the old woman of the mountain

... the breast is an uncommon discovery The aim of this case report is to highlight the importance of the surgical procedure in cases of the discovery of dermatofibrosarcoma protuberans Re-excision ... Vaudois, Lausanne, Suisse Full list of author information is available at the end of the article Case presentation We present here the case of a 75-year -old Caucasian woman, who 21 years ago underwent ... exploration identifies the lesion in the dermis or subcutaneous tissue and the use of Doppler shows hypervascularization of the area [3] Even in a patient receiving anticoagulation therapy, core biopsy...

Ngày tải lên: 10/08/2014, 23:20

... writing of the manuscript MJW oversaw the study and assisted with the writing of the manuscript All authors read and approved the final version of the manuscript Competing interests The authors ... in the design of the study, assisted in the literature search and wrote and revised the manuscript DF was involved in the design of this study, performed the literature search and assisted in the ... use of antibiotics in the absence of bacterial co-pathogens and, in some instances, the use of specific antiviral therapy Two patients in our series [8-26] received the antiviral agent cidofovir,...

Ngày tải lên: 10/08/2014, 23:21

... images A copy of the written consent is available for review by the Editor-in-Chief of this journal Figure Image of the totally excised hydatid cyst Acknowledgements The authors thank the patient ... regions where the disease is endemic The best treatment is the total excision of the cyst with an intact wall Consent Written informed consent was obtained from the patient for publication of this ... involvement, the size of the cyst, and the pressure caused by the enlarged cyst [1] Usually, it presents as an inert, painless, non-inflammatory mass without any deterioration of the patient’s...

Ngày tải lên: 10/08/2014, 23:21

... made The possibility of a primary ectopic meningioma was also considered on the basis of the findings of the whorling arrangement of cells and intra-nuclear inclusion Intra-operatively, the submandibular ... tumors of the CNS that arise from the arachnoid cells of the meninges Rarely, these meningiomas appear in extra-cranial and extra-spinal areas, where they are known as ectopic meningiomas Their ... meningiomas [4,5] The findings of psammoma bodies in our patient further strengthened the diagnosis Four microscopic patterns of meningiomas are recognized: (1) the syncytial type, consisting of a uniform...

Ngày tải lên: 10/08/2014, 23:21

... regardless of the degree of resection The optimal management of local recurrence is indicated by the size of the recurrence and the overall systemic disease burden present at the time of recurrence ... (MFH), on the basis of imaging findings Of these tumors, liposarcoma is one of the most common primary neoplasms in the retropenitoneum The lipoma-like component may lead to a diagnosis of liposarcoma, ... injection of contrast material with several tortuous enhanced vessels around the tumor, which indicate the vascular origin of the tumor The uncertainty of the rectal origin reflects the large...

Ngày tải lên: 10/08/2014, 23:22

... examination of the patient This chest CT showed pleural effusion on the right pulmonary base The patient was discharged from the hospital and returned to the outpatient clinic twice - the first ... positive skin pathergy test A vaginal histopathology of the lesion showed nonspecific chronic inflammatory process The chest radiograph and computed tomography examination of the patient showed ... presentation A 25-year -old Afro-Brazilian woman was hospitalized in a public hospital with the following complaints: ascites, dyspnea after exercise, and the development of veins and edema in the abdominal...

Ngày tải lên: 11/08/2014, 00:22

... (after the first cycle of chemotherapy) was 646 mIU/mL Her vaginal bleeding and urinary symptoms resolved after the first cycle of chemotherapy After seven cycles of EMA/CO chemotherapy her b-hCG ... obtained from the patient for publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Page of Acknowledgements ... article, and wrote 30% of the article They also helped in editing the article All authors read and approved the final manuscript Competing interests The authors declare that they have no competing...

Ngày tải lên: 11/08/2014, 02:22

... VIII, and protein S increases the action of protein C [17] The SMA normally serves as the primary arterial supply of the jejunum, the ileum, and the colon to the level of the splenic flexure [7] Ottinger ... examination of the bowel and artery (for example, palpation of the vessels, inspection of the bowel, and evaluation of the anastomosis) Moreover, the second-look and other laparotomies suggest the performance ... between the site of the occlusion, the extent of the infarcted areas, and the prognosis [7] To explain this concept, we can divide the SMA into four regions [7] The first portion is the artery...

Ngày tải lên: 11/08/2014, 03:20

... of the pericardial tissue demonstrated that the vast majority of the lymphocytes were CD5 (+) (Figure 3) and CD20 (+) B-cells, with a minority of lymphocytes being CD3 (+) T-cells Together, the ... because the diagnosis of leukemia was unknown, pericardiocentesis was performed without chemotherapy and has provided sustained relief of her dyspnea for the past year Conclusion To the best of our ... this is the first reported case of CLL presenting as pericardial tamponade The diagnosis was confounded by the similarities to tuberculous pericarditis and the modest degree of leukocytosis The appearance...

Ngày tải lên: 11/08/2014, 03:21

... of the pericardial tissue demonstrated that the vast majority of the lymphocytes were CD5 (+) (Figure 3) and CD20 (+) B-cells, with a minority of lymphocytes being CD3 (+) T-cells Together, the ... because the diagnosis of leukemia was unknown, pericardiocentesis was performed without chemotherapy and has provided sustained relief of her dyspnea for the past year Conclusion To the best of our ... this is the first reported case of CLL presenting as pericardial tamponade The diagnosis was confounded by the similarities to tuberculous pericarditis and the modest degree of leukocytosis The appearance...

Ngày tải lên: 11/08/2014, 07:20

... characterized myofibrosarcoma or myofibroblastic sarcoma as a spindle cell sarcoma composed of myofibroblasts In their study, they showed that the myofibroblasts stained positively for at least one of the ... in the literature would help clinicians define this entity better Table 1: Summary of reported cases of myofibroblastic sarcoma of the bone Authors No of cases Age/Gender Site of tumour Size of ... course Both patients who died of their disease were treated by wide resection with radiotherapy and/or chemotherapy Due to the unpredictable behaviour of their disease, these patients had to be kept...

Ngày tải lên: 11/08/2014, 12:20

... revisions of the samples, one by the Pathology Department of "M Malpighi" Hospital in Bologna and one by the Pathology Department of the Oncologic Institute in Milan (IEO) confirmed the diagnosis ... carcinoma of the breast: report of a case and review of the literature Histopathology 2001, 38:277-278 10 Salmo EN, Connolly CE: Primary small cell carcinomas of the breast: report of a case ... neuroendocrine cancer of the breast is a rare tumor with fewer than 30 cases reported in the literature The morphological and immunohistochemical patterns of this tumor are similar to SCNC of the lung [5]...

Ngày tải lên: 11/08/2014, 12:20

... those soldiers we have so often seen together at the ports, where they were waiting to embark,- lying down, indifferent, half upon one element, half upon the other They were neither at the place ... step of the servant who came to the door of his chamber to watch the sleeping or waking of his master It sometimes happened that he forgot that the day had half passed away, that the hours for the ... the chamber of the patient, and implored him not to show himself, in the fear of displeasing their master, who had not asked for a physician The doctor obeyed: Athos was a sort of model for the...

Ngày tải lên: 03/07/2014, 10:21

... in the same distance (about m) from the stem of five selected trees The cylinder of the soil probe used for this purpose had the inner diameter of cm and the height (depth of space sampled) of ... created in the programme Microsoft Excel For further processing of data, various modules of Statistica 6.0 (StatSoft Inc.) were used The correlation was tested at the levels of significance of 0.05, ... and in the first half of the 1980s the health conditions of stands gradually worsened In the period after 1988 health improvement and decline of the stands alternated in individual years In the...

Ngày tải lên: 07/08/2014, 03:22

... the arithmetical mean of SO2 was in the interval of 3.0–4.9 µg/m3 (mean value 4.0 μg/m3, i.e 20% of the limit) Except for the growing season the arithmetical mean of SO2 was in the interval of ... arithmetical mean of NO x was in the interval of 4.5 to 6.5 μg/m3 (mean value 5.7 μg/m3, i.e 19% of the limit) Except for the growing season the arithmetical mean of NOx was in the interval of 8.0–11.2 ... exist a lot of data on the liming effect on the soil chemistry changes but data on the liming effect on the mineral nutrition of forests are scarce Thus, the mineral nutrition of mountain Norway...

Ngày tải lên: 07/08/2014, 10:21

... counts, of them were plastic-bagged for wk, starting at the beginning of treatments treatment the terminal and subterminal measured in the fall on each selected branch and their total number of male ... subterminal shoots of the lower whorl as opposed to 48.6 and 67% for the higher whorl, respectively) Even if female flowering of Norway spruce was generally located at the very top of the tree, these differences ... the text for the analyzed factors) and Duncan’s test The family effects The shoots are not length of were presented Norway spruce here Results and Discussion Douglas and female flowering On the...

Ngày tải lên: 09/08/2014, 04:20

... indicate the extent of the injury The woman described in this case report had a small penetrating injury of the eyelid and commotio retinae However, CT and MRI of the orbit and brain showed that the ... the eyelid, and the force was great enough to damage the eye and rupture the posterior orbit wall Bone fragments were detected in the midbrain, and they were probably the cause of the edema These ... apparent in the superior orbital wall (Figure 2b) MRI on the same day demonstrated edema of the head of the caudate nucleus and putamen, and the edema extended to the hypothalamus, where the bone...

Ngày tải lên: 11/08/2014, 14:21

... total in the first year studied was above the long term average (i.e 643 mm for the period of 1957–2000, Hadaš 2002), the next two years were under the long term average from the point of view of precipitation ... According to the Tolasz (2007) the average annual number of days with fog exceeds 150 at the locality of Bílý Kříž The contribution of fog as a water source to the water budget of forest ecosystems ... order to shield the samples from solar radiation and to hold the funnels approximately m above the ground There were collectors randomly distributed at the mountain spruce stand and at the highland...

Ngày tải lên: 07/08/2014, 10:21

... characterised by the presence of non-epithelial cellular elements [3] The initial core biopsy of our case raised suspicion of adenosquamous carcinoma However, due to the inherent limitations of the core ... View of one of the radiating arms of the lesion A view (×20) of one of the radiating arms of the lesion showing parenchymal tissue separated by a diagonal band of infiltrative cellular stromal ... from the patient for publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Competing interests The...

Ngày tải lên: 09/08/2014, 03:21

... tissues of the valve The imbalance of calcification in the three leaflets can cause imbalance of the tension between these leaflets, increasing the risk of leaflet tear [6,7] In our patient, the ... durability of the valve in the mitral position, with no evidence of SVD at 10 years [8] If this is true, the different pattern of SVD of the CEP valve, especially the occurrence of the tear, may ... radiograph, while the other two leaflets showed calcification The differential calcification of the leaflets of the same CEP valve is thought to be related to the different bovine origin of the component...

Ngày tải lên: 10/08/2014, 09:21