[Introduction of the microwave thermoablation (MWA) method to hemorrhoid surgery].

Abstract: In addition to the traditional surgical options for hemorrhoid disease, newer treatment methods are evolving along the principle of reducing the burden on patients and providing similar or better healing. Thermo-based systems achieve the desired effect with less physical destruction. In this paper, we discuss the results of hemorrhoid surgery performed with laser and microwave devices.

Fatal outcome of cervical myelopathy caused by fibrocartilaginous embolism. Rare cause of spinal vascular damage.

Background And Purpose: Fibrocartilaginous embolism is a rare cause of ischemic myelopathy. Authors report a case of a 39-year-old woman with progressive tetraparesis and severe autonomic dysfunction. Despite of the detailed examinations, the definite diagnosis was verified by autopsy.

[Cerebral hyperperfusion syndrome and blood pressure control].

Introduction: Cerebral hyperperfusion syndrome is a rare, hardly known condition, which can result in serious complications either after surgical or endovascular revascularization. Recognition of the typical triad (headache, seizure, focal neurological deficit) and the prompt radiological diagnosis (sonography, computed tomography) are crucial to achieve a favourable outcome.

Aim: The aim of the authors was to select the endangered group and set up an effective therapeutic protocol based their own experience in combination with relevant literature data.

[Dilemmas of the reconstruction of the major pelvic artery due to infectious aortic graft complication].

Introduction: In the pelvic region thrombendarterectomy and bypass procedures are the most commonly performed procedures to treat peripheral artery occlusive diseases with chronic, severe circulation failure caused by atherosclerosis. Biologic and synthetic grafts can also be used in bypass surgeries. Application of synthetic grafts can acutely increase the development of the infectious graft complication and its mortality is still between 70 and 75% in pelvic processes.

Perinatal positive and negative influences on the early neurobehavioral reflex and motor development.

Early life events are critical in the development of the central nervous system. Injuries in this period can cause severe damage with permanent disabilities. The early changes following a perinatal lesion have prognostic significance.

Environmental enrichment decreases asphyxia-induced neurobehavioral developmental delay in neonatal rats.

Perinatal asphyxia during delivery produces long-term disability and represents a major problem in neonatal and pediatric care. Numerous neuroprotective approaches have been described to decrease the effects of perinatal asphyxia. Enriched environment is a popular strategy to counteract nervous system injuries.

Exposure to enriched environment decreases neurobehavioral deficits induced by neonatal glutamate toxicity.

Environmental enrichment is a popular strategy to enhance motor and cognitive performance and to counteract the effects of various harmful stimuli. The protective effects of enriched environment have been shown in traumatic, ischemic and toxic nervous system lesions. Monosodium glutamate (MSG) is a commonly used taste enhancer causing excitotoxic effects when given in newborn animals.

[Euthanasia and other decisions at the end of life (Proposal for a more transparent terminology and some thoughts on the legal framework of medical treatment)].

Indication of euthanasia is only one of several medical decisions at the end of life. Precise definition of this topic related to the clinical events happening around the sick-bed is not complete in the legal and medical literature. The present review attempts to classify the different end of life events with the aim of clarifying which of these do not belong to the concept of passive euthanasia.

[Our experiences in treating patients with Hodgkin disease in the last decade].

Introduction: Recently, in the diagnostics and treatment of Hodgkin's disease significant developments have occurred.

Aim: To summarize the clinical and histological data of patients with Hodgkin's disease, treated at the 3rd Department of Internal Medicine, University of Debrecen between 1995-2004. In 2006 January, the mean follow-up was 69 (12-132) months.

Epidemiology of thyroid microcarcinoma found in autopsy series conducted in areas of different iodine intake.

The prevalence of thyroid microcarcinomas found at autopsies is 100-1000 times higher than in clinical cancer. The epidemiological and histological characteristics of thyroid microcarcinomas in consecutive series of autopsies performed in two areas of different iodine intake were investigated. Iodine deficient (ID) area: n = 222 (M = 109, F = 113), median age: 74-76 years, median iodine excretion (MIE) of nursing home residents from this area: 70 microg/g creatinine.

Mediastinal bulky tumour in Hodgkin's disease and prognostic value of positron emission tomography in the evaluation of post-treatment residual masses.

Among the 193 patients (82 female, 111 male) treated primarily for Hodgkin's disease at our clinic between 1990 and 2001 and followed up until 2003, 42 (22%) had mediastinal bulky tumours (MBTs) by the Cotswolds criteria. The rate of MBT diagnosis was significantly greater in the early stage of the disease, these patients were younger and--in contrast to the other group--they all received combined therapy. No significant differences were found in the overall and relapse-free survival rate in the two groups, but relapse and death rates were lower in the patients with bulky tumours.

Successful treatment of B cell chronic lymphocytic leukemia-associated severe paraneoplastic pemphigus with cyclosporin A.

Since the first description of paraneoplastic pemphigus, several cases have been described in the literature. However, curative therapy is usually a challenge to the physicians treating this disease. Several publications are available discussing the efficacy of steroids, cyclophosphamide and cyclosporin A.

[Incidence of valvulopathy in Hodgkin-disease patients in long-term complete remission].

Aim: To study the occurrence of valvulopathies after treatment in Hodgkin's disease patients.

Patients And Methods: 124 Hodgkin's disease patients in complete remission for at least 1 year were echocardiographically examined.

Results: Abnormal finding was observed in 48/124 (38.

Hodgkin's disease in the elderly: a single institution retrospective study of 40 patients aged 65 or over.

Out of 485 patients with Hodgkin's disease (HD) treated in our institution between 1970-1998, 40 (8.2%) patients aged 65 or over at the date of the first presentation were examined retrospectively. The localization of the disease was more frequently infradiaphragmatic and rarely mediastinal in the elderly.

Spontaneously curing anaplastic carcinoma in the lymph node.

A well documented case of a spontaneously curing anaplastic carcinoma in lymph node is presented with a 16 year follow up. Reevaluation and detailed immunohistochemical examination confirmed the original diagnosis of anaplastic carcinoma. This is the first report of a spontaneously curing anaplastic carcinoma which raises the following questions: Was the tumor in the axillary lymph node a metastasis or a primary tumor? Does the anaplastic carcinoma demonstrate the same spontaneous regression characteristics as for example the neuroblastoma?

Infradiaphragmatic Hodgkin's disease.

Between 1968 and 1994, 133 patients with stages I and II supradiaphragmatic Hodgkin's disease were evaluated at our institution. During the same period we treated only 11 patients with stages I and II infradiaphragmatic Hodgkin's disease. When compared to patients with disease above the diaphragm, patients with Hodgkin's disease below the diaphragm were more frequently male (p < 0.

[Secondary lymphomatous polyposis of the gastrointestinal tract in patients with nodal lymphomas].

Multiplex lymphomatous polyposis is an uncommon disease characterized by polypoid accumulations of malignant lymphoid cells within the submucosa of long segments of the gastrointestinal tract. Primary gastrointestinal form of disease is referred as an extranodal variant of the entity knows as mantle zone lymphoma. Rarely, this typical lesion may appear as a secondary involvement of the alimentary tract in patients with primary nodal lymphomas.

Relapse of Hodgkin's disease after ten years.

We report four cases of Hodgkin's disease (HD) relapsing after complete remission for over a 10-year period after the initial therapy. Three of the patients had mixed-cellularity subtypes as a primary histological diagnosis, and the rebiopsies demonstrated mixed cellularity in all very late relapse cases. Two patients were initially treated with radiotherapy, while in the other two advanced cases polychemotherapy was administered.

[Congenital analgesia. Part IV. Adolescence, adulthood, labor (follow-up case report)].

Congenital analgesia in a girl (now woman) is reported for the fourth time. The former reported case is now 27 years old, her pain sensitivity is normal over the entire body. The fourth communication presents her postadolescent and later her young adult life, reporting her two deliveries, producing healthy babies.

The increasing incidence of prostate cancer in Hungary.

Prostate cancer is becoming an increasing health concern world wide, and its significance is also increasing in Hungary, where mortality rates are very similar to those in the United States of America. Mortality from prostate cancer is increasing disproportionately to the aging of Hungarian men or overall population growth, and the explanation for this alarming trend is as yet unexplained. Nevertheless, the data suggest that prostate cancer will continue to assume increasing importance as a medical problem and the need for fundamental epidemiologic investigations is clear.

[Congestive gastropathy].

15 patients with congestive gastropathy were reported including clinical and pathological characteristics of the disease. Every patient had alcoholic liver cirrhosis and portal hypertension. 6 patient's stomach was resected while in 2 further cases the disease was found at autopsy.