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PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Nonsurgical treatment of an incompletely excised primary adenocarcinoma of nonpigmented ciliary epithelium (Tumori. 2007 Sep-Oct;93(5):514-7.). Authors are Lee SW Park SH Kim IH et al. Primary adenocarcinoma of the nonpigmented ciliary epithelium (NPCE) is a very rare disease and the majority of acquired cases were treated by enucleation. We report the case of a 19-year-old man who had an adenocarcinoma arising from the NPCE. The tumor was found incidentally due to changed pupil shape. Because of the positive resection margin and to save the eye, radiotherapy rather than enucleation was performed, followed by chemotherapy. Two years after the diagnosis, the patient continues to be followed up without evidence of relapse or cataract change. To access the full abstract of the article, click here.

PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Hepaticolithiasis: Rare benign disease of the intrahepatic bile ducts ( Chirurg. 2007 Nov 28; ). Authors are Knorr C Dimmler A Hohenberger W et al., from the Chirurgische Universitätsklinik mit Poliklinik , Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland. Hepaticolithiasis is a rare disease of the intrahepatic bile ducts endemic to east Asia which also is known as oriental cholangiohepatitis. Beside strictures and metabolic disturbance, the main cause of intrahepatic stones is acquired or congenital malformation of the intrahepatic biliary ducts. In the following we show a case of hepaticolithiasis and concurrent pancreatic metaplasia. To access the full abstract of the article, click here.

PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Adrenocortical carcinoma: Diagnostic work-up and treatment (Urologe A. 2007 Nov 22). Authors are Johanssen S, Brix D et al., from the Schwerpunkt Endokrinologie und Diabetologie, Medizinische Klinik und Poliklinik I, Universitätsklinik, Würzburg, Deutschland. Adrenocortical carcinoma (ACC) is a rare disease with poor prognosis. Preoperatively, a thorough hormonal work-up is mandatory, as the hormonal status may influence the perioperative management and may also provide marker hormones for monitoring of tumour recurrence. CT and MRI are equally sensitive and specific imaging tools for adrenal tumours. Open adrenalectomy via a flank or thoracoabdominal approach is the standard surgical technique. Intraoperative tumour spillage should be carefully avoided. Even after R0 resection, recurrence of the disease is frequent and regular follow-up for a minimum of 5 years is required. In advanced ACC, the treatment of choice is mitotane with or without cytotoxic chemotherapy To access the full abstract of the article, click here.

PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Pelvic actinomycosis presenting with a large abscess and bowel stenosis with marked response to conservative treatment: a case report. (J Med Case Reports. 2007 Nov 21;1(1):141). Authors are Nozawa H Yamada Y Muto Y et al.. Pelvic actinomycosis is a rare disease that can result in abscess formation, bowel obstruction, and other serious complications. The correct diagnosis can seldom be established before radical surgery because the disease often mimics pelvic neoplasms. Pelvic actinomycosis is associated with long-term use of an intrauterine contraceptive device. We report a woman with a long-standing intrauterine contraceptive device who complained of symptoms mimicking large bowel ileus with a subacute course.A cervical Papanicolaou smear disclosed Actinomyces species.The intrauterine device was removed. High-dose ampicillin administration led to dramatic shrinkage of the abscess and improved bowel movement. To access the full abstract of the article, click here.

PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Clinical, pathological and radiological evaluation of disseminated Langerhans’ cell histiocytosis in a 30-month-old boy. (Dentomaxillofac Radiol. 2007 Dec). Authors are Baltacioglu E Senel F Ozen B et al., from the Department of Periodontology, Faculty of Dentistry, Karadeniz Technical University, 61100 Trabzon, Turkey. Langerhans’ cell histiocytosis is a rare disease characterized histologically by the proliferation of Langerhans’ cells. Oral involvement is frequent and the disease simulates severe localized periodontitis. In this report, we present a case of disseminated Langerhans’ cell histiocytosis in a 30-month-old boy who had a mass covering the entire maxillopalatine region and suffered severe periodontal destruction in the posterior maxilla and mandible. We discuss the radiological, histopathological and immunohistochemical findings. To access the full abstract of the article, click here.