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The parotid gland, an unusual site of colorectal cancer metastasis
We present a case of stage IV sigmoid colon adenocarcinoma with metastases to the left parotid. The patient was a 53-year-old Filipino man diagnosed with stage IV sigmoid adenocarcinoma with liver metastases in June 2021. He underwent laparoscopic sigmoidectomy and received eight cycles of chemotherapy with capecitabine and oxaliplatin with partial response of his liver lesions. Capecitabine monotherapy was then maintained. On September 2022, he experienced persistent left facial pain, with no relief after dental tooth extraction and antibiotics. A computed tomography (CT) scan revealed a 5 × 7 × 6 cm inhomogenous mass i...
Source: Ecancermedicalscience - July 3, 2023 Category: Cancer & Oncology Authors: Paula Isabel G Francoa Anna Pascual-Panganiban Source Type: research
Medications Are Not Enough: Interdisciplinary Treatment of Familial Chylomicronemia Syndrome in Pregnancy
A 28-year-old G2P1001 woman presents with epigastric pain and pancreatitis at 7 weeks and 4 days gestation. Her blood work results as “lipemic” specimens with an abnormal lipid panel, most notably with severely elevated triglycerides of 5,160 mg/dL. Abdominal ultrasound showed hepatosplenomegaly but did not visualize her pancreas well; CT/MRI were deferred because of her pregnancy.She had greater than fifty lifetime admissions for recurrent pancreatitis, the first at age 4. Her family is Southeast Asian, and her father and brother have recurrent pancreatitis too.
Source: Journal of Clinical Lipidology - July 1, 2023 Category: Lipidology Authors: Rebecca Klahr, Samuel M Kim, Amrita Krishnamurthy Tags: Lipid Management through Nutrition, Supplements and Lifestyle Therapies Source Type: research
