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Case Reports
Delayed liver metastasis of a meningeal solitary fibrous tumorPrice: €10,00 |
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Solitary fibrous tumors (SFT’s) are rare soft tissue neoplasms of
mesenchymal origin, most commonly reported in the thoracic cavity.
They exhibit an aggressive and infiltrative nature and have a
tendency to recur either locally or distantly, the latter typically
being a late event. Primary therapy consists of complete excision
and prognosis is poor in case of recurrence. In this manuscript, we
discuss the imaging features and treatment options for a patient
presenting with delayed liver metastasis ten years after treatment
for a meningeal SFT. (Acta gastro enterol. belg., 2011, 74, 567-569). [Product Details...] |
Hepatic rhabdomyosarcoma in an adult : a rare primary malignant liver tumor. case report and literature reviewPrice: €10,00 |
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Rhabdomyosarcomas are malignant tumors that display features
of striated muscle differentiation. They are the most common
soft-tissue sarcomas among children and young adults. In mature
adults however there are very rare. The liver as a primary site in
adults has only been described in 12 cases.
We report a case of a primary alveolar rhabdomyosarcoma of
the liver in a 59 year old female, confirmed by histological examination
using immunohistochemical analysis (positive actin, desmin,
vimentin and myogenin staining) and fluorescent in situ hybridization
(FISH) analysis (positivity for PAX3/FOXO1A fusion). The
patient underwent primary surgical resection, but presented a few
weeks after surgery already with recurrent disease in the abdomen
and bone metastasis. Despite initial good response to chemotherapy
(doxorubicin/ifosfamide) and stable disease at 12 months after
diagnosis, the patient died 31 months after the first presentation
secondary to complicated abundant abdominal recurrent disease.
We further present a review of the literature on published
similar cases since 1979. (Acta gastro enterol. belg., 2011, 74, 576-
581). [Product Details...] |
Mechanical ileus caused by a tablet of Tralgit SR 100 stuck in a stenotic rectum affected by carcinoma : case report and literature surveyPrice: €10,00 |
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A patient with an advanced carcinoma in the recto-sigmoideum
was taken for urgent operation because of abdominal pain, significant
distension of colon, clinical symptoms and radiological proofs
of ileus. The cause of the complete obstruction of the proximal rectum
which was significantly narrowed by a tumour was one tablet
of Tralgit SR 100, which had been administered to the patient for
4 weeks after osteosynthesis of the right femur neck following fracture.
According to the radiologist between 45 and 50 tablets of the
medicament had been found in the digestive tract. The mechanical
ileus was solved by operation according to Hartmann. This case
has two aspects : 1) surgical – mechanical ileus resulting from a
rare set of circumstances, and 2) pharmacological and metabolic –
disorder of medicament absorption in the digestive tract. The cause
of maldigestion (disorder of absorption) of the Tralgit tablets is further investigated. (Acta gastro enterol. belg., 2011, 74, 564-566). [Product Details...] |
Montelukast as a treatment modality for eosinophilic gastroenteritisPrice: €10,00 |
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Eosinophilic Gastroenteritis (EG) is a rare condition, caused by
eosinophilic inflammatory infiltrates in the gastrointestinal tract.
It is usually treated successfully with systemic glucocorticoids.
Because of frequent relapses, however, there is need for alternatives.
We describe a 38-year old man with steroid-dependent EG, who
was successfully treated with montelukast, a leukotriene receptor
antagonist. It inhibits leukotriene D4, an important cytokine in the
inflammatory cascade. Although montelukast could not replace
steroid therapy, it acted as a steroid sparing agent in our patient.
Review of the literature shows that montelukast is efficient in the
treatment of EG in a part of the patients. The low cost, the low
number of side effects and its efficiency make it an interesting
alternative in relapsing or steroid dependent EG. There is need for
multicentric studies regarding the treatment of EG. (Acta gastro -
enterol. belg., 2011, 74, 570-575). [Product Details...] |
Solid pseudopapillary tumor of the pancreas in a pregnant womanPrice: €10,00 |
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Solid pseudopapillary tumor (SPT) of the pancreas is a rare neoplasm
of low malignant potential that mostly affects young women
in the second or third decade of life. The number of such patients
reported in the literature has increased in recent years, while SPT
in pregnancy is extremely rare. To the best of our knowledge, only
one case of SPT in pregnancy has been reported in the English-language
literature. We herein report a case of asymptomatic SPT in
a 26-year-old Chinese female in the 14th week of pregnancy, and
present our experience of the surgical management of SPT in pregnancy.
(Acta gastro enterol. belg., 2011, 74, 560-563). [Product Details...] |
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Acta gastroenterologica is abstracted/indexed in Current Contents, Excerpta Medica, Index medicus, ISI.
Published by © Universa Press, Wetteren, Belgium. All rights reserved.
Published by © Universa Press, Wetteren, Belgium. All rights reserved.