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Non-invasive diagnosis of papillary thyroid microcarcinoma using a novel metabolomics analysis of urine.
Endocrine
November 2024
Department of General Surgery, Qilu Hospital of Shandong University, Jinan, 250012, P.R. China.
Background: The severity of thyroid cancer is judged on the basis of histologic and clinical features. A limited number of studies have considered urinary metabolite signatures for its diagnosis, and no reliable urinary metabolite biomarkers have been proposed. This diagnostic method would be particularly valuable because of its non-invasive nature.
View Article and Find Full Text PDFEmergency trans-mitral septal myectomy with resection of abnormal papillary muscles.
Multimed Man Cardiothorac Surg
November 2024
Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center/New York Medical College, Valhalla, NY, USA New York Medical College School of Medicine, Valhalla, NY, USA.
Article Synopsis
- A 70-year-old woman with a history of heart issues underwent elective alcohol septal ablation but developed severe complications during the procedure, including cardiogenic shock and pulmonary edema that necessitated intubation.
- Emergency surgery revealed abnormal papillary muscles contributing to left ventricular outflow tract obstruction, which were subsequently removed along with other cardiac repairs.
- Post-surgery, the patient's heart function improved and the complications highlighted challenges in diagnosing anomalous cardiac structures before surgery.
Mucinous adenocarcinoma in kidneys with developmental anomalies - a report of two cases.
BMC Urol
November 2024
Department of Urology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Article Synopsis
- Primary mucinous adenocarcinomas of the kidney are rare and their origins are unclear, with theories including chronic irritation and kidney maldevelopment.
- Two cases are presented: one involving a 50-year-old male with a duplex collecting system who had invasive mucinous carcinoma, and another case with a 53-year-old male who had a horseshoe kidney and recurrent mucinous adenocarcinoma after previous surgery.
- Both cases highlight the association between mucinous adenocarcinomas and kidney anomalies, emphasizing the importance of histopathology for diagnosis.
A case of laparoscopic spleen-preserving distal pancreatectomy for small solid pseudopapillary neoplasm in an adult male with anomalous splenic vein confluence.
Asian J Endosc Surg
October 2024
Department of Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan.
Although anomalies of the celiac and/or superior mesenteric arteries are occasionally encountered during abdominal surgery, anomalous venous confluence is seldom reported during pancreatic surgery. Herein, we present a rare case of laparoscopic spleen-preserving distal pancreatectomy (LSPDP) for the treatment of a solid pseudopapillary neoplasm in an asymptomatic 37-year-old male with an anomalous splenic vein (SpV) confluence. Computed tomography angiography (CTA) revealed an anomaly of the SpV, which coursed transversely through the superior border of the pancreas, over the celiac artery and into the portal vein, along the superior line of the common hepatic artery.
View Article and Find Full Text PDFEndocarditis Associated With Coronary Cameral Fistula Presenting With Intracranial Hemorrhage.
JACC Case Rep
September 2024
Division of Cardiology, Montefiore Medical Center, Bronx, New York, USA.
Article Synopsis
- Coronary cameral fistulas are unusual connections between coronary arteries and heart chambers that can lead to complications, despite often being asymptomatic.
- These fistulas can create high-speed blood flow, increasing the risk of infections like endocarditis.
- The paper details a rare case where a patient with a coronary cameral fistula developed infective endocarditis, indicated by a brain hemorrhage caused by a mycotic aneurysm, affecting the mitral papillary muscle region.
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