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Skin Nodules as a First Presentation of Metastatic Invasive Lobular Carcinoma: Case Presentation

Advances in Breast Cancer Research 2018年第2期7卷 130-133页

作者： Mohsen samy Barsoum Emad Mohsen samy Barsoum hany samy attallah hany Nader Victor National Cancer Institute (NCI) Cairo University Cairo Egypt Barsoum Oncology Center (BOC) Cairo Egypt Military Medical Academy (MMA) Cairo Egypt Egyptian Fellowship Medical Oncology (EFMO) Barsoum Oncology Center (BOC) Cairo Egypt

Primary breast carcinoma is the most common cause of cutaneous metastases in adult females, comprising about one fourth of patients with the disease. Although CM usually manifests as a late event in the course of a known neoplasm, they are rarely the presenting sign of an undiagnosed malignancy. Invasive Lobular carcinoma is known to be more likely to spread to unusual sites.

关键词： Lobular Carcinoma Skin Nodule First Presentation

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Intensive care outcome of left main stem disease surgery: A single center three years’ experience

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World Journal of Critical Care Medicine 2021年第1期10卷 12-21页

作者： Amr S Omar samy Hanoura Yasser Shouman Praveen C Sivadasan Suraj Sudarsanan hany Osman Abdul Rasheed Pattath Rajvir Singh Abdulaziz AlKhulaifi Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care Unit Hamad Medical CorporationDoha 3050DAQatar Department of Medicine Weill Cornell Medical College in QatarDoha 3050DAQatar Department of Critical Care Medicine Beni Suef UniversityBeni Suef 62511Egypt Department of Cardiothoracic Surgery Hamad Medical CorporationDoha 3050DAQatar Department of Anesthesia Alazhar UniversityCairo 11651Egypt Department of Cardiothoracic Surgery/Intensive Care Unit Section Hamad Medical CorporationDoha 3050DAQatar Department of Medical Research Hamad Medical CorporationDoha 3050DAQatar Department of Cardiothoracic Surgery Qatar UniversityDoha 3050DAQatar

BACKGROUND Left main coronary artery(LMCA)supplies more than 80%of the left ventricle,and significant disease of this artery carries a high mortality unless intervened ***,the influence of coronary artery bypass grafting(CABG)surgery on patients with LMCA disease on morbidity intensive care unit(ICU)outcomes needs to be ***,the impact of CABG surgery on the morbidity of the ICU population with LMCA disease is worth *** To determine whether LMCA disease is a definitive risk factor of prolonged ICU stay as a primary outcome and early morbidity within the ICU stay as secondary *** Retrospective descriptive study with purposive sampling analyzing 399 patients who underwent isolated urgent or elective *** were divided into 2 groups;those with LMCA disease as group 1(75 patients)and those without LMCA disease as group 2(324 patients).We correlated ICU outcome parameters including ICU length of stay,post-operative atrial fibrillation,acute kidney injury,re-exploration,perioperative myocardial infarction,post-operative bleeding in both *** Patients with LMCA disease had a significantly higher prevalence of diabetes(43.3%vs 29%,P=0.001).However,we did not find a statistically significant difference with regards to ICU stay,or other morbidity and mortality outcome *** Post-operative performance of Patients with LMCA disease who underwent CABG were comparable to those without LMCA *** was more prevalent in patients with LMCA *** findings may help in guiding decision making for future practice and stratifying the patients’care.

关键词： Cardiac surgery Critical care Left main disease Coronary graft Outcome Cardiac output

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Single vs dual(en bloc) kidney transplants from donors ≤ 5 years of age: A single center experience

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World Journal of Transplantation 2016年第1期6卷 239-248页

作者： Yousef Al-Shraideh Umar Farooq hany El-Hennawy Alan C Farney Amudha Palanisamy Jeffrey Rogers Giuseppe Orlando Muhammad Khan Amber Reeves-Daniel William Doares Scott Kaczmorski Michael D Gautreaux samy S Iskandar Gloria Hairston Elizabeth Brim Margaret Mangus Robert J Stratta Department of Surgery Wake Forest School of Medicine Department of Internal Medicine Wake Forest School of Medicine Department of Pharmacy Wake Forest School of Medicine Department of Pathology Wake Forest School of Medicine

AIM: To compare outcomes between single and dual en bloc(EB) kidney transplants(KT) from small pediatric donors. METHODS: Monocentric nonprospective review of KTs from pediatric donors ≤ 5 years of age. Dual EB KT was defined as keeping both donor kidneys attached tothe inferior vena cava and aorta, which were then used as venous and arterial conduits for the subsequent transplant into a single recipient. Donor age was less useful than either donor weight or kidney size in decision-making for kidney utilization as kidneys from donors < 8 kg or kidneys < 6 cm in length were not transplanted. Post-transplant management strategies were standardized in all ***: From 2002-2015, 59 KTs were performed including 34 dual EB and 25 single KTs. Mean age of donors(17 mo vs 38 mo, P < 0.001), mean weight(11.0 kg vs 17.4 kg, P = 0.046) and male donors(50% vs 84%, P = 0.01) were lower in the dual EB compared to the single KT group, respectively. Mean cold ischemia time(21 h), kidney donor profile index(KDPI; 73% vs 62%) and levels of serum creatinine(SCr, 0.37 mg/d L vs 0.49 mg/d L, all P = NS) were comparable in the dual EB and single KT groups, respectively. Actuarial graft and patient survival rates at 5-years follow-up were comparable. There was one case of thrombosis resulting in graft loss in each group. Delayed graft function incidence(12% dual EB vs 20% single KT, P = NS) was slightly lower in dual EB KT recipients. Initial duration of hospital stay(mean 5.4 d vs 5.6 d) and the one-year incidences of acute rejection(6% vs 16%), operative complications(3% vs 4%), and major infection were comparable in the dual EB and single KT groups, respectively(all P = NS). Mean 12 mo SCr and abbreviated MDRD levels were 1.17 mg/d L vs 1.35 mg/d L and 72.5 m L/min per 1.73 m^2 vs 60.5 m L/min per 1.73 m^2(both P = NS) in the dual EB and single KT groups, respectively. CONCLUSION: By transplanting kidneys from young pediatric donors into adult recipients, one can effectively

关键词： Donor age Donor weight En bloc kidney transplant Kidney donor profile index Single kidney transplant Small pediatric donor

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