Massive bilateral adrenal metastatic melanoma of occult origin: a case report.

Background: Adrenal gland involvement by metastatic melanoma can be found in up to 50% of patients with ocular or cutaneous melanomas. Since these tumors are not hormone secreting, they usually present with locally advanced disease.

Case: We report on the presence of a bilateral massive metastatic adrenal melanoma in an 80-year-old, symptomatic woman with the initial clinical diagnosis of adrenal hemorrhage/carcinoma.

The nipple-areola complex epidermis: a prospective systematic study in adult autopsies.

The prevalence of different types of clear cells and of the mite Demodex in the nipple-areola complex of adult autopsies of both sexes not suffering from breast cancer was studied in a total of 140 nipples. The epidermis of the nipple-areola complex shows squamous cells and 3 types of clear cells: Toker cells, pagetoid dyskeratosis cells, and signet ring-like cells. Toker cells were identified by standard light microscopy in 13 of 140 nipples (9.

Non-compaction of the ventricular myocardium: a cardiomyopathy in search of a pathoanatomical definition.

Ventricular non-compaction is a rare cardiomyopathy characterized by numerous, excessively prominent ventricular trabeculations and deep intertrabecular recesses communicating with the ventricular cavity. The lesion is postulated to result from an intrauterine developmental arrest that stops compaction of the myocardial fiber meshwork. This cardiomyopathy affects the left ventricle, with or without concomitant right ventricular involvement.

[Calculation of coronary risk in primary care: which table is more suitable for our patients?].

Objective: To evaluate whether there are differences in the indications for starting lipid lowering treatment when using the different coronary risk tables.

Design: Cross-sectional observational study.

Setting: A Health Centre in Department 10, Valencia, Spain.