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Long term survival in 200 patients with advanced stage of colorectal carcinoma and diabetes mellitus – a single institution experience

Introduction Diabetes mellitus (DM) is known to be an independent risk factor for the development of colorectal cancer (CRC). 1 , 2 The risk of colorectal cancer was estimated to be 27% higher in patients with type 2 DM than in non-diabetic controls. 3 However, it is unclear if the presence of diabetes in patients with CRC is associated with the cancer-specific survival of patients after cancer diagnosis. 4 Some authors found that patients with CRC and diabetes are at greater risk of all-cause and cancer-specific mortality and have worse disease

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Insulin-like growth factor 1 receptor expression in advanced non-small-cell lung cancer and its impact on overall survival

number by in situ hybridization. In summary, scarce and conflicting information exist concerning IGF1R expression impact on survival in advanced NSCLC. There are epidemiological data supporting the biological link between cancer and type 2 diabetes mellitus (T2DM) and the well-known fact that patients with T2DM have an increased risk of cancer and cancer-related mortality. 49 In a recently published study, a higher IGF1R expression - according to the previously mentioned meta-analysis a detrimental prognostic factor in operable NSCLC - was found in early stage NSCLC

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Case report from Mayo Clinic: Locally advanced Bartholin gland carcinoma

Case report from Mayo Clinic: Locally advanced Bartholin gland carcinoma

Tumors of the Bartholin gland are rare, comprising less than 5% of all vulvar malignancies. Treatment is largely based on that of vulvar and anal squamous cell carcinomas. A case of invasive, grade 4, poorly differentiated squamous cell carcinoma of the Bartholin gland is presented. Our patient, a 47-year-old woman, had a history significant for cervical intraepithelial neoplasia treated with conization, type 2 diabetes mellitus, and tobacco use. The course of treatment included preoperative radiotherapy plus 5-fluorouracil and cisplatin chemotherapy, followed by restaging and posterior exenteration in combination with vaginal reconstruction.

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A case with myasthenia gravis, brain stem multiple infarcts, fracture of vertebrae Th6 and discal hernia to the Th7/Th8

A case with myasthenia gravis, brain stem multiple infarcts, fracture of vertebrae Th6 and discal hernia to the Th7/Th8

Background. We report the case of a patient with myasthenia gravis accompanied with brain stem multiple infarcts, fracture of vertebrae Th6 and discal hernia of the Th7/TH8.

Case report. A 66-year-old male patient, one week prior to the hospitalization showed up complaints of dizziness, nausea, vomiting, numbness of the left side of the face, swallowing difficulty, left side body weakness, right side of the body numbness starting from the nipples and going down to the right leg as well as general fatigue. Six years ago the patient was diagnosed with myasthenia gravis based on electrophysiological investigations, pharmacologic tests and findings of acetylcholine (Ach) receptor antibodies in serum. He was then treated with the following medications: pyridostigmine of 60mg × 5/day, prednisolon of 20 mg (every other day), azathioprine 100mg tid. He was doing well under described therapy. Twenty years ago his left kidney was removed due to calculosis. He had also a sister that suffered of myasthenia gravis and diabetes mellitus.

Conclusions. Myasthenia gravis has a number of symptoms and signs which probaly are in common with stroke-including fatigue, muscle weakness, slurred speach and swallowing difficulty. The reported case supports the opinion that several medical conditions such as brain steam stroke may mimick myasthenia gravis.

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Analysis of risk factors for perifocal oedema after endovascular embolization of unruptured intracranial arterial aneurysms

Abstract

Background. Endovascular embolization is a treatment of choice for the management of unruptured intracranial aneurysms, but sometimes is complicated with perianeurysmal oedema. The aim of our study was to establish incidence and outcomes of perianeurysmal oedema after endovascular coiling of unruptured intracranial aneurysms, and to reveal possible risk factors for development of this potentially serious complication.

Methods. In total 119 adult patients with endovascular embolization of unruptured intracranial aneurysm (performed at Department for Interventional Neuroradiology, Clinical Center, Kragujevac, Serbia) were included in our study. The embolizations were made by electrolite-detachable platinum coils: pure platinum, hydrophilic and combination of platinum and hydrophilic coils. Primary outcome variable was perianeurysmal oedema visualized by magnetic resonance imaging (MRI) 7, 30 and 90 days after the embolization.

Results. The perianurysmal oedema appeared in 47.6% of patients treated with hydrophilic coils, in 21.6% of patients treated with platinum coils, and in 53.8% of those treated with mixed type of the coils. The multivariate logistic regression showed that variables associated with occurrence of perianeurysmal oedema are volume of the aneurysm, hypertension, diabetes and smoking habit. Hypertension is the most important independent predictor of the perianeurysmal oedema, followed by smoking and diabetes.

Conclusions. The results of our study suggest that older patients with larger unruptured intracranial aneurysms, who suffer from diabetes mellitus and hypertension, and have the smoking habit, are under much higher risk of having perianeurysmal oedema after endovascular coiling.

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Mediastinitis and bilateral pleural empyema caused by an odontogenic infection

, Watanabe D, Sasaki J. Descending necrotising mediastinitis due to odontogenic infections. Oral Surg Oral Med Oral Path Radiol Endod 2000; 89 : 412-9. Mathieu D, Neviere R, Teillon C, Chagnon JL, Lebleu N, Wattel F. Cervical necrotizing fascitis: clinical manifestations and management. Clin Infect Dis 1995; 21 : 51-6. Sugata T, Fujita Y, Myoken Y, Fujioka Y. Cervical cellulitis with mediastinitis from an odontogenic infection complicated by diabetes mellitus: report of a case. J Oral Maxillofac Surg 1997; 55

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Direct coronary stenting in reducing radiation and radiocontrast consumption

-6. Pflueger A, Larson TS, Nath KA, King BF, Gross JM, Knox FG. Role of adenosine in contrast media-induced acute renal failure in diabetes mellitus. Mayo Clin Proc 2000; 75 : 1275-83. Margulies KB, Hildebrand FL, Heublein DM, Burnett JC Jr. Radiocontrast increases plasma and urinary endothelin. J Am Soc Nephrol 1991; 2 : 1041-5. Barrett BJ. Contrast nephrotoxicity. J Am Soc Nephrol 1994; 5 : 125-37. Serruys PW, de Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, et al. A

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The impact of outpatient clinical care on the survival and hospitalisation rate in patients with alcoholic liver cirrhosis

-2008-1040525 Grant BF Dufour MC Harford TC. Epidemiology of alcoholic liver disease Sem Liver Disease 1988 8 12 25 8 Petrides AS: Liver disease and diabetes mellitus. Diabet Rev 1994; 2 : 2-18. Petrides AS Liver disease and diabetes mellitus Diabet Rev 1994 2 2 18 9 Asbert M, Gines A, Gines P, Jiménez W, Clària J, Saló J, et al. Circulating levels of endothelin in cirrhosis. Gastroenterology 1993; 104 : 1485-91. 10.1016/0016-5085(93)90360-O Asbert M Gines A Gines P Jiménez W Clària J Saló J Circulating levels of endothelin in cirrhosis Gastroenterology 1993

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Pancreatic involvement in small cell lung cancer

45-E46. 56. Tanaka H, Nakazawa T, Yoshida M, Miyabe K, Okumura F, Naitoh I, et al. Metastasis-induced acute pancreatitis in a patient with small cell carcinoma of the lungs. J Pancreas 2009; 10: 557-61. 57. Noseda A, Gangji D, Cremer M. Acute pancreatitis as presenting symptom and sole manifestation of small cell lung carcinoma. Dig Dis Sci 1987; 32: 327-31. 58. Schmitt JK. Pancreatitis and diabetes mellitus with metastatic pulmonary oat-cell carcinoma. Ann Intern Med 1985; 103: 638-9. 59. Evans

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Functional polymorphisms in antioxidant genes in Hurthle cell thyroid neoplasm - an association of GPX1 polymorphism and recurrent Hurthle cell thyroid carcinoma

cardiovascular disease, diabetes mellitus and neurodegenerative disorders. 15 , 18 Several studies also found a connection between oxidative stress and thyroid diseases including neoplasia and thyroid cancer. 16 , 19 - 25 However all these studies have been done on papillary thyroid carcinoma and/or follicular thyroid carcinoma. As Hurthle cells are very rich in mitochondria and oxidative enzymes, it is possible that antioxidant enzymes may have an important role in defence against oxidative stress. To our knowledge, there are no data in the literature about oxidative stress

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