Urachal inflammatory myofibroblastic tumor with fusion: A case report and literature review.

Urachal tumors are rare and comprise of both benign and malignant neoplasms. Epithelial origin tumors are more common than mesenchymal origin tumors. We report a case Urachal inflammatory myofibroblastic tumor (IMFT) in a 12 year old boy who presented with symptoms of lower abdominal pain and burning micturition.

Settling for second best: when should doctors agree to parental demands for suboptimal medical treatment?

Background: Doctors sometimes encounter parents who object to prescribed treatment for their children, and request suboptimal substitutes be administered instead (suboptimal being defined as less effective and/or more expensive). Previous studies have focused on parental refusal of treatment and when this should be permitted, but the ethics of requests for suboptimal treatment has not been explored.

Methods: The paper consists of two parts: an empirical analysis and an ethical analysis.