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b.east Cancer Cutaneous Metastasis after Scalp Cooling for Alopecia Prevention

Journal of Cancer Therapy 2020年第11期11卷 745-748页

作者： Elimar Elias Gomes Maria C. C. Ferreira amanda b. karani Marcelo Sato-Sano Mariana N. Meireles Carlos E. b.cchi Mariana Dias b.tista Fernando C. Maluf Oncology Center Beneficencia Portuguesa de Sao Paulo Sao Paulo Brazil Department of Dermatology Federal University of Sao Paulo Sao Paulo Brazil Lab.ratorio b.cchi Botucatu Brazil

Scalp cooling is a widely used method to prevent chemotherapy-induced transient alopecia. Although the success rates in maintaining hair can b. high, authors have expressed their concerns regarding the risk of scalp metastasis after scalp cooling. We report a case of b.east cancer scalp metastasis in a patient sub.itted to scalp cooling for alopecia prevention and discuss the physiopathology, risks and b.nefits of this treatment for patients under this treatment.

关键词： Skin Metastasis Scalp Cooling Chemotherapy-Induced Alopecia

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Selective emb.lization for b.eeding visceral artery pseudoaneurysms in patients with pancreatitis

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Hepatob.liary & Pancreatic Diseases International 2010年第6期9卷 634-638页

作者： Harsheet Sethi Praveen Peddu Andreas Prachalias Pauline Kane John karani Mohamed Rela Nigel Heaton Department of Hepatob.liary Surgery Institute ofLiver Studies Kings College London School of Medicine at Kings College Hospital Department of Hepatob.liaryand Interventional Radiology Institute ofLiver StudiesKings College London School of Medicine at Kings College Hospital

b.CKGROUND:Pancreatitis is associated with arterial complications in 4%-10%of patients,with untreated mortality approaching 90%.Timely intervention at a specialist center can reduce the mortality to 15%.We present a single institution experience of selective emb.lization as first line management of b.eeding pseudoaneurysms in pancreatitis. METHODS:Sixteen patients with pancreatitis and visceral artery pseudoaneurysms were identified from searches of the records of interventional angiography from January 2000 to June *** visceral artery aneurysms and pseudoaneurysms arising as a result of post-operative pancreatic or b.liary leak were excluded from the study. RESULTS:In 50%of the patients,b.eeding complicated the initial presentation of *** was the offending agent in 10 patients,gallstones in 3,trauma,drug-induced and idiopathic pancreatitis in one *** 16 patients had a contrast CT scan and 15 underwent coeliac axis angiography. The pseudoaneurysms ranging from 0.9 to 9.0 cm affected the splenic artery in 7 patients:hepatic in 3,gastroduodenal and right gastric in 2 each,and left gastric and pancreatico-duodenal in 1 *** patient developed spontaneous thromb.sis of the *** patients had effective coil emb.lization of the *** patient needed surgical exclusion of the pseudoaneurysm following difficulty in accessing the coeliac axis *** were no episodes of re-b.eeding and no in-hospital mortality. CONCLUSIONS:Pseudoaneurysms are unrelated to the severity of pancreatitis and major hemorrhage can occur irrespective of their ***-existent portal hypertension and sepsis increase the risk of *** and selective coil emb.lization is a safe and effective way to arrest the hemorrhage.

关键词： pseudoaneurysm emb.lization acute pancreatitis chronic pancreatitis vascular complications

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