European Journal of Clinical and Experimental Medicine T.18, z. 4 (2020)

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http://repozytorium.ur.edu.pl/handle/item/6100

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  • Obrazek miniatury
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    Mixed adenocarcinoma-neuroendocrine cancer – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Gustalik, Joanna; Aebisher, David; Kaznowska, Ewa; Bartusik-Aebisher, Dorota
    Introduction. Mixed adenocarcinoma-neuroendocrine cancer (MANEC) is a rare cancer that is characterized by aggressive course and poor prognosis. Aim. A case report and literature review. Description of the case. This article presents the case of a 63-year-old patient who was hospitalized due to the occurrence of neurological symptoms such as nausea, dizziness and headache as well as double vision and numbness of the hands. Suspected ischemic stroke, meningitis with bacterial etiology or brainstem pathology. Conclusion. MANEC composed of large neuroendocrine cells have better survival and clinical behavior than patients with small, intermediate or mixed large and intermediate cells.
  • Obrazek miniatury
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    Primary breast angiosarcoma – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Ostańska, Elżbieta; Aebisher, David; Kaznowska, Ewa; Bartusik-Aebisher, Dorota
    Introduction. Angiosarcoma is a rare breast cancer that can be primary or secondary after surgery or after breast cancer radiotherapy. It is important that breast angiosarcoma belongs to tumors with a non-specific clinical and radiological picture. Aim. The study of the biopsies contained aggressive vasomotor hyperplasia. Description of the case. The presented case concerns the primary angiosarcoma of the right breast in a 56-year-old woman who had never had a surgical procedure before, nor radiotherapy in the area of the breast. Conclusion. Histopathological examination supported by immunohistochemistry is a reliable and indispensable diagnostic element in the diagnosis of vascular sarcoma.
  • Obrazek miniatury
    Pozycja
    Numerous gastrointestinal tumors
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Przyczyna, Piotr; Trojnar, Elżbieta; Bartusik-Aebisher, Dorota; Aebisher, David
    Introduction. Gastrointestinal stromal tumor (GIST) is most often locate in the region of the stomach and the proximal part of the small intestine. Aim. The multiple histopathological examination is described. Description of the case. Multiple GISTs are rare neoplasms that originate from the interstitial cells are described. Conclussion. GIST can occur in any part of the gut, they are most common in the stomach and small intestine, and less frequent in the colorectum and esophagus. Although their pathogenesis and clinical manifestations are different, these tumor syndromes confer a high risk for developing multiple neoplasms.
  • Obrazek miniatury
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    Sciatic vessels – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Gałuszka, Łukasz; Leksa, Natalia; Leksa, Dawid; Uryniak, Adam; Aebisher, David; Bartusik-Aebisher, Dorota
    Introduction. Sciatic vessels most often accompany the sciatic nerve. Sciatic vessels are very rare. Aim. In this paper we determine the procedure in sciatic vessels surgical treatment. Description of the case. We present the case of a 75-year-old patient with symptoms of acute right lower limb ischemia. The patient was discharged home in good condition, and remains in outpatient control to this day. Conclusion. The popliteal artery proved to be available, but much deeper than usual.
  • Obrazek miniatury
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    Gastrointestinal symptoms as antecedent signs of severe acute respiratory syndrome coronavirus 2 infection
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Młodożeniec, Aleksandra; Szul, Paulina; Gala-Błądzińska, Agnieszka
    Introduction. The coronavirus disease 2019 (COVID‑19) is an acute infectious disease of the respiratory system caused by severe acute respiratory syndrome coronavirus (SARS‑CoV‑2). Most patients present with typical, respiratory symptoms. Common signs include cough, fever, dyspnea and shortness of breath. In this case we provide atypical indications of COVID-19, which may occur earlier than respiratory symptoms. Aim. This case is an example of an unusual course of SARS-CoV-2 infection. Description of the case. This article describes a case of a 63-year-old man and his wife, a 60-year old woman who were admitted to the emergency department with a few days’ history of gastrointestinal symptoms. Both patients presented with the digestive symptoms of nausea, diarrhea and loss of appetite. They denied abdominal pain and the loss of smell or taste. Due to suspicion of SARS-CoV-2 infection a nasopharyngeal swabs of both patients was taken. The results of real- time reverse transcriptase-polymerase chain reaction were positive. When the final diagnosis of COVID-19 was established they were transported to another hospital. Conclusion. COVID-19 may manifest with atypical indications such a nausea and diarrhea. An atypical indications of COVID-19 may occur earlier than respiratory symptoms. It is important for clinicians to remain alert.