Localized IgG4-related Cholecystitis Mimicking Gallbladder Cancer
|
|
- Robyn Craig
- 5 years ago
- Views:
Transcription
1 CASE REPORT Loclized IgG4-relted Cholecystitis Mimicking Gllldder Cncer Tdhis Inoue 1, Fumihiro Okumur 1, Tkshi Mizushim 1, Hirotd Nishie 1, Hiroysu Iwski 1, Kiki Ane 1, Tknori Ozeki 1, Kent Kchi 1, Shigeki Fukusd 1, Yut Suzuki 1, Kzuko Wtne 2 nd Hitoshi Sno 1 Astrct We encountered cse of loclized IgG4-cholecystitis mimicking gllldder cncer with focl/segmentl type1 utoimmune pncretitis (AIP). In this cse, we were unle to exclude dignosis of gllldder cncer nd thus performed rdicl cholecystectomy. Type1 AIP is often ssocited with gllldder lesions, ccompnied y generlly diffuse, circumferentil thickening of the gllldder wll. Although loclized IgG4- relted cholecystitis is extremely rre, differentiting this condition from gllldder cncer is often very difficult. Key words: IgG4-relted cholecystitis, IgG4-relted disese, utoimmune pncretitis, gllldder neoplsms, denomyomtosis (Intern Med 54: , 2015) () Introduction In ptients with utoimmune pncretitis (AIP), vrious other orgns my e involved, with pthologicl findings similr to those oserved in the pncretic tissue. The condition IgG4-relted disese (IgG4-RD) is recently descried entity (1), nd IgG4-relted cholecystitis hs een noted s mnifesttion of IgG4-RD in the gllldder (2, 3). In generl, IgG4-relted cholecystitis is ssocited with IgG4- sclerosing cholngitis (IgG4-SC), which presents with diffuse, circumferentil thickening of the gllldder wll (3). Although this disese is extremely rre, cse of loclized IgG4-relted cholecystitis hs een reported (4). Differentiting loclized IgG4-relted cholecystitis from gllldder cncer is often very chllenging. We herein present cse of loclized IgG4-relted cholecystitis without ile duct lesions in which estlishing definitive dignosis sed on imging results ws very difficult. We elieve tht the present cse provides useful informtion for mnging ptients in whom IgG4-relted cholecystitis is suspected. In this report, we descrie the current cse with review of the literture. Cse Report A Jpnese womn in her sixties visited our hospitl for n evlution of gllldder tumor detected on dominl ultrsound (US) during medicl exmintion. She hd no symptoms nd hd neither relevnt medicl nor contriutory fmily history. The serum IgG4 level ws elevted t 813 mg/dl (norml rnge, 4.8 to 105 mg/dl) (Tle), while the levels of tumor mrkers, including crcinoemryonic ntigen (CEA) nd crohydrte ntigen 19-9 (CA19-9), were within the norml rnges. Adominl US reveled mm solid tumor t the fundus of the gllldder (Fig. 1) nd 40-mm low-echoic tumor in the pncretic til (Fig. 1). In ddition, computed tomogrphy (CT) of the domen disclosed loclized, delyed-enhnced tumor in the gllldder (Fig. 2, ). The pncretic til tumor exhiited delyed enhncement; however, the extent of enhncement ws less thn tht oserved in the surrounding pncres (Fig. 2c, d). There were no normlities in ny other orgns, e.g., the ile duct, lymph nodes, slivry glnds or kidneys, nd mgnetic resonnce cholngiopncretogrphy Deprtment of Gstroenterology, Gifu Prefecturl Tjimi Hospitl, Jpn nd Deprtment of Pthology, Gifu Prefecturl Tjimi Hospitl, Jpn Received for puliction Octoer 27, 2014; Accepted for puliction Decemer 18, 2014 Correspondence to Dr. Tdhis Inoue, tinoue-tg@umin.c.jp 1869
2 Tle. Lortory Findings. WBC 4,200 / L Totl protein 7.7 g/dl CEA 1.75 ng/ml RBC / L Alumin 4.2 g/dl CA U/mL Hemogloin 12.6 g/dl AST 10 IU/L Pltelets / L ALT 15 IU/L IgG 1,725 mg/dl ALP 187 IU/L IgG4 813 mg/dl Totl iliruin 0.47 mg/dl BUN 14.8 mg/dl Cretinine 0.71 mg/dl N 141 meq/l K 4 meq/l Cl 106 meq/l CRP 0.17 mg/dl WBC: white lood cells, RBC: red lood cells, AST: sprtte minotrnsferse, ALT: lnine minotrnsferse, ALP: lkline phosphtse, BUN: lood urenitrogen, CRP: C-rective protein, CEA: crcinoemryonic ntigen, CA19-9: crohydrte ntigen 19-9, IgG: immunoglouling Figure 1. Adominl ultrsound (US) reveled solid tumor (rrows) t the fundus of the gllldder () nd low-echoic tumor (rrow) in the pncretic til (). showed no normlities in the ile duct (Fig. 3), lthough the min pncretic duct of the pncretic til ws not detected. Endoscopic ultrsonogrphy (EUS) reveled solid, loclized tumor in the fundus of the gllldder (Fig. 4) s well s hypoechoic nd heterogeneous tumor in the pncretic til with nrrowing of the min pncretic duct cused y the tumor (Fig. 4). No normlities of the ile duct, including thickening of the wll, were detected on EUS. Endoscopic retrogrde cholngiopncretogrphy reveled long segment of nrrowing long the min pncretic duct in the pncretic til (Fig. 5). Bsed on the these results, we suspected the pncretic til tumor to e focl/segmentl AIP. This led to the specultion tht the gllldder tumor ws lesion of IgG4- relted cholecystitis, lthough the possiility of gllldder polyps (e.g., hyperplstic polyps nd gllldder denom) ws lso considered during the differentil dignosis. However, we could not exclude dignosis of gllldder cncer ecuse the tumor ws loclized nd no thickening of the gllldder wll, except in the fundus, or ile duct lesions were detected, including signs of stenosis or dilttion. Therefore, rdicl cholecystectomy with simultneous spirtion iopsy of the pncretic til tumor ws performed. An exmintion of the surgiclly resected specimen demonstrted mm tumor in the fundus of the gllldder (Fig. 6). The excised section contined yellow-white mss, nd multiple smll cystic lesions presenting s denomyomtosis in the tumor were oserved histologiclly. In ddition, histologicl exmintion reveled trnsmurl lymphoplsmcytic infiltrtion, storiform firosis, olitertive phleitis nd undnt IgG4-positive plsm cells (>10 cells per high-power field), with no evidence of mlignncy (Fig. 7). These findings were not oserved in res other thn the gllldder tumor nd regions in the vicinity. The iopsy specimen of the pncretic tumor showed lymphoplsmcytic sclerosing pncretitis without mlignncy, similr to the histologicl findings of the gllldder tumor. The finl pthologicl dignosis ws focl/segmentl type 1 AIP nd IgG4-relted cholecystitis. In the gllldder tumor, trnsmurl IgG4-relted cholecystitis ws interspersed with fundl-type denomyomtosis, nd the IgG4-relted chole- 1870
3 Intern Med 54: , 2015 c d Figure 2. Computed tomogrphy (CT) of the domen reveled mm loclized, delyedenhnced tumor (rrow) in the gllldder (, ). A 40-mm pncretic til delyed-enhnced tumor (rrow) ws identified (c, d). Figure 3. Mgnetic resonnce cholngiopncretogrphy (MRCP) showed no normlities in the ile duct. The min pncretic duct of the pncretic til ws not detected. cystitis covered slightly wider re in the tumor thn the denomyomtosis. Orl prednisolone therpy ws initited fter the surgery, nd the pncretic til findings on CT improved. No signs of recurrence were oserved for three yers fter the initition of prednisolone. Discussion Type 1 AIP is chrcterized y enlrgement of the pn- cres, irregulr nrrowing of the pncretic duct nd n incresed serum IgG4 level (5). Type 1 AIP is systemic disese tht ffects multiple orgns, in ddition to the pncres, including the centrl nervous system, lcriml/slivry glnds, thyroid glnd, lungs, iliry duct, liver, gllldder, gstrointestinl trct, kidneys, prostte glnd, retroperitoneum, skin, rteries nd lymph nodes. Therefore, the term IgG4-RD ws recently coined, nd type 1 AIP is cknowledged to e pncretic lesion of IgG4-RD (1). Bile duct lesions, in prticulr, re frequently ssocited with type 1 AIP, which occurs longside IgG4-SC in pproximtely 60% to 80% of ptients (6, 7). Regrding gllldder lesions, Arhm et l. (2) reported tht 12 of 20 cses (60%) of AIP showed intense inflmmtory infiltrtion of the gllldder wll nd seven of 20 cses (35%) exhiited trnsmurl chronic cholecystitis. In ddition, Kmisw et l. (3) reported tht 10 of 19 cses (53%) of AIP demonstrted severe or moderte thickening of the gllldder wll, s oserved on rdiologicl exmintions, including US nd/or CT, while six of eight ptients (75%) with AIP undergoing surgery showed gllldder wll thickening on histologicl exmintions, including four ptients with firosis, IgG4positive plsm cells nd the trnsmurl inflmmtion of lymphocytes. IgG4-relted cholecystitis is minly ssocited with IgG4-SC (3, 8). In report of iliry lesions in 43 ptients with AIP (8), no gllldder wll thickening ws noted in nine ptients, with no ile duct lesions, wheres 1871
4 Figure 4. () Endoscopic ultrsonogrphy (EUS) reveled solid tumor (rrows) t the fundus of the gllldder. () EUS disclosed hypoechoic nd heterogeneous tumor in the pncretic til with nrrowing of the min pncretic duct (rrow) cused y the tumor. Figure 5. Endoscopic retrogrde cholngiopncretogrphy (ERCP) reveled long segment of nrrowing long the min pncretic duct (rrow) in the pncretic til. 69% (9/13) nd 19% (4/21) of the ptients with extensive ile duct involvement nd lower ile duct involvement only displyed gllldder wll thickening, respectively. In the ove-mentioned report of 19 ptients with AIP (3), ll ptients with gllldder wll thickening lso showed severe stenosis of the extrheptic ile duct. The present cse is extremely rre, s gllldder lesions were detected in the sence of ile duct lesions. Therefore, estlishing definitive dignosis ws chllenging in this cse. In IgG4-RD ptients, mlignnt tumors re often suspected, nd otining the differentil dignosis is often very difficult (9). Most ptients with IgG4-relted cholecystitis exhiit diffuse, circumferentil thickening of the gllldder wll ssocited with IgG4-SC or AIP. Therefore, confirming the dignosis is not difficult in typicl cses of IgG4-relted cholecystitis. However, in ptients with loclized gllldder lesions or inflmmtion extending to the surrounding tissue in the gllldder (mimicking the ppernce of mlignnt tumor), excluding the presence of gllldder cncer is chllenging. To dte, eight cses of IgG4-relted cholecystitis mimicking gllldder cncer hve een reported (4, 10-14). Most of the cses were not dignosed preopertively, nd Figure 6. The gross findings showed mm tumor (rrow) in the fundus of the gllldder. The excised section contined yellow-white mss. surgicl tretment ws therefore performed. To the est of our knowledge, only one cse of loclized gllldder lesion similr to the present cse hs een reported (4). In tht report, the uthors speculted tht the loclized tumor hd developed s result of the comined effects of denomyomtosis nd IgG4-relted inflmmtion. In the present cse, IgG4-relted cholecystitis ssocited with fundl-type denomyomtosis ws oserved, similr to tht seen in the previously reported cse (4). The comined chnges induced y denomyomtosis nd IgG4-relted cholecystitis my promote the development of loclized tumors, thus requiring close dignostic ttention. In the present cse, the pncretic til tumor ws consid- 1872
5 c d Figure 7. Histopthologicl findings of the gllldder tumor. () Inflmmtory cell infiltrtion with firosis (Hemtoxylin nd Eosin (H&E) stining, 100). () The gllldder tumor exhiited storiform firosis (H&E stining, 200). (c) Aundnt IgG4-positive plsm cells were identified within the tumor (immunostining for IgG4, 400). (d) The gllldder tumor showed olitertive phleitis. (Elstic-Msson stin, 200). ered to e lesion of AIP. Therefore, dignostic steroid tril ws initilly considered. However, ccording to the interntionl consensus dignostic criteri for AIP, such trils should e initited only fter otining negtive findings on exmintions for cncer, including endoscopic US-guided fine-needle spirtion (15). It is more difficult to otin tissue for histologicl dignosis preopertively in gllldder lesions thn in pncretic lesions. The detection of AIP or IgG4-SC is n indiction of IgG4-relted cholecystitis; however, IgG4-relted cholecystitis my occur without ile duct lesions, s oserved in the present cse nd previously reported cse without AIP (12). Therefore, even if AIP or IgG4-SC is not oserved when dignosing gllldder lesions, the presence of IgG4-relted cholecystitis should e considered in the differentil dignosis. Hence, mesuring the serum IgG4 level is relevnt. The ccumultion of cses of IgG4-relted cholecystitis will help to clrify the typicl fetures of IgG4-relted cholecystitis on imging, therey ssisting in the differentil dignosis of gllldder cncer. As oserved in the present cse, the detection of delyedenhncement pttern on CT fcilittes the ility to otin definitive dignosis. However, if isolted or loclized gllldder lesions re detected nd the possiility of gllldder cncer cnnot e excluded, it is necessry to consider pproprite tretment strtegies, including surgicl resection. The uthors stte tht they hve no Conflict of Interest(COI). References 1. Umehr H, Okzki K, Mski Y, et l. A novel clinicl entity, IgG4-relted disese (IgG4RD): generl concept nd detils. Mod Rheumtol 22: 1-14, Arhm SC, Cruz-Corre M, Argni P, Furth EE, Hrun RH, Boitnott JK. Lymphoplsmcytic chronic cholecystitis nd iliry trct disese in ptients with lymphoplsmcytic sclerosing pncretitis. Am J Surg Pthol 27: , Kmisw T, Tu Y, Nkjim H, et l. Sclerosing cholecystitis ssocited with utoimmune pncretitis. World J Gstroenterol 12: , Kwkmi H, Eto K, Kuwtni M, Ask M. Loclized lymphoplsmcytic sclerosing cholecystitis in ptient with utoimmune pncretitis. Intern Med 49: , Finkelerg DL, Shni D, Deshpnde V, Brugge WR. Autoimmune pncretitis. N Engl J Med 355: , Ohr H, Okzki K, Tsuouchi H, et l. Clinicl dignostic crite- 1873
6 ri of IgG4-relted sclerosing cholngitis J heptoiliry Pncret Sci 19: , Okzki K, Yngw M, Mitsuym T, Uchid K. Recent dvnces in the concept nd pthogenesis of IgG4-relted disese in the hepto-ilio-pncretic system. Gut Liver 8: , Kmisw T, Tkum K, Anjiki H, et l. Biliry lesions ssocited with utoimmune pncretitis. Heptogstroenterology 56: , Erdogn D, Kloek JJ, ten Kte FJ, et l. Immunogloulin G4- relted sclerosing cholngitis in ptients resected for presumed mlignnt ile duct strictures. Br J Surg 95: , Gums AA, Kim J, Kiehn E, Brink JA, Slem RR. Autoimmune pncretitis presenting s simultneous msses in the pncretic hed nd gllldder. JOP 6: , Leise MD, Smyrk TC, Tkhshi N, Sweetser SR, Vege SS, Chri ST. IgG4-ssocited cholesystitis: nother clue in the dignosis of utoimmune pncretitis. Dig Dis Sci 56: , Shin SW, Kim Y, Jeong WK, et l. Isolted IgG4-relted cholecystitis mimicking gllldder cncer: cse report. Clin Imging 37: , Lee YS, Lee SH, Lee MG, et l. Immungloulin g4-relted disese mimicking unresectle gllldder cncer. Gut Liver 7: , Feely MM, Gonzlo DH, Corer M, Hughes SJ, Trevino JG. IgG4-relted cholecystitis presenting s iliry mlignncy: report of three cses. J Gstrointest Surg 18: , Shimosegw T, Chri ST, Frulloni L, et l. Interntionl consensus dignostic criteri for utoimmune pncretitis: guidelines of the Interntionl Assocition of Pncretology. Pncres 40: , The Jpnese Society of Internl Medicine
A Case of Intraductal Papillary Mucinous Carcinoma in the Head of the Pancreas Associated With Absence of the Duct of Wirsung
CASE REPORT A Cse of Intrductl Ppillry Mucinous Crcinom in the Hed of the Pncres Associted With Asence of the Duct of Wirsung Ismu Mkino, Tkhis Ymguchi, Mitsuyoshi Okzki, Tomohru Miyshit, Hidehiro Tjim,
More informationOverlap of IgG4-related Disease and Primary Biliary Cirrhosis Complicated with Autoimmune Thrombocytopenia
CASE REPORT Overlp of IgG4-relted Disese nd Primry Biliry Cirrhosis Complicted with Autoimmune Thromocytopeni Mik Tksumi 1,2, Msyuki Miyt 1, Mshito Kurod 1, Kumiko Tershim 1, Kzumichi Ae 2, Atsushi Tkhshi
More informationAnus,Rectum and Colon
JOURNAL OF THE Anus,Rectum nd Colon http://journl-rc.jp CASE REPORT Anl Cnl Dupliction Associted with Prescrl Cyst in n Adult Tkyuki Toyong 1), Hiromitsu Mtsud 1), Ryuichi Miu 1), Yohei Toming 1), Keiji
More informationA Rare Manifestation of Solitary Primary Bone Lymphoma of the Finger: a Case Report
pissn 2384-1095 eissn 2384-1109 imri 2018;22:240-244 A Rre Mnifesttion of Solitry Primry Bone Lymphom of the Finger: Cse Report Jeong A Yeom 2, You Seon Song 1 *, In Sook Lee 1, Kyung Un Choi 3, Jeung
More informationHilar cholangiocarcinoma accompanied by pancreaticobiliary maljunction without bile duct dilatation 20 years after cholecystectomy : report of a case
169 CASE REPORT Hilr cholngiocrcinom ccompnied y pncreticoiliry mljunction without ile duct dilttion 20 yers fter cholecystectomy : report of cse Shinichiro Ymd, Mitsuo Shimd, Tohru Utsunomiy, Yuji Morine,
More informationimri 2015;19:
pissn 2384-1095 eissn 2384-1109 imri 2015;19:241-247 http://dx.doi.org/10.13104/imri.2015.19.4.241 Pncretic Arteriovenous Mlformtion s n Unusul Cuse of Chronic Gstrointestinl Bleeding in Ptient with Erly
More informationPrimary extramedullary plasmacytoma of the sigmoid colon with perforation: a case report
Kitmur et l. Surgicl Cse Reports (2018) 4:28 https://doi.org/10.1186/s40792-018-0437-0 CASE REPORT Open Access Primry extrmedullry plsmcytom of the sigmoid colon with perfortion: cse report Fumims Kitmur
More informationNeuroendocrine Carcinoma with an Adenocarcinoma Component on the Ampulla of Vater Causing Acute Pancreatitis: A Case Report
CASE REPORT Neuroendocrine Crcinom with n Adenocrcinom Component on the Ampull of Vter Cusing Acute Pncretitis: A Cse Report Reiko Ymd 1, Kenichiro Nishikw 2, Msshi Kishiwd 3, Hiroyuki Inoue 1, Tkshi Skuno
More informationResults of the Tokyo Consensus Meeting Tokyo Guidelines
J Heptobiliry Pncret Surg (2007) 14:114 121 DOI 10.1007/s00534-006-1163-8 Results of the Tokyo Consensus Meeting Tokyo Guidelines Toshihiko Myumi 1, Tdhiro Tkd 2, Yoshifumi Kwrd 3, Yuji Nimur 4, Mshiro
More informationCase Report Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor
Cse Reports in Medicine Volume 2013, Article ID 235698, 5 pges http://dx.doi.org/10.1155/2013/235698 Cse Report Surgicl Resection of Leiomyosrcom of the Inferior Ven Cv Mimicking Heptic Tumor Junji Ued,
More informationThallium-201 chloride scintigraphy in soft tissue tumors
136 ORIGINAL Thllium-201 chloride scintigrphy in soft tissue tumors Hideki Otsuk, Kori Terzw, Nomi Morit, Yoichi Otomi, Shoichiro Tko, Seiji Iwmoto, Kyosuke Oski, Msfumi Hrd, nd Hiromu Nishitni Deprtment
More informationThe Selective Arterial Calcium Injection Test is a Valid Diagnostic Method for Invisible Gastrinoma with Duodenal Ulcer Stenosis: A Case Report
Hiroshim J. Med. Sci. Vol. 65, No. 1, 13~17, Mrch, 2016 HIJM 65 3 13 The Selective Arteril Clcium Injection Test is Vlid Dignostic Method for Invisile Gstrinom with Duodenl Ulcer Stenosis: A Cse Report
More informationSynchronous primary gallbladder and pancreatic cancer associated with congenital biliary dilatation and pancreaticobiliary maljunction
Mori et l. Surgicl Cse Reports (2017) 3:113 DOI 10.1186/s40792-017-0388-x CASE REPORT Open Access Synchronous primry gllldder nd pncretic cncer ssocited with congenitl iliry dilttion nd pncreticoiliry
More informationSuccessful Diagnosis of a Thymoma by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Report of Two Cases
CASE REPORT Successful Dignosis of Thymom y Endoronchil Ultrsound-guided Trnsronchil Needle Aspirtion: A Report of Two Cses Ysushi Yoshid 1, Msto Singyoji 1, Hironori Ashinum 1, Meiji Itkur 1, Toshihiko
More informationCase Report Acute Zonal Occult Outer Retinopathy with Atypical Findings
Cse Reports in Medicine Volume 24, Article ID 29696, 7 pges http://dx.doi.org/.55/24/29696 Cse Report Acute Zonl Occult Outer Retinopthy with Atypicl Findings Dimitrios Krginnis, Georgios A. Kontdkis,
More informationCalcifying nested stromal-epithelial tumor (CNSET) of the liver
Cse report (CNSET) of the liver Victor Inole 1, Loredn Betrice Ungurenu *,1, Eugeni Moroșn 1, Cristin Dumitru Lupșcu 1,2 1 Grigore T. Pop University of Medicine nd Phrmcy, Isi, Romni; 2 Deprtment of Surgery,
More informationCase Report INTRODUCTION CASE REPORT. pissn eissn X
pissn 2287-2728 eissn 2287-285X Cse Report Clinicl nd Moleculr Heptology 2018;24:424-429 Complete cure of dvnced heptocellulr crcinom with right drenl glnd metstsis nd portl vein thrombosis by multiple
More informationBENIGN ulceration along the greater curvature of the pars media of the
BENIGN ULCERS OF THE GREATER CURVATURE OF THE STOMACH Report of Two Cses CHARLES H. BROWN, M.D. Deprtment of Gstroenterology nd ANTHONY D. INTRIERE, M.D.* BENIGN ulcertion long the greter curvture of the
More informationType 2 Autoimmune Pancreatitis: A Challenge in the Differential Diagnosis of a Pancreatic Mass
Clinicl Cse Study GE Port J Gstroenterol 2017;24:296 300 Received: October 10, 2016 Accepted fter revision: Februry 3, 2017 Published online: Mrch 23, 2017 Type 2 Autoimmune Pncretitis: A Chllenge in the
More informationSeeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy
pissn 2384-1095 eissn 2384-1109 imri 2017;21:119-124 https://doi.org/10.13104/imri.2017.21.2.119 Seeding Metstsis of Chromophoe Renl Cell Crcinom fter Root-Assisted Lproscopic Prtil Nephrectomy Knghun
More informationBiliary tract cancer treatment: 5,584 results from the Biliary Tract Cancer Statistics Registry from 1998 to 2004 in Japan
J Heptoiliry Pncret Surg (2009) 16:1 7 DOI 10.1007/s00534-008-0015-0 TOPICS Biliry trct cncer sttistics registry in Jpn Biliry trct cncer tretment: 5,584 results from the Biliry Trct Cncer Sttistics Registry
More informationProsthetic Valve Dysfunction 35 Years after Mitral Valve Replacement with a Starr-Edwards Caged-disc Valve
CASE REPORT Prosthetic Vlve Dysfunction 35 Yers fter Mitrl Vlve Replcement with Strr-Edwrds Cged-disc Vlve Tetsuro Yokokw 1, Tkhiro Ohr 1, Seiji Tkshio 1, Mri Skmoto 1,YukoWd 1, Kenji Nkmur 1, Hiroyuki
More informationMethotrexate-associated Lymphoproliferative Disorder of the Stomach Presumed to Be Mucosa-associated Lymphoid Tissue Lymphoma
doi: 10.2169/internlmedicine.0737-18 Intern Med 57: 3249-3254, 2018 http://internmed.jp CASE REPORT Methotrexte-ssocited Lymphoprolifertive Disorder of the Stomch Presumed to Be Mucos-ssocited Lymphoid
More informationTracheobronchitis with Dyspnea in a Patient with Ulcerative Colitis
CASE REPORT Trcheoronchitis with Dyspne in Ptient with Ulcertive Colitis Msy Hiyoshi 1,2, Kzushige Kwi 2, Mihoko Shiuy 3, Tsuyoshi Ozw 2, Junko Kishikw 2, Tkko Nirei 2, Toshiki Tnk 2, Junichiro Tnk 2,
More informationGeneral Microscopic Changes
Generl Microscopic Chnges 2 This chpter covers collection of microscopic chnges tht lck dignostic specificity ut occur in different specific diseses, s will ecome pprent in susequent chpters. Almost ll
More informationThe effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel
Gut, 1971, 12, 11-15 The effects of diversion of intestinl contents on the progress of Crohn's disese of the lrge owel J. H. BURMAN, H. THOMPSON, W. T. COOKE, AND J. ALEXANDER WILLIAMS From the Nutritionl
More informationConcomitant Intraocular Retinoblastoma and Choroidal Hemangioma in a 1-Year-Old Boy
Cse Report doi: 10.5146/tjpth.2017.01411 Concomitnt Introculr Retinoblstom nd Choroidl Hemngiom in 1-Yer-Old oy Ycoub A. Yousef 1, Mys Al-Hussini 2, Freed H. rkt 2, Al Sleh 3, Mon Mohmmd 1, Rsh Deebjh
More informationColonoscopic decompression of childhood sigmoid and cecal volvulus
CASE REPORT Colonoscopic decompression of childhood sigmoid nd cecl volvulus Irj Shhrmin 1, Ali Bzi 1,2, Dnil Edti 3, Krim Rostmi 3, Mojt Delrmns 1,2 1 Peditric Digestive nd Heptic Reserch Center, Zol
More informationBright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit
Bright Futures Medicl Reference Tle 2 to 5 Dy (First Week) Visit Universl Action Metolic nd Verify documenttion of neworn metolic screening results, pproprite rescreening, nd needed follow-up. Document
More informationC reactive protein: an aid to assessment and
C rective protein: n id to ssessment nd monitoring of cute pncretitis J Clin Pthol 1984;37:27-211 AD MAYR,* MJ McMAHON,* MARGART BOWN,t H COOPRt From the *University Deprtment ofsurgery, Generl Infrmry,
More informationPNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :
PNEUMOVAX 23 is recommended y the CDC for ll your pproprite dult ptients t incresed risk for pneumococcl disese 1,2 : Adults ged
More informationLipase and Pancreatic Amylase Activities in Tissues and in Patients with Hyperamylasemia
CLINICAL CHEMISTRY Originl Article Lipse nd Pncretic Amylse Activities in Tissues nd in Ptients with Hypermylsemi FRED APPLE, PH.D, PETER BENSON, M.D., LYNNE PREESE, MT, M.B.A., STEVEN EASTEP, M.D., LAURA
More informationIdentical twins with borderline lepromatous leprosy mimicking extensive alopecia areata: A rare presentation
Lepr Rev (2018) 89, 301 305 CASE REPORT Identicl twins with orderline lepromtous leprosy mimicking extensive lopeci ret: A rre presenttion RUBINA JASSI*, KRISHNA DEB BURMAN**, BHAVYA SWARNKAR** & RADHIKA
More informationAortoesophageal Fistula after Thoracic Endovascular Aortic Repair Diagnosed and Followed with Endoscopy
CASE REPORT Aortoesophgel Fistul fter Thorcic Endovsculr Aortic Repir Dignosed nd Followed with Endoscopy Disuke Chi 1,2, Norihiro Hnt 1, Ysumitsu Arki 1, Mnu Swy 1, Tetsuro Yoshimur 1, Mshiko Aoki 3,
More informationPathological Evidence of the Cause of Spontaneous Regression in a Case of Resected Hepatocellular Carcinoma
CSE REPORT Pthologicl Evidence of the Cuse of Spontneous Regression in Cse of Resected Heptocellulr Crcinom Shunichi Mtsuok 1, kinori Tmur 1, Mitsuhiko Moriym 1, Hirotoshi Fujikw 2, Kenji Mimtsu 3, Tktsugu
More informationPapillary squamous cell carcinoma of the oral mucosa: immunohistochemical comparison with other carcinomas of oral mucosal origin
165 Journl Orl Science, Vol. 43, No. 3, 165-169, 2001 Ppillry orl mucos: immunohistochemicl comprison with or s orl mucosl origin Astrct: Ppillry (PSCC) is poorly descried vrint, nd my e confused with
More informationSevere Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus
2013 67 1 5560 Severe Gummy Smile with Clss II Mlocclusion Treted with LeFort I Osteotomy Comined with Horseshoe Osteotomy nd Introrl Verticl Rmus Osteotomy * 56 Shimo et l. Act Med. Okym Vol. 67, No.
More informationA case of pulmonary adenocarcinoma showing rapid progression of peritoneal dissemination after immune checkpoint inhibitor therapy
Shinozki et l. BMC Cncer (2018) 18:620 https://doi.org/10.1186/s12885-018-4549-5 CASE REPORT A cse of pulmonry denocrcinom showing rpid progression of peritonel dissemintion fter immune checkpoint inhiitor
More informationHyperplastic dental follicle or peri-follicle fibrosis, is. Hyperplastic Dental Follicle Review of Literature and Report of Two Cases in One Family
Puliction Hyperplstic Dentl Follicle Review of Literture nd Report of Two Cses in One Fmily Chun Xio SUN 1, Crig RIRIE 1, Jeffrey M HENKIN 1 Hyperplstic dentl follicle is n extremely rre lesion. The prctitioner
More informationImaging of the Biliary Tree and Gallbladder Diseases
7 Imging of the Biliry Tree nd Gllldder Diseses CONTENTS 7.1 Introduction - Imging Technique 7.2 Antomy 7.2.1 Norml Antomy 7.2.2 Biliry Tree nd Gllldder Anomlies 7.3 Benign Biliry Neoplsms 7.3.1 Biliry
More informationIntraductal Papillary Mucinous Neoplasm With Extensive Mural Osseous Metaplasia and Calcification
CASE REPORT Intrductl Ppillry Mucinous Neoplsm With Extensive Murl Osseous Metplsi nd Clcifiction Runjn Chetty 1, Sngeeth N Klimuthu 1, Korosh Khlili 2 Deprtments of Pthology 1 nd Joint Deprtment of Medicl
More informationEFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE
Swine Dy 22 Contents EFFECTS OF AN ACUTE ENTERIC DISEASE CHALLENGE ON IGF-1 AND IGFBP-3 GENE EXPRESSION IN PORCINE SKELETAL MUSCLE B. J. Johnson, J. P. Kyser, J. D. Dunn, A. T. Wyln, S. S. Dritz 1, J.
More informationChordoid Glioma Originating in the Intrasellar and Suprasellar Regions: Case Report
pissn 2384-1095 eissn 2384-1109 imri 2015;19:117-121 http://dx.doi.org/10.13104/imri.2015.19.2.117 Chordoid Gliom Originting in the Intrsellr nd Suprsellr Regions: Cse Report Jisun Hwng 1, Aleum Lee 1,
More informationFundamentals of Spine MRI and Essential Protocols
Fundmentls of Spine MRI nd Essentil Protocols A. C. Dougls-Akinwnde, MD Octoer 13, 2009 Fundmentls of Spine MRI Lerning Ojectives: 1. List the essentil sequences for Spine MRI exmintion 2. Discuss the
More informationGranular cell tumors: a report of six cases
Aoym et l. World Journl of Surgicl Oncology 2012, 10:204 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Grnulr cell tumors: report of six cses Kei Aoym *, Tkko Kmio, Azus Hirno, Akiyoshi Seshimo nd Shingo
More informationPulmonary Actinomyces graevenitzii Infection Diagnosed by Bronchoscopy using Endobronchial Ultrasonography with a Guide Sheath
doi: 10.2169/internlmedicine.9799-17 Intern Med 57: 2547-2551, 2018 http://internmed.jp CASE REPORT Pulmonry Actinomyces grevenitzii Infection Dignosed y Bronchoscopy using Endoronchil Ultrsonogrphy with
More informationA rare case of a spontaneously ruptured secondary hepatic malignant lymphoma
Oshit et l. Surgicl Cse Reports (2018) 4:44 https://doi.org/10.1186/s40792-018-0451-2 CASE REPORT Open Access A rre cse of spontneously ruptured secondry heptic mlignnt lymphom Ko Oshit 1, Toshiyuki Itmoto
More informationEffects of physical exercise on working memory and prefrontal cortex function in post-stroke patients
Effects of physicl exercise on working memory nd prefrontl cortex function in post-stroke ptients M Moriy, C Aoki, K Sktni Grdute School of Helth Sciences Reserch, Mjor of Physicl Therpy, TeikyoHeisei
More informationCase report. Primary squamous cell carcinoma of the stomach
136 Gstric Cncer (1999) 2: 136 141 S. Mrushi et l.: Primry squmous cell crcinom of the stomch 1999 y Interntionl nd Jpnese Gstric Cncer Associtions Cse report Primry squmous cell crcinom of the stomch
More informationMetabolic syndrome as a risk factor for high-ocular tension
Interntionl Journl of Oesity (2010) 1 9 & 2010 Mcmilln Pulishers Limited All rights reserved 0307-0565/10 $32.00 www.nture.com/ijo ORIGINAL ARTICLE Metolic syndrome s risk fctor for high-oculr K Imi 1,
More informationComparative effectiveness of the tumour diagnostics,
Gut, 1987, 28, 323-329 Comprtive effectiveness of the tumour dignostics, C 19-9, C 125 nd crcinoembryonic ntigen in ptients with diseses of the digestive system K SKMOTO, Y HG, R YOSHIMR, H GMI, Y YOKOYM,
More informationDiagnostic peritoneal fluid aspiration: a simple maneuver to diagnose a major question: a prospective study surgical point of view
Interntionl Surgery Journl Mohmed AHH et l. Int Surg J. 2017 Sep;4(9):2952-2956 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Originl Reserch Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20173680
More informationIntroduction. Patients and methods
J Heptobiliry Pncret Surg (2003) 10:147 155 DOI 10.1007/s00534-002-0746-2 Surgicl tretment of intrductl ppillry-mucinous tumor (IPMT) of the pncres: opertive indictions bsed on surgico-pthologic study
More informationSafety and Tolerability of Subcutaneous Sarilumab and Intravenous Tocilizumab in Patients With RA
Sfety nd Tolerbility of Subcutneous Srilumb nd Intrvenous Tocilizumb in Ptients With RA Pul Emery, 1 Jun Rondon, 2 Anju Grg, 3 Hubert vn Hoogstrten, 3 Neil M.H. Grhm, 4 Ming Liu, 4 Nncy Liu, 3 Jnie Prrino,
More informationPulmonary langerhans cell histiocytosis: Two cases with varied radiologic findings
CASE REPORT Est J Med 21(1): 45-49, 2016 Pulmonry lngerhns cell histiocytosis: Two cses with vried rdiologic findings Huly Guntr 1,*, Alpsln Yvuz 2, Bunymin Sertogullrindn 1, Selmi Ekin 1, Selvi Asker
More informationAnalysis of 18 F-fluorodeoxyglucose positron emission tomography findings in patients with pituitary lesions
ORIGINAL ARTICLE Koren J Intern Med 2013;28:81-88 http://dx.doi.org/10.3904/kjim.2013.28.1.81 Anlysis of F-fluorodeoxyglucose positron emission tomogrphy findings in ptients with pituitry lesions Hnnh
More informationof comorbid conditions, interventions Diagnosis and treatment, treatment reduction of risk factors for CVD to slow disease progression,
Tble 5.1. NKF Clssifiction of Chronic Kidney Disese nd Clinicl Fetures Stge Description GFR (ml/ min/1.73 m 2 ) U.S. Prevlence, b # Affected (%) Clinicl Fetures Action Pln c At incresed risk for CKD >60
More informationA Case of Triple Primary Malignancies Including the Breast, Pancreas, and Lung: The Role of 18 F-FDG PET/CT
A Cse of Triple Primry Mlignncies Including the Brest, Pncres, nd Lung: The Role of 18 F-FDG PET/CT Filiz HATİPOĞLU, Serp KARAARSLAN, İnnç KARAPOLAT, Atill ÇÖKMEZ c Deprtment of Nucler Medicine, Deprtment
More informationBody mass index, waist-to-hip ratio, and metabolic syndrome as predictors of middle-aged men's health
Originl Article - Sexul Dysfunction/Infertility pissn 2005-6737 eissn 2005-6745 Body mss index, wist-to-hip rtio, nd metbolic syndrome s predictors of middle-ged men's helth Jung Hyun Prk *, In-Chng Cho
More informationSignificance of Silver Binding Nucleolar Organizer Regions in Oral Squamous Cell Carcinomas
Originl Article DOI: 10.17354/ijss/2016/147 Significnce of Silver Binding Nucleolr Orgnizer Regions in Orl Squmous Cell Crcinoms Ritu Shrm 1, Gurv Kumr 2 1 Assistnt Professor, Deprtment of Pthology, Hind
More informationHereditary cardiac amyloidosis associated with Pro24Ser transthyretin mutation: a case report
Ymmoto et l. Journl of Medicl Cse Reports (2018) 12:370 https://doi.org/10.1186/s13256-018-1931-5 CASE REPORT Hereditry crdic myloidosis ssocited with Pro24Ser trnsthyretin muttion: cse report Hiroyuki
More informationOriginal Research. Oral mucocutaneous lesions - Histopathological and immunofluorescence study Rameshkumar A et al
Received: 18 th Septemer 2014 Accepted: 20 th Decemer 2014 Conflicts of Interest: None Source of Support: Nil Originl Reserch Orl Mucocutneous Lesions A Comprtive Clinicopthologicl nd Immunofluorescence
More informationUsing Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids
Using Pcloutrzol to Suppress Inflorescence Height of Potted Phlenopsis Orchids A REPORT SUBMITTED TO FINE AMERICAS Linsey Newton nd Erik Runkle Deprtment of Horticulture Spring 28 Using Pcloutrzol to Suppress
More informationCASE REPORT. Abstract. Introduction. Case Report
CASE REPORT Pulmonry Tumor Thromotic Microngiopthy Cused y Urothelil Crcinom Expressing Vsculr Endothelil Growth Fctor, Pltelet-derived Growth Fctor, nd Osteopontin Ysushi Wkyshi 1, Mi Iwy 2, Myo Akit
More informationSphincter-saving resection by cluneal arched skin incision for a gastrointestinal stromal tumor (GIST) of the lower rectum: a case report
Tzw et l. Surgicl Cse Reports (2017) 3:8 DOI 10.1186/s40792-016-0285-8 CASE REPORT Sphincter-sving resection y clunel rched skin incision for gstrointestinl stroml tumor (GIST) of the lower rectum: cse
More informationInput from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer
Input externl experts nd mnufcturer on the 2 nd drft project pln Stool DNA testing for erly detection of colorectl cncer (Project ID:OTJA10) All s nd uthor s replies on the 2nd drft project pln Stool DNA
More informationFindings in spontaneous intramural intestinal hematoma imaging
Brief report Findings in spontneous intrmurl intestinl hemtom imging F. Mirs Azcón, A. Mrtínez Mrtínez, A. Sntigo Chinchill*, A. Medin Benítez, E. Ochndo Pulido nd M.A. Pérez Rosillo Imging deprtment,
More informationNon-invasive Diagnosis of Liver Clinical Condition by Real-time Tissue Elastography and Shear Wave Measurement : Get More Accessible by One Probe
XXXXXXXXXX Non-invsive Dignosis of Liver Clinicl Condition y Rel-time Tissue Elstogrphy nd Sher Wve Mesurement : Get More Accessile y One Proe Norihis Yd Mstoshi Kudo Deprtment of Gstroenterology nd Heptology,
More informationHematology TOONYA TURNER. IDEXX Services: Senior Profile with Heartworm -Standard CBC. RBC M/µL. Hematocrit
TOONYA TURNER PET OWNER: TURNER SPECIES: Cnine BREED: GENDER: Femle AGE: 1 Yers PATIENT ID: 17047 Fmily Pet Helth Cre 3623 Indin Hills Rod Dectur, Albm 35603 256-341-0200 ACCOUNT #: 87040 ATTENDING VET:
More informationFine-Needle Aspiration Biopsy in Primary Malignant and Metastatic Bone Tumors
Applied Pthology Editor-in-Chief: A. Ascenzi, Rom Mnging Editor: G. Coggi, Milno Reprint Pulisher: S. Krger AG, Bsel Printed in Switzerlnd Appl, Pthol. 1: 76-81 (1983) e 1983 S. Krger AG, Bsel 0252-1172/83/00
More informationAn autopsy case of rapid progressive atypical carcinoid of the lung discovered with multiple nodular shadows
142 CASE REPORT An utopsy cse of rpid progressive typicl crcinoid of the lung discovered with multiple nodulr shdows Yoshio Okno*, Mmi Inym*, Nouo Htkeym*, Hiroyuki Hino*, Yoshito Iwhr*, Tokuji Motoki*,
More informationPerforative Peritonitis caused by Appendicitis in a Patient on Peritoneal Dialysis
CASE REPORT Perfortive Peritonitis cused y Appendicitis in Ptient on Peritonel Dilysis Msshi Mizuno 1,2, Ysuhiro Suzuki 1,2, Keisuke Nonk 2,YumiSei 2, Shoichi Mruym 2, Seiichi Mtsuo 2 nd Ysuhiko Ito 1,2
More informationHepatitis A virus (HAV) infection contributes approximately
Multiple Fctors Contribute to Positive Results for Heptitis A Virus Immunoglobulin M Antibody Adnn Altoom, MD, PhD; M. Qsim Ansri, MD; Jennifer Cuthbert, MD Context. In the United Sttes, successful vccintion
More informationBreast carcinomas: why are they missed?
O r i g i n l A r t i c l e Singpore Med J 2006; 47(10) : 851 Brest crcinoms: why re they missed? Muttrk M, Pojchmrnwiputh S, Chiwun B ABSTRACT Introduction: Mmmogrphy hs proven to e n effective modlity
More informationDiabetes mellitus secondary to pancreatic diseases (type 3c): The effect of smoking on the exocrine endocrine interactions of the pancreas
764062DVR0010.1177/1479164118764062Dibetes & Vsculr Disese ReserchŚliwińsk-Mossoń et l. reserch-rticle2018 Originl Article Dibetes mellitus secondry to pncretic diseses (type 3c): The effect of smoking
More informationEfficacy of Pembrolizumab in Patients With Advanced Melanoma With Stable Brain Metastases at Baseline: A Pooled Retrospective Analysis
Efficcy of Pembrolizumb in Ptients With Advnced Melnom With Stble Brin Metstses t Bseline: A Pooled Retrospective Anlysis Abstrct 1248PD Hmid O, Ribs A, Dud A, Butler MO, Crlino MS, Hwu WJ, Long GV, Ancell
More informationRadiological appearances of gynaecological emergencies
Insights Imging (2012) 3:265 275 DOI 10.1007/s13244-012-0157-0 PICTORIAL REVIEW Rdiologicl ppernces of gynecologicl emergencies Orn Roche & Nikit Chvn & Joseph Aquilin & Andre Rockll Received: 5 Octoer
More informationMRI Findings of an Ampulla of Vater Neuroendocrine Tumor with Liver and Lymph Node Metastasis: a Case Report
pissn 2384-1095 eissn 2384-1109 imri 2018;22:123-130 https://doi.org/10.13104/imri.2018.22.2.123 MRI Findings of n Ampull of Vter Neuroendorine Tumor with Liver nd Lymph Node Metstsis: Cse Report Jung
More informationHISTORY. Surgical Neurology International 2015, 6:174.
Surgicl Neurology Interntionl OPEN ACCESS For entire Editoril Bord visit : http://www.surgiclneurologyint.com Editor: Jmes I. Ausmn, MD, PhD University of Cliforni, Los Angeles, CA, USA Cse Report Intrcrnil
More informationStruma ovarii with follicular thyroid-type carcinoma and neuroendocrine component: case report
Selvggi et l. World Journl of Surgicl Oncology 2012, 10:93 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Strum ovrii with folliculr thyroid-type crcinom nd neuroendocrine component: cse report
More informationUtility of 128-slice Multi-detector Spiral Computed Tomography in Detecting Spectrum of Involvement in Acute Pancreatitis
Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/353 Utility of 128-slice Multi-detector Spirl Computed Tomogrphy in Detecting Spectrum of Involvement in Acute Pncretitis
More informationImaging of the thyroid: Recent advances
[Downloded free from http://www.ijem.in on Wednesdy, Septemer 28, 2016, IP: 85.150.20.164] IJEM_185_11R4 Review Article Imging of the thyroid: Recent dvnces Viks Chudhry, Shhin Bno 1 Deprtment of Rdiodignosis,
More informationCYSTIC TUMORS OF THE PANCREAS
gstrointestinl trct nd domen CYSTIC TUMORS OF THE PANCREAS Nichols J. Zyromski, MD Cystic tumors (neoplsms) of the pncres re fr more common thn once thought, developing in up to 10% of the generl popultion.
More informationAmbiguity in the Dural Tail Sign on MRI
SNI: Unique Cse Oservtions OPEN ACCESS For entire Editoril Bord visit : http://www.surgiclneurologyint.com Editor: Ather Enm, M.D., Ag Khn University, Krchi, Sindh, Pkistn Cse Report Amiguity in the Durl
More informationEtiology of Vocal Cord Paralysis
Originl Pper ORL 2007;69:167 171 DOI: 10.1159/000099226 Received: Mrch 6, 2006 Accepted fter revision: August 25, 2006 Published online: Jnury 30, 2007 Etiology of Vocl Cord Prlysis Hsin-Chien Chen Yee-Min
More informationChapter. Imaging of SARS in North America. Introduction. Clinical Manifestations of SARS in North America
content Chpter 13 Nestor L. Müller, Hrry Shulmn Introduction Clinicl Mnifesttions of SARS in North Americ Rdiogrphic Mnifesttions of SARS in North Americ High Resolution CT Findings of SARS in North Americ
More informationOriginal Article Serum tumor markers used for predicting esophagogastric junction adenocarcinoma in esophageal malignancy
Int J Clin Exp Med 2016;9(6):11859-11864 www.ijcem.com /ISSN:1940-5901/IJCEM0025330 Originl Article Serum tumor mrkers used for predicting esophgogstric junction denocrcinom in esophgel mlignncy Yongkng
More informationThe Metabolic Syndrome is Associated with Increased Risk of Colorectal Adenoma Development: The Self-Defense Forces Health Study
The Metolic Syndrome nd Colorectl Adenom Development RESEARCH COMMUNICATION The Metolic Syndrome is Associted with Incresed Risk of Colorectl Adenom Development: The Self-Defense Forces Helth Study Tkko
More informationInvasive Pneumococcal Disease Quarterly Report July September 2018
Invsive Pneumococcl Disese Qurterly Report July Septemer Introduction Since 17 Octoer 2008, invsive pneumococcl disese (IPD) hs een notifile to the locl Medicl Officer of Helth under the Helth Act 1956.
More informationA case of long-term survival after surgical resection for solitary adrenal recurrence of esophageal squamous carcinoma
Kny et l. Surgicl Cse Reports (2017) 3:61 DOI 10.1186/s40792-017-0337-8 CASE REPORT Open Access A cse of long-term survivl fter surgicl resection for solitry drenl recurrence of esophgel squmous crcinom
More informationClear-cell variant of calcifying epithelial odontogenic tumor (Pindborg tumor) in the mandible
Interntionl Journl of Orl Science (2013) 5, 115 119 ß 2013 WCSS. All s reserved 1674-2818/13 www.nture.com/ijos CASE REPORT Cler-cell vrint of clcifying epithelil odontogenic tumor (Pindorg tumor) in the
More informationPancreatic Adenocarcinoma Presenting as Acute Large Bowel Obstruction: Case Report
IMAGES IN CLINICAL MEDICINE Surg. Gstroenterol. Oncol. 2018;23(3):204-208 DOI: 10.21614/sgo-23-3-204 Pncretic Adenocrcinom Presenting s Acute Lrge Bowel Ostruction: Cse Report Inês Cmpos Gil 1, Din Prente
More informationCyto-histopathological correlation in palpable breast lesions
Interntionl Journl of Reserch in Medicl Sciences Mehr K et l. Int J Res Med Sci. 2016 Jun;4(6):1943-1949 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Reserch Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161738
More informationSecondary Precursor T-Cell Lymphoblastic Lymphoma Following Precursor B-cell Acute Lymphoblastic Leukemia: A Case Report and Review of the Literature
Journl of Cncer Reserch Updtes, 2014, 3, 117-122 117 Secondry Precursor T-Cell Lympholstic Lymphom Following Precursor B-cell Acute Lympholstic Leukemi: A Cse Report nd Review of the Literture Jenny L.
More informationCrohn's Disease with Left Psoas Abscess : Report of a Case
Show Univ J Med Sci 11(4), 297 302, December 1999 Cse Report Crohn's Disese with Left Psos Abscess : Report of Cse Mild SHIBUSAWA, Aklr TSUNODA, Tetsuo SAWATANI, Ktsuo YAMAZAKI, Goichl KAMIYAMA, Mnbu TAKATA
More informationSupplementary Online Content
Supplementry Online Content Zulmn DM, Pl Chee C, Ezeji-Okoye SC, et l. Effect of n intensive outptient progrm to ugment primry cre for high-need Veterns Affirs ptients: rndomized clinicl tril. JAMA Intern
More informationComputed Tomography for Localization of Intra- Abdominally Dislocated Intrauterine Devices
Act Rdiologic ISSN: 0284-1851 (Print) 1600-0455 (Online) Journl homepge: https://www.tndfonline.com/loi/ird20 Computed Tomogrphy for Locliztion of Intr- Adominlly Dislocted Intruterine Devices Esjörn Hederström,
More informationThe dynamics of diagnosis of salivary gland tumours: histopathology matters
Interntionl Journl of Reserch in Medicl Sciences Venugopl M et l. Int J Res Med Sci. 2016 Jun;4(6):1855-1861 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Reserch Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161442
More informationFactors Affecting Concordance between Radiological and Histological Findings in Invasive Lobular Carcinoma Experience from a National Cancer Centre
Originl Article DOI: 10.1159/000455066 Published online: Februry 7, 2017 Fctors Affecting Concordnce between Rdiologicl nd Histologicl Findings in Invsive Lobulr Crcinom Experience from Ntionl Cncer Centre
More informationDR. MARC PAGÈS Project Manager R&D Biologicals - Coccidia Projects, HIPRA
DR. MARC PAGÈS Project Mnger R&D Biologicls - Coccidi Projects, HIPRA Dr. Mrc Pgès Bosch otined Microiology nd Genetics degree t the University of Brcelon in 1998. He otined his PhD working on the synptoneml
More information