.60%). The age group that had the highest in number was 15-24 years old (27.39%). Based on occupation, most were students (33 cases; 20,49%). The most common location of the lesion was on the chest, which accounted for 57 cases (36.31%). Seventy-six cases (48.41%) with interpretation big effect on patient life. Conclusion :Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest and a big effect on patient life.

scholarly journals Ten-year Experience with Minimally-invasive Thoracic Surgery at the Hospital Dr. Rafael Ángel Calderón Guardia

2011 ◽  
Vol 52 (1) ◽  
Author(s):  
Jose A. Mainieri Hidalgo
Keyword(s):  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Surgical Procedures ◽  
Medical Records ◽  
Diagnostic Procedures ◽  
Mediastinal Tumors ◽  
Major Procedure ◽  
Minimally Invasive Thoracic Surgery ◽  
Surgery Department ◽  
Larger Sample

Objective: To analyze how useful has been the development of thoracoscopy at the Hospital Dr. Rafael A. Calderón Guardia Hospital.Materials and methods: With the purpose of assessing the experience acquired with the practice of minimally-invasive thoracic surgery (VAT surgery) during the first 10 years; clinical data from March 1999 to March 2009 of 788 patients, taken from a database of the Thoracic Surgery Department, was reviewed. Results: During this 10-year period, 25% of the Department’s surgical procedures were performed through thoracoscopy. This percentage increased to 49% during the last 2 years of the reviewed period. The medical records of patients that underwent diagnostic procedures or tumor resections were analyzed. Diagnosis was obtained in 97.4% of patients that underwent surgery with the purpose of diagnosis; mediastinal tumors were the most difficult to diagnose, in two of these cases, the pathologist requested a larger sample. No major procedures were performed through this method. There were no mortality cases. The conversion rate was 2.6%, of which 20% was due to bleeding and 80% to perform a major procedure. Conclusion: Thoracoscopy has revolutionized the field of medicine, superseding previous approaches, such as toracotomy, for minor surgeries; this has allowed the performance of complex surgeries and procedures. The results obtained show satisfactory results for patients and usefulness for the institution.

scholarly journals Profil keloid di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2011-Desember 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rina D.S. Andisi ◽  
Pieter L. Suling ◽  
Marlyn G. Kapantow
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Steroid Injection ◽  
Healing Process ◽  
Descriptive Study ◽  
Wound Healing Process ◽  
Age Group ◽  
Skin Tension ◽  
Common Location ◽  
Using Data

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile  Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan.Kata kunci: keloid, bekas luka, profil

scholarly journals POLA CEDERA PADA KASUS KEKERASAN FISIK PADA ANAK DI RS. BHAYANGKARA MANADO PERIODE TAHUN 2013

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Chriselya L. Janise ◽  
Erwin G. Kristanto ◽  
James F. Siwu
Keyword(s):  
Sexual Violence ◽  
Medical Records ◽  
Physical Violence ◽  
Secondary Data ◽  
Descriptive Study ◽  
Common Type ◽  
Injury Patterns ◽  
Number Of Children ◽  
High Incidence ◽  
Type Of Injury

Abstract: Violence on children has high incidence in Indonesia. The total number of incidence, if compared to the total number of children, shows the large number of victims, when reaches 3%. This means that in every 1000 children, there can be 30 children who are possible to be victims of physical violence. Violence cases on children are troubling to the society, due to more cases rising annually. To improve the ability to detect violence cases on children to doctors by identifying the injury patterns of physical violence in children. Data from year 2013 is obtained from RS Bhayangkara Manado. This was a retrospective descriptive study using secondary data of medical records of live persons. The most common type of violence cases on children, type of injury, and location of injury were the variables of this research. Conclusions: The types of violence found on children were sexual violence and abuse. The types of lesion found were bruises, torn wounds, abrasions, swellings, and bleeding in pubic hollows. The most found location of injury in violence cases on children was the left eye area.Keywords: injury patterns, physical violence on children.Abstrak: Kekerasan pada anak punya angka kejadian yang tinggi di Indonesia. Jumlah tersebut, apabila dibandingkan dengan jumlah anak menujukkan besarnya korban kekerasan pada anak yang mencapai 3 persen. Yang berarti setiap 1000 anak, terdapat sekitar 30 anak yang berpeluang menjadi korban tindak kekerasan. Kasus kekerasan pada anak ini cukup meresahkan masyarakat, karena semakin meningkatnya kasus-kasus kekerasan pada anak yang didapat tiap tahunnya. Untuk meningkatkan kemampuan deteksi kasus kekerasan pada anak bagi para dokter melalui pola cedera kekerasan pada anak. Pengambilan data dilakukan di RS. Bhayangkara Manado periode tahun 2013. Metode penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder yaitu rekam medis orang hidup. Jenis kekerasan yang paling sering terjadi pada kasus kekerasan anak, jenis cedera dan letak cedera sebagai Variabel penelitian. Simpulan: Jenis-jenis kekerasan yang ditemukan pada anak berupa kekerasan seksual dan penganiayaan. Jenis cedera yang ditemukan berupa memar, luka robek, luka lecet, bengkak dan pendarahan liang kemaluan. Letak cedera terbanyak yang ditemukan pada kasus kekerasan pada anak terdapat pada bagian mata kiri.Kata kunci: pola cedera, kekerasan fisik pada anak.

scholarly journals Epidemiology of primary brain tumors in dr. Kariadi Hospital Semarang in 2015-2018

2019 ◽  
Vol 125 ◽  
pp. 16004
Author(s):  
Rahmi Ardhini ◽  
Dodik Tugasworo
Keyword(s):  
Brain Tumors ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Primary Brain Tumor ◽  
Brain Parenchyma ◽  
Coastal Areas ◽  
Common Type ◽  
Peak Incidence ◽  
Primary Brain Tumors ◽  
Common Location

Background: Primary brain tumors are neoplasm originated from brain parenchyma and its surrounding structures. Although primary brain tumors is only 1,4% of all cancers, they causes significant morbidity and mortality. Objective: To study the epidemiology of primary brain tumors in Dr. Kariadi General Hospital Semarang between 2015 and 2018. Methods: a descriptive epidemiological study taken from medical records of hospitalized patients with primary brain tumors during 2015 - 2018. The data includes demographic characteristics and clinical characteristics. Results: There were 175 suspected cases of primary brain tumor, 38.3% occurred in males and 61.7% in females. The peak incidence is in 41-50 years (34.3%). 61.1% live in coastal areas. The frequent symptoms is headache (44.9%), with the most common location was in the frontal lobe (17.7%). The most common type was meningioma (24.5%). Meningioma were more common in females (90.7%), whereas glioma were more common in males (60%). 46.3% patients experienced clinical improvement at the time of discharge. Conclusions: The incidence of primary brain tumors are more common in females, the peak incidence are age 41-50 years, and most of them live in coastal areas.

scholarly journals Primary seminoma arising in the posterior mediastinum: a diagnostic challenge

2021 ◽  
Author(s):  
Sara Parini ◽  
Paolo Spina ◽  
Esther Papalia ◽  
Renzo Boldorini ◽  
Michele Abruzzese ◽  
...  
Keyword(s):  
Incidental Finding ◽  
Germ Cell Tumors ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Posterior Mediastinum ◽  
Anterior Mediastinum ◽  
Tracer Uptake ◽  
Pathology Report ◽  
Diagnostic Challenge ◽  
Complete Excision

Primary mediastinal germ cell tumors are a rare finding, and one third of them are seminomas. Seminomas are found in the anterior mediastinum, whereas they are extremely rare within the posterior compartment. Most clinicians would not consider a primary seminoma in the differential diagnosis of a posterior mediastinal mass, as only two cases have been reported in literature. Here we present the case of a 57-year-old male with a primary seminoma arising in the left posterior mediastinum. He was asymptomatic and the mass was an incidental finding. Positron emission tomography (PET) revealed a small area with an avid tracer uptake. Transthoracic needle aspiration led to a non-diagnostic result. Due to the strong suspect of malignancy, a surgical excision was chosen to obtain a diagnosis. He underwent complete excision, and pathology report demonstrated a mediastinal seminoma. Subsequent further staging did not reveal any other location of the disease. Given the complete excision of the primary tumor, active surveillance was the treatment of choice. The patient is free of disease 48 months after diagnosis.

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