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Post-Traumatic Pyothorax: Epidemiology, Management and Prognosis in the Thoracic Surgery Department of the Donka National Hospital

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Open Journal of Thoracic Surgery 2021年第4期11卷 83-88页

作者： camara Alpha Kabinet camara soriba naby Balde Oumar Taibata Diallo Amadou Sarah camara Mama Aissata Magassouba Aboubacar Sidiki Balde Abdoulaye Korse Toure Aboubacar Diallo Aissatou Taran Diallo Biro Department of Thoracic Surgery Donka National Hospital Conakry Guinea Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry Conakry Guinea Department of Visceral Surgery Friendship Hospital Sino Guinean Conakry Guinea Department of Visceral Surgery Donka National Hospital Conakry Guinea Department of General Surgery Ignace Denn National Hospital Conakry Guinea

Pyothoraxes, also called thoracic empyemas, are defined by the presence between the two layers of the pleura, of a frankly purulent liquid, or of a shady or clear liquid but containing a majority of altered polynuclear cells with germs direct examination. They are said to be traumatic when they follow a thoracic trauma whatever the mechanism;usually a pre-existing post-traumatic pleural effusion. The general objective of this study was to help identify the epidemiological and prognostic factors in the management of post-traumatic pyothorax in the Thoracic Surgery Department of the Donka National Hospital. Methodology: This was a descriptive retrospective study covering a period of 2.5 years from 01/06/2016 to 31/12/2018 carried out in the Thoracic Surgery Department of the Donka National Hospital. Results: During the study period, 17 cases of post-traumatic pyothorax were observed among the 288 files of admitted and hospitalized patients. In the course of this study, a rate was 5.90%. The most affected age group was 1 to 5 years old. The male sex was in the majority (76.5%). The most common occurrence was the fall, i.e. 41.2%. 47% of patients consult after 60 days. Chest pain and dyspnea were the main symptoms during our study (82.3%). Antibiotics and analgesics dominated the medical treatment used in 100% of the cases and pleural drainage was the first line surgical treatment practiced in 88.2% of the cases. The prognosis is favorable without sequelae in 52.9% of cases with an average hospital stay

关键词： Pyothorax Trauma Epidemiology Management Prognosis Surgery Donka

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Etiology, Pathology Management and Prognosis of Chronic Pancreatitis in Chinese Population;A Retrospective Study

Etiology, Pathology Management and Prognosis of Chronic Panc...

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作者： M soriba naby camara 华中科技大学

学位级别：硕士

目的研究中国人群中慢性胰腺炎的病因、病理特点，治疗和预后。方法收集2008年1月至2011年12月在武汉协和医院142例慢性胰腺炎患者。对这些患者的病因、病理、治疗和预后进行回顾性分析。结果数据显示，大多数患者的病因是慢性... 详细信息

目的研究中国人群中慢性胰腺炎的病因、病理特点，治疗和预后。方法收集2008年1月至2011年12月在武汉协和医院142例慢性胰腺炎患者。对这些患者的病因、病理、治疗和预后进行回顾性分析。结果数据显示，大多数患者的病因是慢性阻塞性胰腺炎，72（50.70％），而其他酒精性慢性胰腺炎，20（14.08％），自身免疫性慢性胰腺炎（9.86％）和特发性慢性胰腺炎36（25.35％）。炎性包块平均直径为3.8±3.3厘米（范围从2.8厘米到4.8厘米）。27例（7例在术中冰冻切片发现有胰脏癌），CA19-9显着增加;90例患者进行了手术治疗，34例经内镜括约肌切开术和14例保守;42例行保留十二指肠的胰头全切术。25例患者实施了保留十二指肠的胰头次全切除术，7例进行标准胰十二指肠切除术，囊空肠吻合术18例，2例行胰空肠吻合。术后无病人死亡。胰瘘、腹腔内出血、伤口裂口、胆漏和十二指肠瘘手术并发症的发生例数分别为3例，4例，2例，2和1例。有76例患者疼痛缓解，17例患者疼痛复发。94例患者手术后体重增加。结论胰管梗阻仍然是中国人口慢性胰腺炎最常见的原因。保留十二指肠的胰头切除术是慢性胰腺炎合并炎性包块的适宜治疗方式。在慢性胰腺炎CA19-9增高是胰腺癌的高危因素。

关键词：慢性胰腺炎病因病理特点治疗预后中国人

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High Risk Factors of Pancreatic Carcinoma

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2016年第3期36卷 295-304页

作者： soriba naby camara 殷涛杨明李响龚琼周静赵刚杨智勇 Tajoo Aroun Martin Kuete Sonam Ramdany Alpha Kabinet camara Aissatou Taran Diallo 冯珍宁辛熊炯新陶京钦琪周伟崔静黄敏郭尧勾善淼王博刘涛 Ohoya Etsaka Terence Olivier Tenin Conde Mohamed Cisse Aboubacar Sidiki Magassouba Sneha Ballah naby Laye Moussa Keita Ibrahima Sory Souare Aboubacar Toure Sadamoudou Traore Abdoulaye Korse Balde Namory Keita naby Daouda camara Dusabe Emmanuel 吴河水王春友 Department of General Surgery Pancreatic disease InstituteUnion Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Breast and.Thyroid Surgery Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Planning Family and Reproductive Institute Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of General Medicine Sir Seewoosagur Ramgoolam National Hospital of PamplemoussesMauritius 21017Mauritius Department of Thoracic Surgery Friendship Hospital Sino-Guinea of Kipe Department of General Surgery National Hospital of Ignace DeenConakry 1147Guinea Department of Gastroenterology and Hepatology Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Nephrology Union Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China Department of Dermatology Friendship Hospital Sino-Guinea of Kipe Department of Internal Medicine Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Biochemistry University Gamal Abdel Nasser of ConakryConakryl147Guinea Department of Neurosurgery Friendship Hospital Sino-Guinea of Kipe Department of Medical Imaging Good Shepherd Medical CenterThe University of TexasLongview 75601USA Department of Visceral Surgery National Hospital of Donka Department of Gynecology and Obstetrics National Hospital of Donka Department of Stomatology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Over the past decades, cancer has become one of the toughest challenges for health professionals. The epidemiologists are increasingly directing their research efforts on various malignant tumor worldwide. Of note, incidence of cancers is on the rise more quickly in developed countries. Indeed, great endeavors have to be made in the control of the life-threatening disease. As we know it, pancreatic cancer（PC） is a malignant disease with the worst prognosis. While little is known about the etiology of the PC and measures to prevent the condition, so far, a number of risk factors have been identified. Genetic factors, pre-malignant lesions, predisposing diseases and exogenous factors have been found to be linked to PC. Genetic susceptibility was observed in 10% of PC cases, including inherited PC syndromes and familial PC. However, in the remaining 90%, their PC might be caused by genetic factors in combination with environmental factors. Nonetheless, the exact mechanism of the two kinds of factors, endogenous and exogenous, working together to cause PC remains poorly understood. The fact that most pancreatic neoplasms are diagnosed at an incurable stage of the disease highlights the need to identify risk factors and to understand their contribution to carcinogenesis. This article reviews the high risk factors contributing to the development of PC, to provide information for clinicians and epidemiologists.

关键词： high risk factors pancreatic cancer treatment epidemiology pathogenesis etiology

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Etiology, Pathology, Management and Prognosis of Chronic Pancreatitis in Chinese Population: A Retrospective Study

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2015年第3期35卷 384-389页

作者： soriba naby camara Sonam Ramdany 赵刚勾善淼熊炯炘杨智勇殷涛杨明 Oumar Taibata Balde Ahmed Boubacar Barry Seid.Adji 李想金岩吴河水王春友 Department of General Surgery Pancreatic Center Union Hospital Tongji Medical College Huazhong University of Science and Technology Department of General Surgery National Hospital of Donka Department of Gastroenterology Pancreatic Center Union Hospital Tongji Medical College Huazhong University of Science and Technology

The purpose of this study was to investigate the etiology, pathological characteristics, management and prognosis of chronic pancreatitis in the Chinese population. The clinical data of 142 patients with chronic pancreatitis were retrospectively studied. All patients were of Chinese nationality and hospitalized from January 2008 to December 2011. Their ages ranged from 14 to 76 years, with a mean of 43 years. Of 142 patients, there were 72 cases of obstructive chronic pancreatitis（50.70%）, 19 cases of alcoholic chronic pancreatitis（13.38%）, 14 cases of autoimmune pancreatitis（9.86%） and 37 cases of undetermined etiology（26.06%）. Pathologically, the average inflammatory mass diameter was 3.8±3.3 cm, biliary obstruction occurred in 36 cases, gall stones in 70 cases, calcification in 88 cases, ductal dilatation in 61 cases, side branch dilatation in 32 cases, ductal irregularity in 10 cases, lymphocytic inflammation in 23 cases, obliterative phlebitis in 14 cases, extra pancreatic lesion in 19 cases and fibrosis in 142 cases. Location of pancreatic lesion in the region of head（n=97）, neck（n=16）, body（n=12）, tail（n=15） and whole pancreas（n=2） influenced the choice of surgical procedures. Ninety-four patients（66.20%） received surgical treatment and 33.80% received other treatments. After operation, 80.85% of 94 patients experienced decreased pain, and 8.51% of 94 showed recovery of endocrine function but with a complication rate of 12.77%. All the operations were performed successfully. According to the pain scale of European Organization for Research and Treatment of Cancer（QLQ-C30） a decrease from 76±22 to 14±18 was observed. Etiology, pathological characteristics, management and prognosis of chronic pancreatitis in the Chinese population vary from others.

关键词： chronic-pancreatitis etiology pathological characteristics management prognosis Chinese population

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Gastric Perforation in a 28-Month-Old Child: Complicated by Peritonitis Admitted to the Surgical Emergency Room after a Case

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Open Journal of Emergency Medicine 2020年第4期8卷 118-124页

作者： Abdoulaye Touré Fofana naby Amadou Yalla camara Joseph Donamou Boubacar Atigou Dramé Oularé Ibrahima camara M’mah Lamine Bangoura Almamy camara Mariama Mohamed Emile camara Godwe Justin Naibe Anesthesia-Intensive Care Unit at the National Ignace Deen Hospital Conakry Guinea General Surgery Department of the National Ignace Deen Hospital Conakry Guinea Anesthesia-Intensive Care Unit at the Donka National Hospital Conakry Guinea

We report the case of a 28-month-old male child with no particular history who was admitted to the emergency room for severe abdominal pain associated with vomiting, asthenia and fever at 39.1˚C that had progressed for 4 days. He was conscious, polypneic at 32 cycles/min on admission. On palpation the abdomen was distended, painful as a whole, more pronounced in the epigastrium. There was abdominal contracture, generalized defense, a cry with sudden decompression of the umbilicus. On abdominal auscultation, there was a disappearance of prehepatic dullness, a decrease in the dullness of the flanks and absence of hydro-aeric noises. On the digital rectal examination, Douglas’s cul de sac was bulging and sensitive. An unprepared X-ray of the abdomen revealed diffuse grayness, lateral gas crescent pneumoperitoneum under diaphragm. The preoperative resuscitation consisted of the placement of a nasogastric tube, a urinary catheter, a peripheral venous route and the fluid electrolyte rebalancing adapted according to the blood ionogram, early antibiotic therapy with broad aero and anaerobic spectrum. Surgical management under general anesthesia found at laparotomy a perforation of the anterior surface of the duodenal bulb which we estimate to be 1 cm in diameter with fibrin deposits. The gesture was the toilet of the peritoneal cavity;suture of the bank and the operative consequences were simple.

关键词： Resuscitation Gastric Perforation Child Peritonitis Ignace Deen

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Digestive Manifestation in COVID-19 Patient Complicated by Occlusive Syndrome Admitted to Intensive Care in a Case

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Open Journal of Emergency Medicine 2020年第4期8卷 110-117页

作者： Abdoulaye Touré Amadou Yalla camara Joseph Donamou Boubacar Atigou Dramé Fofana naby Oularé Ibrahima camara M’mah Lamine Bangoura Almamy camara Mariama Mohamed Emile camara Godwe Justin Naibe Anesthesia-Intensive Care Unit at the National Ignace Deen Hospital Conakry Guinea Anesthesia-Intensive Care Unit at the Donka National Hospital Conakry Guinea General Surgery Department of the National Ignace Deen Hospital Conakry Guinea

We report the case of a 39-year-old patient with a history of chronic gastritis, functional colopathy and appendectomy, referred by another public institution for severe abdominal pain. He had been admitted 6 days previously for nausea, vomiting, diarrhea, fever, asthenia since the onset of dyspnea with 89% desaturation in ambient air and a dry cough. A diagnosis of gastroenteritis was made and treated without success. The appearance of abdominal distension and bloating motivated his transfer to the CTPI where the rRT-PCR was carried out positive and an X-ray of the abdomen without preparation which had demonstrated a significant aerocoly with agglutination of handle. Surgical management under general anesthesia found a clean cavity after coeliotomy, multiple intestino-intestinal, intestino-parietal and omentum-parietal adhesions. The gesture consisted of an adhesiolysis, omentectomy. The postoperative follow-up was favorable with resumption of transit on D5 postoperative. Put under the COVID-19 treatment protocol, the rRT-PCR was negative on D13, output on D14 and removal of the D19 files without postoperative complications.

关键词： Resuscitation COVID-19 Digestive Manifestation Occlusive Syndrome Donka

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Urological Complications of Gynecological and Obstetric Interventions: Management at the Ignace Deen National Hospital—University Hospital of Conakry (Guinea)

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Surgical Science 2017年第12期8卷 519-529页

作者： Aissatou Taran Diallo Yaya Diallo Bah Oumar Raphiou Koudazankpa Esaie Mahugbe Namory Keita naby Daouda camara Department of General surgery Ignace Deen National HospitalUniversity Hospital of ConakryConakryGuinea Department of Gynecology and Obstetrics Ignace Deen National HospitalUniversity Hospital of ConakryConakryGuinea Departent of Urology Ignace Deen National HospitalUniversity Hospital of ConakryConakryGuinea Department of Gynecology and Obstetrics Donka National HospitalUniversity Hospital of ConakryConakryGuinea

Introduction: pelvic abdominal surgery may be associated with urological complications requiring reoperation. The aim of this study was to evaluate the urological surgical complications of gynecological and obstetric procedures conducted at the Ignace Deen University Hospital of Conakry in Guinea. Methodology: This was a retrospective, cross-sectional, descriptive study of ten years, from 1 January 2006 to 21 December 2015. Results: Of 14,500 patients hospitalized in the maternity ward during the study period, 31 patients had secondary urological complications during gynecological or obstetric intervention 0.2%). The mean age of the patients was 34.77 years (range: 17 to 58 years). The mean duration of hospital stay was 13.29 days (range: 3 to 28 days). Signs of complication were mainly postoperative abdominal pain (64%, n = 20), vaginal urine leakage (19.35%, n = 6) and vaginal bleeding (9.68% n = 3). The diagnosis was mainly confirmed by ultrasound (70.45%, n = 31). The lesions were primarily ureteric (77.42%, n = 17) or on the urethral wounds (8.12%, n = 12). Urological complications mostly occurred during hysterectomy (41.94%, n = 13) and caesarean section (32.26%, n = 10). Repair procedures included uretero-vesical reimplantation (58.06%, n = 18), vesico-vaginal fistuloraphy (22.58%, n = 7), vesico-uterine fistuloraphy (12.90%, n = 4) and temporary ureterostomy (6.45%, n = 2). Treatment were successful in 28 patients (90.32%) and a lethality of 9.68% (n = 3) was recorded. Conclusion: Urological surgical complications of obstetric gynecological surgeries were mostly related to hysterectomy and Caesarean section performed by low-skilled surgeons, from peripheral facilities. Prevention measures should include better training and follow-up of practitioners from peripheral health facilities.

关键词： Urological Surgical Complications Hysterectomy Cesarean Section Ureteral Injuries Iatrogenic Urogenital Fistula Surgical Reoperation

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Right Diaphragmatic Rupture with Passage of an Intrathoracic Ileal Segment Apropos of a Case and Review of the Literature at the Kankan Regional Hospital

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Open Journal of Internal Medicine 2023年第2期13卷 126-130页

作者： Aly Mampan Koundouno Saikou Yaya Diakite Saa Yawo Kondano Fodé Lansana camara Labilé Togba Soumaoro Soryba naby camara Abdoulaye Korsé Balde Hamidou Sylla Aissatou Taran Diallo Moussa Doumbouya Aboubacar Toure Visceral and Digestive Surgery at the Kankan Regional Hospital Kankan Guinea General Surgery at the Ignace Deen National Hospital Conakry Guinea Visceral and Digestive Surgery at the Sino-Guinean Friendship Hospital Conakry Guinea

Traumatic rupture of the right diaphragmatic dome with herniation of a segment of the hail into the thorax is a rare lesion. It is often the result of a thoraco-abdominal trauma. It can generally lead to early or late cardiopulmonary complications due to compression. The objective of this clinical case is to study the physiopathological mechanisms, the diagnostic and therapeutic modalities of this complication. The diagnosis is often difficult in front of a diaphragmatic rupture since there are no specific clinical signs. In our case, the clinical picture on arrival was that of a high occlusion in an immediate postoperative context. The X-ray which makes it possible to visualize the ascended organs but more difficultly the rupture itself could not be carried out. Treatment is essentially surgical. Although the thoracic approach is preferred by several surgeons because of the difficulties of exposing the diaphragm in the presence of the liver, we chose the abdominal approach instead. The postoperative course is made up of parietal suppuration.

关键词： Rupture Diaphragmatic Intrathoracic Ileal Segment

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Pyeloplasty According to Küss-Anderson-Hynes: Results and Complications at the Urology-Andrology Department of the Sino-Guinean Friendship Hospital

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Open Journal of Urology 2022年第9期12卷 471-477页

作者： Alimou Diallo Thierno Mamaou Oury Diallo Thierno Oumar Diallo Demba Cissé Sory naby camara Alpha Oumar Barry Mamadou Barry Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah Department of Urology Sino-Guinean Friendship Hospital Faculty of Health Sciences and Technologies Gamal Abdel Nasser University of Conakry Conakry Guinea National Ignace Deen Hospital Faculty of Health Sciences and Technologies Gamal Abdel Nasser University of Conakry Conakry Guinea National Ignace Deen Hospital Faculty of Health Sciences and Technologies Gamal Abdel Nasser University of Conakry Conakry Guinea Department of Urology Kolda Regional Hospital Cheick Anta Diop University Dakar Senegal

Objective: Evaluate pyeloplasty according to Küss-Anderson-Hynes at the urology-andrology department of the Sino-Guinean Friendship Hospital. Patient and Method: This is a 3-year prospective descriptive study from January 1, 2018 to December 31, 2020. It focused on a sample of 21 patients, who had undergone pyeloplasty according to Küss-Anderson-Hynes. Results: The averages age of the patients was 24.24 years. Lumbar pain was the main reason for consultation in 71.43% of cases. pyeloplasty according to Küss-Anderson-Hynes alone was performed in 76.20% of cases. It was associated with lower pole vessel uncrossing in 14.29% of cases and in 9.52% of cases with pyelolithotomy. The main Postoperative complications consisted of surgical site infections (23.81%) and fistula of the pyelo-ureteral junction (9.52%). The result of the pyeloplasty evaluated after three years, was qualified as good in 13 patients (86.67%), conversely the result was declared bad in 2 patients or 13.33%. During the follow-up period, postoperatively, we had lost sight of 6 patients. Conclusion: Pyeloplasty according to Küss-Anderson-Hynes in addition to its excellent results reported by the literature was the only therapeutic alternative performed during this study. However, its indications are considerably reduced with the advancement of laparoscopy.

关键词： Pyeloplasty Küss-Anderson-Hynes Parietal Suppuration

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Thyroid Disease at the University Hospital of Conakry, Guinea

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Open Journal of Internal Medicine 2019年第4期9卷 105-111页

作者： Amadou Kaké Mamadou Mansour Diallo Djibril Sylla Alpha Mamadou Diallo Ibrahima camara Abdoulaye Keita Thierno Amadou Wann Kadija Dieng Mamadou Alpha Diallo Elhadj Zaï noul Bah Mohamed Yakharé camara Abdoulaye Bayo naby Moussa Baldé Department of Endocrinology and Metabolic Diseases Donka University Hospital Conakry Guinea Department of Internal Medicine Donka University Hospital Conakry Guinea Department of ENT Donka University Hospital Conakry Guinea.

Objectives: To describe the epidemiological, clinical and therapeutic characteristics of thyroid disease at the University Hospital of Conakry, Guinea. Methods: This was a descriptive study with prospective data collection, carried out over the period of December 2016 to April 2019 at the endocrinology outpatient consultation at the University Hospital of Conakry. All the epidemiological, clinical and therapeutic data of the patients followed-up for thyroid disease were collected, analyzed and classified according to the epidemiological, clinical and therapeutic profile. The functional, morphological and autoimmune aspects of the thyroid gland were studied. Results: Out of a total of 3.517 endocrinology consultations during the study period, 204 patients were diagnosed with thyroid disease (180 women and 24 men, F/H ratio: 7.5). The average age was 47 ± 16 years. A total of 90 patients (44.33%) had hyperthyroidism, including 52 cases of Graves-Basedow disease (57.6%) and 24 cases of toxic multi-nodular goiter (32.6%). Hypothyroidism was confirmed in 25 patients (11%);about half (48%) of them had a complete thyroid surgery. The treatment of hyperthyroidism was exclusively done by synthetic antithyroid drugs, except 5 cases of Hashimoto disease with transient initial hyperthyroidism phase. Hypothyroidism was treated by hormone replacement therapy. Thyroidectomy, partial (n = 5) or total (n = 12), was performed for aesthetic discomfort (n = 6), cervical compression (n = 8) and suspicion of thyroid cancer (n = 3). Follow-up was considered regular in 40 cases (44%). Conclusion: Thyroid disease was frequent in this study conducted in Conakry and its clinical features were very diverse, dominated by hyperthyroidism mainly due to Grave disease. However, diagnostic and therapeutic strategies were hindered by the limitation in availability of biological and morphological explorations.

关键词： Goiter Hyperthyroidism Hypothyroidism Guinea

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