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[PMID]:28715257
[Au] Autor:Trout AT; Chow J; McNamara ER; Darge K; Ramirez Grueso R; Munden M; Rothan SM; Navarro OM; Tijerín Bueno M; Bove KE; Chikwava KR; Heider A; Hicks MJ; Somers GR; Zhang B; Dillman JR
[Ad] Endereço:From the Department of Radiology (A.T.T., J.R.D.) and Divisions of Pathology (K.E.B.) and Biostatistics and Epidemiology (B.Z.), Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229-3026; Departments of Radiology (J.C.) and Urology (E.R.M.), Boston Children's Hospital
[Ti] Título:Association between Testicular Microlithiasis and Testicular Neoplasia: Large Multicenter Study in a Pediatric Population.
[So] Source:Radiology;285(2):576-583, 2017 Nov.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose To retrospectively define the strength of association between testicular microlithiasis and testicular neoplasia in a large geographically diverse pediatric population. Materials and Methods Retrospective review of scrotal ultrasonographic (US) examination reports and pathology specimens obtained between January 2000 and May 2014 at six academic pediatric hospitals in North America was performed. Reported cases were reviewed to confirm microlithiasis. Radiology and pathology data bases were searched for pathology-proven testicular tumors (benign or malignant germ cell or stromal tumors). Association strength (risk) was expressed in terms of odds ratios (ORs) with and without adjustment for fixed study site effects based on logistic regression. Results A total of 37 863 individuals underwent scrotal US during the study period. Mean age was 11.1 years ± 4.7 [standard deviation] in boys with microlithiasis and 9.1 years ± 5.9 in boys without microlithiasis (P < .001). Microlithiasis was confirmed in 2.90% of patients (1097 of 37 863; range, 1.61%-5.25% across sites). It was unilateral in 21.97% (241 of 1097) of patients and bilateral in 78.0% (856 of 1097). Tumor was identified in 4.64% (51 of 1097) of boys with microlithiasis and 0.33% (122 of 36 766) of boys without (unadjusted OR, 14.65; 95% confidence interval [CI]: 10.29, 20.84; adjusted OR, 14.19). Malignant germ cell tumors were identified in 2.8% (31 of 1097) of boys with microlithiasis and 0.12% (45 of 36 766) of boys without microlithiasis (unadjusted OR, 17.26; 95% CI: 11.8, 25.25; adjusted OR, 22.37). Sex cord-stromal tumors were identified in 0.46% (five of 1097) of boys with microlithiasis and 0.079% (29 of 36 766) of boys without (unadjusted OR, 5.8; 95% CI: 2.1, 16; adjusted OR, 6.39). Conclusion There is a strong association between testicular microlithiasis and primary testicular neoplasia in this pediatric population. RSNA, 2017.
[Mh] Termos MeSH primário: Cálculos/complicações
Cálculos/epidemiologia
Doenças Testiculares/complicações
Doenças Testiculares/epidemiologia
Neoplasias Testiculares/complicações
Neoplasias Testiculares/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Cálculos/diagnóstico por imagem
Criança
Pré-Escolar
Seres Humanos
Masculino
Razão de Chances
Estudos Retrospectivos
Doenças Testiculares/diagnóstico por imagem
Neoplasias Testiculares/diagnóstico por imagem
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170718
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2017162625


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[PMID]:28682899
[Au] Autor:Enliang L; Rongshou W; Shidai S; Jingling Z; Qian F; Wenjun L; Linquan W
[Ad] Endereço:aDepartment of General Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang bDepartment of General Surgery, The First Affiliated Hospital of Gannan Medical College, Ganzhou cDepartment of General Surgery, Jian Central People's Hospital, Jian dDepartment of Anesthesiology, The First Affiliated Hospital of Gannan Medical College, Ganzhou, China.
[Ti] Título:Simple resection of the lesion bile duct branch for treatment of regional hepatic bile duct stones.
[So] Source:Medicine (Baltimore);96(27):e7414, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To evaluate the effectiveness and safety of simple resections of bile duct branch lesions for the treatment of regional hepatic bile duct stones.A retrospective analysis of the clinical data from patients in our hospital from November 2008 to November 2015, who only underwent a simple resection of the lesion bile duct branch. The patients' clinical characteristics, surgical features, postoperative complications, stone clear rate, residual stone rate, and recurrence stone rate were analyzed.This study of 32 patients included 13 males and 19 females with intrahepatic bile duct stones confined to the right hepatic bile duct branch. The intraoperative blood loss, operation time, and postoperative hospital stay were 478.0 ±â€Š86.5, 210.7 ±â€Š6.6, and 10.8 ±â€Š3.5, respectively. Postoperative complications occurred in 6 patients (18.8%), all of whom recovered with conservative management. There were no deaths during hospitalization. The intraoperative stone clearance rate was 95.8%. Three patients had a recurrence of stones at a mean of 22 months of follow-up (range, 4-36 months).Simple resection of bile duct branch lesions is safe and feasible for patients who have regional hepatic bile duct stones limited to the right hepatic bile duct branches.
[Mh] Termos MeSH primário: Ductos Biliares Intra-Hepáticos/cirurgia
Cálculos/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Perda Sanguínea Cirúrgica
Estudos de Viabilidade
Feminino
Seguimentos
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/terapia
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007414


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[PMID]:28401347
[Au] Autor:Zhang JJ; Rajabhandharaks D; Xuan JR; Chia RWJ; Hasenberg T
[Ad] Endereço:Boston Scientific Corp, 3070 Orchard Drive, San Jose, CA, 95134, USA. james.zhang@bsci.com.
[Ti] Título:Calculus migration characterization during Ho:YAG laser lithotripsy by high-speed camera using suspended pendulum method.
[So] Source:Lasers Med Sci;32(5):1017-1021, 2017 Jul.
[Is] ISSN:1435-604X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Calculus migration is a common problem during ureteroscopic laser lithotripsy procedure to treat urolithiasis. A conventional experimental method to characterize calculus migration utilized a hosting container (e.g., a "V" grove or a test tube). These methods, however, demonstrated large variation and poor detectability, possibly attributed to the friction between the calculus and the container on which the calculus was situated. In this study, calculus migration was investigated using a pendulum model suspended underwater to eliminate the aforementioned friction. A high-speed camera was used to study the movement of the calculus which covered zero order (displacement), first order (speed), and second order (acceleration). A commercialized, pulsed Ho:YAG laser at 2.1 µm, a 365-µm core diameter fiber, and a calculus phantom (Plaster of Paris, 10 × 10 × 10 mm ) was utilized to mimic laser lithotripsy procedure. The phantom was hung on a stainless steel bar and irradiated by the laser at 0.5, 1.0, and 1.5 J energy per pulse at 10 Hz for 1 s (i.e., 5, 10, and 15 W). Movement of the phantom was recorded by a high-speed camera with a frame rate of 10,000 FPS. The video data files are analyzed by MATLAB program by processing each image frame and obtaining position data of the calculus. With a sample size of 10, the maximum displacement was 1.25 ± 0.10, 3.01 ± 0.52, and 4.37 ± 0.58 mm for 0.5, 1, and 1.5 J energy per pulse, respectively. Using the same laser power, the conventional method showed <0.5 mm total displacement. When reducing the phantom size to 5 × 5 × 5 mm (one eighth in volume), the displacement was very inconsistent. The results suggested that using the pendulum model to eliminate the friction improved sensitivity and repeatability of the experiment. A detailed investigation on calculus movement and other causes of experimental variation will be conducted as a future study.
[Mh] Termos MeSH primário: Cálculos/patologia
Lasers de Estado Sólido
Litotripsia a Laser/instrumentação
Litotripsia a Laser/métodos
Fotografia/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Lasers de Estado Sólido/uso terapêutico
Imagens de Fantasmas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1007/s10103-017-2202-1


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[PMID]:28267895
[Au] Autor:Pedersen MR; Møller H; Rafaelsen SR; Jørgensen MM; Osther PJ; Vedsted P
[Ad] Endereço:Department of Radiology, Vejle Hospital, Part of Lillebaelt Hospital, Vejle, Denmark.
[Ti] Título:Characteristics of symptomatic men with testicular microlithiasis - A Danish cross-sectional questionnaire study.
[So] Source:Andrology;5(3):556-561, 2017 May.
[Is] ISSN:2047-2927
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Testicular microlithiasis (TML) is an incidental finding at ultrasonography of the scrotum. A link between testicular microlithiasis and testicular cancer has been suggested. However, the majority of studies are retrospective using ultrasonography with minor data on health status and life style characteristics. Our objective was to investigate if lifestyle and health are associated with TML. In 2014, we conducted a self-administered questionnaire survey including 1538 men, who all due to testicular/scrotal symptoms had an ultrasound investigation of the scrotum during 2004-2013. The men were divided into men with TML and men without. The 23-items questionnaire included items on age, height, weight, lifestyle (alcohol consumptions, smoking habits, workload, exercise and food), previous diseases in the testicles, pain and consumption of analgesics. The prevalence of TML was 12.8%. Overall, lifestyle factors did not vary between men with or without TML. However, men with TML did consume more crisp than men without. Development of TML was not associated to classic life style factors such as alcohol consumption, smoking habits, or mothers smoking during pregnancy. Also, age and height could not be linked to presence of TML. We did find, however, that men with TML experienced less physical activity and consumed more crisp than men without TML. Since ingestion of crisps has potential carcinogenic effect (acrylamide), this finding needs confirmation in a separate study.
[Mh] Termos MeSH primário: Cálculos/epidemiologia
Doenças Testiculares/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Dinamarca/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Prevalência
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE
[do] DOI:10.1111/andr.12326


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[PMID]:28258377
[Au] Autor:Adler JM; Gardner TB
[Ad] Endereço:Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA.
[Ti] Título:Endoscopic Therapies for Chronic Pancreatitis.
[So] Source:Dig Dis Sci;62(7):1729-1737, 2017 Jul.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chronic pancreatitis is a fibroinflammatory disease of the pancreas leading to varying degrees of endocrine and exocrine dysfunction. Treatment options are generally designed to control the pain of chronic pancreatitis, and endoscopic therapy is one of the main treatment modalities. Herein, we describe the endoscopic management of pancreatic duct calculi and strictures, entrapment of the intrapancreatic bile duct, celiac plexus interventions, and drainage of pancreatic pseudocysts.
[Mh] Termos MeSH primário: Colangiopancreatografia Retrógrada Endoscópica
Litotripsia
Pancreatite Crônica/cirurgia
[Mh] Termos MeSH secundário: Cálculos/cirurgia
Seres Humanos
Pancreatite Crônica/diagnóstico por imagem
Pancreatite Crônica/etiologia
Stents
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170305
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4502-5


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[PMID]:28201840
[Au] Autor:Kwon CI; Gromski MA; Sherman S; El Hajj II; Easler JJ; Watkins J; McHenry L; Lehman GA; Fogel EL
[Ad] Endereço:Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, USA.
[Ti] Título:Clinical response to dorsal duct drainage via the minor papilla in refractory obstructing chronic calcific pancreatitis.
[So] Source:Endoscopy;49(4):371-377, 2017 Apr.
[Is] ISSN:1438-8812
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Complete stone removal from the main pancreatic duct might not be achieved in all patients with obstructive chronic calcific pancreatitis. We report our results for endoscopic dorsal pancreatic duct (DPD) bypass of obstructing stones in the ventral pancreatic duct (VPD). 16 patients with obstructive chronic calcific pancreatitis were treated with a DPD bypass. Clinical success was defined as significant pain relief and no hospital admissions for pain management during the ongoing treatment period. Among 16 patients meeting entry criteria, 10 (62.5 %) had a history of unsuccessful endoscopic therapy, and 8 had failed extracorporeal shockwave lithotripsy (ESWL). Clinical success was achieved in 12 patients (75 %). Among these responders, 10 patients (83.3 %) had markedly improved or complete pain relief after the first stent placement, which persisted throughout the follow-up period; 11 patients (91.7 %) were able to discontinue their daily analgesics. In selected patients with obstructive chronic calcific pancreatitis, the DPD bypass may be considered as a rescue endoscopic therapy, potentially obviating the need for surgery when standard endoscopic methods and ESWL fail.
[Mh] Termos MeSH primário: Cálculos/terapia
Drenagem/métodos
Endoscopia do Sistema Digestório/métodos
Ductos Pancreáticos
Pancreatite Crônica/terapia
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Adulto
Idoso
Cálculos/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Pancreatite Crônica/etiologia
Recidiva
Retratamento
Stents
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170216
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-120996


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[PMID]:28100359
[Au] Autor:Cheng Y; Zhang W; Zhang H; Liu Y; Li N; Cao J; Wang GF
[Ad] Endereço:Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China.
[Ti] Título:[Holmium: yttrium-aluminum-garnet (Ho: YAG) laser lithotripsy in the treatment of broncholithiasis].
[So] Source:Zhonghua Jie He He Hu Xi Za Zhi;40(1):29-33, 2017 Jan 12.
[Is] ISSN:1001-0939
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To assess the effectiveness of Ho: YAG Laser in the treatment of broncholithiasis. We retrospectively reviewed the clinical data of 6 patients who underwent Ho: YAG Laser lithotripsy in Peking University First Hospital during May 2012 to October 2015. 4 females and 2 males, with a median age of 60 years, were enrolled. Among 6 patients, persistent cough( =2), hemoptysis( =2), recurrent pneumonia( =2) were the main clinical symptoms. Broncholiths were found in the left side in 1 patient and right side in 5 patients. 2 broncholiths were located in main bronchus and 4 in segmental bronchus. There were 2 patients with intraluminal broncholiths and 4 with transbranchial broncholiths. All 6 patients received Ho: YAG Laser(0.8-1.2 J pulse energies, 5-10 Hz frequencies, 365 µm laser fibers) under rigid bronchoscopy in general anesthesia and experienced relief of symptoms. Complete removal of broncholith was accomplished in intraluminal broncholith group and 1 patient in transbracnhial broncholith group, the other 3 transbracnhial broncholiths were partly removed. Complications included perioperative massive hemolysis( =1), bronchoesophageal fistula( =1) and postoperative pneumonia ( =2), no long term complications were encounted. The Ho: YAG were associated with acute complications including fistula, perioperative massive hemolysis, infections and no long-term side effects. It represents a safe and effective therapy option for broncholithiasis.
[Mh] Termos MeSH primário: Alumínio
Broncopatias/terapia
Broncoscopia/métodos
Cálculos/terapia
Litotripsia a Laser/métodos
Ítrio
[Mh] Termos MeSH secundário: Adulto
Idoso
Broncopatias/diagnóstico
Broncoscopia/efeitos adversos
Cálculos/diagnóstico
Feminino
Hemoptise/etiologia
Hólmio
Seres Humanos
Litotripsia a Laser/instrumentação
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (yttrium-aluminum-garnet); 58784XQC3Y (Yttrium); CPD4NFA903 (Aluminum); W1XX32SQN1 (Holmium)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1001-0939.2017.01.007


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[PMID]:27889422
[Au] Autor:Ende AR; Irani S; Kozarek RA
[Ad] Endereço:Division of Gastroenterology, University of Washington, Seattle, WA, United States.
[Ti] Título:Symptomatic pancreatic duct stones in the disconnected bile duct: A case series.
[So] Source:Pancreatology;17(1):51-54, 2017 Jan - Feb.
[Is] ISSN:1424-3911
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pancreaticobiliary maljunction (PBM) refers to the union of the pancreatic and biliary ducts outside of the duodenal wall. Patients are at increased risk of bile duct and gallbladder cancer, likely secondary to pancreatic juice refluxing into the biliary tree, and it is recommended that they undergo biliary diversion. METHODS: This is a case series of all patients in our institution with PBM and bilioenteric anastomosis who presented with symptomatic pancreatic duct stones in a disconnected bile duct. IRB approval was obtained prior to the initiation of the study. RESULTS: We describe eight cases of this finding. All patients underwent ERCP, with stones successfully removed from the disconnected bile duct in seven patients and from the pancreatic duct in one patient. CONCLUSION: This novel finding has not been described in the medical literature, and may become more prevalent as more patients with PBM undergo bilioenteric anastomosis.
[Mh] Termos MeSH primário: Doenças dos Ductos Biliares/terapia
Ductos Biliares Extra-Hepáticos/anormalidades
Cálculos/terapia
Colangiopancreatografia Retrógrada Endoscópica
Pancreatopatias/terapia
Ductos Pancreáticos/anormalidades
Complicações Pós-Operatórias/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Anastomose Cirúrgica
Doenças dos Ductos Biliares/congênito
Doenças dos Ductos Biliares/diagnóstico
Doenças dos Ductos Biliares/etiologia
Cálculos/diagnóstico por imagem
Cálculos/etiologia
Criança
Feminino
Seguimentos
Ducto Hepático Comum/cirurgia
Seres Humanos
Jejuno/cirurgia
Masculino
Meia-Idade
Pancreatopatias/congênito
Pancreatopatias/diagnóstico
Pancreatopatias/etiologia
Ductos Pancreáticos/diagnóstico por imagem
Complicações Pós-Operatórias/diagnóstico por imagem
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161128
[St] Status:MEDLINE


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[PMID]:27653953
[Au] Autor:Namikawa T; Kawanishi Y; Fujisawa K; Munekage E; Munekage M; Maeda H; Kitagawa H; Kohsaki T; Kobayashi M; Hanazaki K
[Ad] Endereço:Department of Surgery, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan. tsutomun@kochi-u.ac.jp.
[Ti] Título:Juxtapapillary Duodenal Diverticulum Impacted with Enterolith.
[So] Source:J Gastrointest Surg;21(5):920-922, 2017 May.
[Is] ISSN:1873-4626
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 64-year-old man underwent abdominal computed tomography (CT) as periodic follow-up following a distal gastrectomy with lymphadenectomy for gastric cancer and mucosal-associated lymphoid tissue (MALT) lymphoma conducted 31 months earlier. Contrast-enhanced CT demonstrated a well-circumscribed mass lesion with heterogeneous density measuring 2.2 cm in diameter located between the second segment of the duodenum and uncinate process of the pancreas. Esophagogastroduodenoscopy revealed no remarkable findings in the remnant stomach; however, the scope could not reach the duodenum due to altered anatomy by Roux-en-Y reconstruction after the distal gastrectomy. The patient underwent surgical resection of the mass lesion under the clinical diagnosis of MALT lymphoma relapse. An orange calculus was apparent in the thinly extended duodenal wall on stretching, and the hall was closed by meticulous primary suture after the duodenal resection. Macroscopically, the extracted calculus was solid and quite hard, measured 2.2 × 2.1 × 2.1 cm, and the cut surface revealed a layered structure in the outer areas with granulated contents in the center. Although duodenal diverticula are relatively common, an enterolith developing within a juxtapapillary duodenal diverticulum is rare, and to the best of our knowledge, this is the first such case due to altered anatomy after gastrectomy reported in the English literature.
[Mh] Termos MeSH primário: Cálculos/cirurgia
Divertículo/cirurgia
Duodenopatias/cirurgia
Linfoma de Zona Marginal Tipo Células B/cirurgia
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: Cálculos/diagnóstico por imagem
Duodenopatias/diagnóstico
Duodenopatias/diagnóstico por imagem
Duodeno/diagnóstico por imagem
Duodeno/cirurgia
Gastrectomia
Coto Gástrico/diagnóstico por imagem
Coto Gástrico/cirurgia
Gastroenterostomia
Seres Humanos
Masculino
Meia-Idade
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171104
[Lr] Data última revisão:
171104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160923
[St] Status:MEDLINE
[do] DOI:10.1007/s11605-016-3271-3


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[PMID]:27599309
[Au] Autor:Thompson JP; Jean-Gilles J; Dogra V
[Ad] Endereço:*Department of Imaging Sciences and †Department of Pathology and Laboratory Medicine, University of Rochester Medical Center School of Medicine and Dentistry, Rochester, NY.
[Ti] Título:Testicular Microlithiasis in the Setting of Primary Extragonadal Germ Cell Tumor: A Case Series.
[So] Source:Ultrasound Q;33(1):41-45, 2017 Mar.
[Is] ISSN:1536-0253
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The clinical significance of testicular microlithiasis (TM) in patients with primary extragonadal germ cell tumor (EGCT) is not well understood. When EGCT is suspected, sonographic and physical examination of the testicles should be performed to evaluate for testicular lesion or atrophy; negative testicular ultrasound with current technology virtually excludes the possibility of occult primary lesion. Although EGCTs are known to be associated with elevated level of serum tumor markers, the utility of tumor markers in the presence of TM is not well understood. Current guidelines for TM follow-up and management do not include any potential correlation between TM and primary EGCT, an association that should be addressed on future updates.
[Mh] Termos MeSH primário: Cálculos/complicações
Cálculos/diagnóstico por imagem
Neoplasias Embrionárias de Células Germinativas/complicações
Neoplasias Embrionárias de Células Germinativas/diagnóstico por imagem
Doenças Testiculares/complicações
Doenças Testiculares/diagnóstico por imagem
Neoplasias Testiculares/complicações
Neoplasias Testiculares/diagnóstico por imagem
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Neoplasias Embrionárias de Células Germinativas/tratamento farmacológico
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
Neoplasias Testiculares/tratamento farmacológico
Testículo/diagnóstico por imagem
Tomografia Computadorizada por Raios X
Ultrassonografia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160907
[St] Status:MEDLINE
[do] DOI:10.1097/RUQ.0000000000000251



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