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Corticosurrenaloma: About a Pediatric Case

Open Journal of Pediatrics 2022年第2期12卷 449-452页

作者： thierry mukenge wa mukengeshay Fatoumata Binta Balde Zineb Benmassaoud Priscilla Kinsala Othmane Allaoui Abdelhalim Mahmoudi Khalid Khattala Sara Benmilloud Youssef Bouabdallah Service de Chirurgie Pédiatrique Centre Hospitalier et Universitaire Hassan II de Fès Fès Morocco Service de Pédiatrie Unité d’Oncologie Centre Hospitalier et Universitaire Hassan II de Fès Fès Morocco Faculté de Médecine et de Pharmacie Université Sidi Mohamed Ben Abdallah de Fès Fès Morocco

Introduction: This study aims to describe the outcome of adrenocortical cancer in children through observation. Observation: A 10-year-old girl with no previous pathological history. She presented headaches and severe hypertension with clinical and biological signs of hyperandrogenism for 6 months. An abdominal CT scan showed an encapsulated left adrenal mass without local or regional invasion or secondary location. A pheochromocytoma or adrenal neuroblastoma was first suspected. The blood pressure was stable at 130/65 mmHg under antihypertensive drugs. She underwent a complete tumor resection without any intraoperative incident. The pathologic study confirmed the adrenocortical carcinoma scored Weiss 7. The severe high blood pressure reappeared 2-year later despite antihypertensive drugs. The thoracic abdominal and pelvic CT scan showed a locally advanced tumor recurrence in the left adrenal gland with parenchymal nodes in the lungs and liver. The outcome was fatal despite medical and surgical management. Conclusion: Adrenocortical cancer is a rare tumor. It is important to hormonal testing in the presence of Cushing’s syndrome in children. It can give a strong indication of the diagnostic possibilities. Histology confirms the diagnosis. The evolution is covered by complications, in particular recurrence with life-threatening metastases.

关键词： Adrenal Tumor Adrenal Cortex Hyperandrogenism Child

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Place of Total Self-Skin Transplant in the Management of Burns in Children: Results and Predictive Factors

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Open Journal of Pediatrics 2021年第4期11卷 676-683页

作者： Fatoumata Binta Balde Zineb Benmassaoud thierry mukenge Majdouline Zemmari Hicham Abdellaoui Tazi Mohammed Charki Karima Atarraf My Abderrahmane Afifi Department of Pediatric Surgery Hassan II University Hospital Fez Morocco Faulty of Medecine and Pharmacy Sidi Mohamed Ben Abdallah University Faz Morocco

Introduction: Skin transplant is essential in the management of skin substance losses, especially in deep burns. Our work aims to present, through a series of cases, the results of the skin self-transplant carried out to supplement the treatment of skin burns. Materials and Methods: A one-year prospective study of the total self-skin transplant performed in the management of burns in children was included. After clinic and biologic considerations, a total self-skin transplant was performed. Results: Forty-five burns were hospitalized, of which six patients received a total self-skin transplant. The average age was 7.43 years with male predominance. The burns were deep thermal burns, preferentially located on the trunk and upper limbs covering over 10% - 25% of the body surface of which 3% - 13% wa

关键词： Skin Transplant Burn Child

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