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Article Synopsis
  • Hepatocellular carcinoma (HCC) is the most prevalent liver cancer and often has a poor survival rate if not treated.
  • A 61-year-old man, who had been in remission for a year after a liver cancer treatment, experienced wrist pain and swelling after a fall.
  • Imaging tests showed bone lesions in his left hand and forearm, and surgery confirmed these were due to metastatic HCC.
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[Chamberlain biopsy is not necessary when mature teratoma is evident on imagery].

Rev Mal Respir

January 2014

Service de chirurgie thoracique, hôpital Calmette, CHRU de Lille, 4, rue de la Gare, 59251 Allennes les Marais, France.

Introduction: Mature teratoma represents 60 % of germinal cells tumours of the mediastinum. Most patients with these tumours are asymptomatic, so the neoplasms are usually discovered by accident during routine chest X-ray examination. They have specific and almost pathognomonic radiological features.

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The monoclonal gammopathy of undetermined significance (USMG) is a pre-malignant rare asymptomatic disease, defined by a concentration of immunoglobulin in serum monoclonal more than 3 g/dL and a proportion of plasma cells in bone marrow more than 10% in the absence of lytic bone lesions, anemia, hypercalcemia and renal failure related to monoclonal cell proliferation. Primary hyperparathyroidism (PH) is a relatively frequent disease, affecting approximately one in 1,000 individuals. Some studies suggest that the frequency of PH is increased in cancer, broadening the spectrum of etiology of hypercalcemia in these patients.

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Objective: To describe published cases of cerebral mansoni schistosomiasis and three others and discuss the diagnosis and treatment of cerebral pseudotumoral schistosomiasis.

Case Descriptions: In case 1, a 20-year-old man presented with occipital headache, intense dizziness, visual alterations, nausea, decreased appetite, and asthenia. Cranial computed tomography (CT) revealed an expansive cerebellar lesion in the right hemisphere with no contrast enhancement.

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Objective: Furnish a more detailed anatomicopathological description of the epicardial lesions in chronic chagasic cardiopathy, evaluate their incidence and discuss their probable pathogenesis

Methods: We examined the hearts of 39 chronic chagasic cardiopathy patients who underwent autopsies and submitted to histological analysis the epicardial lesions.

Results: Milk spots, characterized by well defined white areas in the epicardium were found in 80% of the cases, mainly on the anterior face of the right ventricle. Histological analysis revealed abrupt fibrous thickening of the epicardium, with no elastic fibers, inflammation or blood vessels.

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