News
131 entries in total
Rak nerki - interesująca regresja zmian metastatycznych po embolizacji, nefrektomii i radioterapii
Kidney cancer accounts for about 3% of all malignant tumors. It mainly affects patients 60-70 years old, more often men than women. The mainstay of treatment is nephrectomy, and renal artery embolization is used as palliative therapy. Combined treatment uses immunotherapy and modern targeted therapy.
Life threatening bleeding from metastatic testicular cancer in the liver
Malignant tumors of the testicle are rare cancers - they account for only 1.5% of all malignancies malignant neoplasms, however, they are the most common solid tumor in 25-40 year old men. They constitute a diverse histologically a group of diseases. Most are characterized by high malignancy and an aggressive clinical course clinical course, and are usually sensitive to chemotherapy and radiotherapy.
Platelet Rich Plasma application in a bone loss case
Platelet rich plasma (PRP - Platelet Rich Plasma) is a concentrated volume of platelets dispersed in a small volume of plasma containing platelet-rich growth factors, used based on the based on the concept of orthobiologics. The strategy for using PRP is to use the patient's own blood as a a means of stimulating the regenerative processes of both soft tissue and bone tissue
Left side pneumothorax as a first symptom of mediastinitis
The case of a 29-year-old patient with a late diagnosed mediastinal abscess is presented. The symptom that drew attention to this possibility was a left-sided pneumothorax. Two weeks earlier, the patient had had an inflamed mandibular sixth molar removed. On the day of admission, alveolar hemorrhage occurred. An ad hoc revision of the alveolus, and tooth VII was removed. The neck abscess was incised. Pleural drainage was obtained to expand the lung. In the further course, massive alveolar hemorrhages occurred a couple of times. Repeat alveolar revisions and three times the branches of the external carotid artery were surgically supplied. The last operation was followed by a massive hemorrhage. As it was determined - from the mediastinum. By means of an emergency sternotomy an aortic lesion at the left carotid artery outlet was visualized, which was sutured. The mediastinitis was controlled with drainage and antibiotics, achieving a cure.
Bilateral lung tumors - what to do?
Tumors were detected in a 59-year-old male long-term smoker with no significant past medical history of both lungs. A bronchoscopy was performed, which showed bronchial stenosis on the right side to segment 9 by a submucosal infiltration. Cytological examination of the brush biopsy smear and histopathological examination of the sections from the lesion yielded a diagnosis of squamous cell carcinoma. Due to the equivocal nature of the left lung lesion on CT scan, a PET-CT was performed. The result of the study: SUVmax of right lung cancer = 1.9; left lung tumor = 8.8.It was decided to perform thoracotomy left-sided thoracotomy. An ad hoc intraoperative cytological examination of the left lung tumor impression revealed non-small cell carcinoma cells. The lower lobe was removed along with the mediastinal lymph nodes. After two months, a video-guided right lower lobectomy with mediastinal lymphadenectomy was performed. Histopathological examination of the right lung revealed pre-invasive squamous cell carcinoma while the left lung was diagnosed as squamous cell carcinoma with an intermediate grade of cell differentiation (G2). Taking into account the criteria of Martini and Melamed, bilateral synchronous foci of of primary cancer.
Is insulin therapy always needed for diabetes treatment in children?
In children, the main cause of diabetes is type 1 diabetes.Other types of diabetes found in children can be type 2 diabetes and other specific causes of diabetes such as drug-induced diabetes, diabetes accompanying cystic fibrosis, or diabetes caused by a defect in a single gene (type 3).
Hemophagocytic lymphohistiocytosis - when an exaggerated immune response escapes control mechanisms
Hemophagocytic lymphohistiocytosis (HLH) is a syndrome resulting from an exaggerated inflammatory reaction. HLH can be triggered by a variety of congenital and acquired factors. The most common symptoms of HLH are persistent fever, splenic enlargement and cytopenias in the peripheral blood. Laboratory findings include hyperferritinemia (often >10000 μg/L) and elevated levels of soluble receptor for interleukin-2. Without appropriate treatment, HLH leads usually to the death of the patient.
Hemofiltration in patient with cardio-renal syndrome type 2 in the course of preparation for revascularization procedure
Renal failure occurs in about one-third of patients with acute heart failure and in about 25-40% of patients with chronic heart failure. Damage to one of these organs can secondarily lead to abnormal function of the other, which underlies the pathophysiology of CRS cardiac-renal syndrome.
Diabetic foot infection - the need of optimal treatment to avoid amputation. A case report.
Diabetic foot complicated by ulcer infection is one of the most common problems associated with diabetes. The clinical symptoms accompanying the infection are mostly poor, leading to a delay in correct diagnosis. As a result, unfortunately, there are still often in patients to amputation of a limb. The clinical case presented here, a 73-year-old patient with multiple concomitant diseases, is an example of how, through appropriate treatment of an infection first assessed as an indication for amputation, this could have been avoided. The use of appropriate antibiotic therapy based on clinical assessment of the wound, swab results, and the patient's general condition, along with systematic wound debridement, formed the basis for therapeutic success. A number of diagnostic tests, such as imaging of the foot (X-ray), vascular status (pulse evaluation, ultrasound Doppler), laboratory (including deep wound cultures, inflammatory indicators). Since this problem affects many medical fields, it is important to cooperate between specialists in the diagnosis and treatment of this condition.
The rare case of thyroid associated orbitopathy in patient with long-term Hashimoto thyroiditis
Thyroid-associated orbitopathy (TAO) is a syndrome of ocular symptoms ocular symptoms caused by autoimmune inflammation of the soft tissues of the orbit leading to temporary or permanent damage to the organ of vision. It usually accompanies hyperthyroidism, but does not exclude the existence of hypothyroidism.