BACKGROUND Pancreatic metastases from squamous cell lung carcinoma(SCLC)are *** lesions are often asymptomatic and detected incidentally or during followup investigations,occasionally several years after removal of th...
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BACKGROUND Pancreatic metastases from squamous cell lung carcinoma(SCLC)are *** lesions are often asymptomatic and detected incidentally or during followup investigations,occasionally several years after removal of the primary *** SUMMARY A 56-year-old male with SCLC developed jaundice 1 mo after the cancer *** abdominal computed tomography(CT)scan showed a mass in the pancreatic head with distention of both intra-and extrahepatic biliary *** retrograde cholangiopancreatography and sphincterotomy were performed first,culminating with plastic biliary stent *** examination of the pancreatic mass sample collected by fine-needle aspiration(FNA)under endoscopic ultrasound(EUS)guidance revealed the presence of malignant cells compatible with well-differentiated squamous cell *** liver function normalized,chemotherapy was initiated with carboplatin and paclitaxel;however,4 d later,the patient presented ***-thoracoabdominal CT showed tracheoesophageal fistula and stent *** replacement with a 10 cm/10 mm uncovered metallic biliary stent and treatment of the tracheoesophageal fistula with a fully covered esophageal stent,the patient was able to start oral feeding *** died 9 mo after the initial *** The diagnosis of pancreatic metastasis from SCLC is challenging for ***-FNA is the primary exam for confirmatory diagnosis.
Despite the extreme events impact on various climate events frequency and intensity in many developing countries, there has been dearth information on daily climate trends and climatic extremes. This study comes to ch...
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Despite the extreme events impact on various climate events frequency and intensity in many developing countries, there has been dearth information on daily climate trends and climatic extremes. This study comes to characterize the climate type and its evolution in Morocco, specially the two regions Beni Mellal-Khenifra and Daraa-Tafilalt. RClimdex software has been used to calculate pluvio-thermal and ombro-thermic indices in the studied stations to reveal climate type in the two regions, their evolutions, and the daily extreme temperatures and precipitations. A cartographic representation has been done for the calculated indices and climatic trends in the stations from 1970 to 2016. As results, the temperature trend for hot day’s number shows a significant increase, while the cold night’s numbers, warm sequences, and precipitation are gradually decreases especially at Khouribga and Midelt. These observed modifications influence negatively the annual rainfall total in the year, the consecutive wet days, the maximums rainy days, and the increase of consecutively dry days. As a conclusion, the Martonne aridity and ombro-thermic indices, show that the temperatures and precipitations evolutions do not induce a change in the climate type for the studied regions.
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