Axiale Spondyloarthritis erkennen

Magrey MN, Danve AS, Ermann J et al. Recognizing Axial Spondyloarthritis: A Guide for Primary Care. Mayo Clin Proc 2020; 95: 2499–2508. doi:10.1016/j.mayocp.2020.02.007

Sigmoid Adenocarcinoma with Regional Scrotal Metastasis

Colorectal cancer is a common disease, representing the third and second most common cause of cancer death in the United States in women and men, respectively. [Ahnen et al.: Mayo Clin Proc 2014;89: 216–224; Siegel et al.: CA Cancer J Clin 2016;66: 7]. It is estimated that 20% of patients have distant metastatic disease at time of diagnosis [Ahnen et al.: Mayo Clin Proc 2014;89: 216–224; Siegel et al.: CA Cancer J Clin 2016;66: 7]. The most common metastatic sites include regional lymph nodes, liver, lungs, and peritoneum via lymphatic/hematogenous dissemination as well as contiguous and transperitoneal routes [Ahnen et al.: Mayo Clin Proc 2014;89: 216–224; Siegel et al.: CA Cancer J Clin 2016;66: 7]. Upon review of the literature, we found that metastatic colon cancer to the scrotum is rare. The following case report proved to be a unique example of this type of metastasis. This rare regional metastasis is theorized to have resulted from a colo-urethro-scrotal fistula that precipitated from the patient’s prior traumatic event.

Alveolar Microlithiasis

• Appearance is that of flicking a toothbrush dipped in paint • One-third of patients are asymptomatic • Good example of how far lung goes down behind diaphragm • A picture says it all, except what causes it! Mayo Clin Proc. 1983 May;58(5):290–300. Used with permission of Mayo Foundation for Medical Education and Research....