Prognosis and treatment of acrometastases: Observational study of 35 cases treated in a single institution

ConclusionAcrometastases are more frequently seen in the lower extremities and the most frequent tumour was hypernephroma followed by lung. The treatment of acrometastases depends on the prognosis of the primary tumour, so a multidisciplinary approach is essential. The mean survival in our series did not imply a poorer prognosis for acrometastases, so it is feasible to consider surgical options such as wide resection and reconstruction. A unique acrometastases is a good prognosis signal.ResumenObjetivoExiste cierta contradicción en la literatura acerca del tumor primario que se asocia con más frecuencia a las acrometástasis, así como acerca de su pronóstico y tratamiento. El objetivo de nuestro trabajo es determinar la localización más frecuente de las acrometástasis, el tumor primario más frecuente según su localización y evaluar las opciones quirúrgicas en función de la supervivencia estimada.MétodosHemos realizado un estudio retrospectivo de los pacientes diagnosticados de acrometástasis en nuestra institución. Se recogieron variables epidemiológicas, así como información acerca de tumor primario y número, localización, síntomas y tratamiento de las acrometástasis.ResultadosSe revisaron 35 acrometástasis en 21 pacientes: 4 en miembros superiores y 31 en miembros inferiores, siendo la tibia el hueso má...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research

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Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Publication date: Available online 16 February 2019Source: European Journal of Surgical OncologyAuthor(s): Linde M. van Veenendaal, Max F. Madu, Margot E.T. Tesselaar, Cornelis Kees Verhoef, Dirk J. Grünhagen, Alexander C.J. van Akkooi
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
ConclusionOur experience with endoscopic bilateral axillo-breast approach thyroidectomy is short but satisfactory. It is a reproducible procedure that requires extensive experience in endocrine and endoscopic surgery. Extracervical approaches are an alternative for selected patients who are especially concerned about cervical scarring and are not intended to displace conventional thyroidectomy, which is the current gold standard. Our Scientific Society should explore these approaches to establish coherent indications and limitations.ResumenIntroducciónEl abordaje extracervical para tiroidectomía es poco conoc...
Source: Cirugia Espanola - Category: Surgery Source Type: research
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Source: Nonlinear Analysis: Real World Applications - Category: Research Source Type: research
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Source: Nonlinear Analysis: Real World Applications - Category: Research Source Type: research
Publication date: Available online 16 February 2019Source: European Journal of RadiologyAuthor(s): Lequn Zhu, Zheng Xu, Guanwu Li, Ying Wang, Xuefeng Li, Xiao Shi, Haiyang Lin, Shixin ChangAbstractBackgroundMarrow fat accumulates in diabetic conditions but remains elusive. The published works on the relationships between marrow fat phenotypes and glucose homeostasis are controversial.PurposeTo detect the association of insulin resistance with marrow adiposity in postmenopausal women with newly diagnosed type 2 diabetes (T2D) using chemical shift-encoded water–fat MRI.MethodsWe measured vertebral proton density fat fr...
Source: European Journal of Radiology - Category: Radiology Source Type: research
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