Albanian Journal of Trauma and Emergency Surgery最新文献_第2页

Effectiveness of the Oakland Score for Safe Discharge of Patients with Acute Lower Gastrointestinal Bleeding: A Validation Study 奥克兰急性下消化道出血患者安全出院评分的有效性：验证研究

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.394

Nurhayat Başkaya, Rohat Ak, Rümeysa İnci, Burak Alper Mollaoğlu, Melis Rezai, Muhammet Zahit Tursun, A. U. Seyhan

{"title":"Effectiveness of the Oakland Score for Safe Discharge of Patients with Acute Lower Gastrointestinal Bleeding: A Validation Study","authors":"Nurhayat Başkaya, Rohat Ak, Rümeysa İnci, Burak Alper Mollaoğlu, Melis Rezai, Muhammet Zahit Tursun, A. U. Seyhan","doi":"10.32391/ajtes.v8i2.394","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.394","url":null,"abstract":"Background: Acute lower gastrointestinal bleeding (LGIB) presents a significant challenge in emergency medicine, necessitating tools for effective risk stratification and management. The Oakland Score, developed to predict safe discharge and mortality in LGIB patients, offers potential utility but requires validation in diverse clinical settings. \u0000Material and Methods: This retrospective study analyzed 365 patients presenting with LGIB at Kartal Dr. Lütfi Kırdar City Hospital between January 1, 2021, and January 1, 2022. We evaluated the Oakland Score's effectiveness in predicting safe discharge and mortality, employing statistical analyses to determine the score's predictive accuracy and identify critical thresholds. \u0000Results: Among the study population, 60.27% presented with hematochezia, with a diverse age and gender distribution. Invasive procedures were performed in 42.47% of cases, and cardiovascular diseases were prevalent in 51.78%. The average Oakland Score was significantly lower for discharged patients (18.22) compared to those hospitalized (21.90), with a critical discharge threshold identified at a score of 16. The Oakland Score also demonstrated a sensitivity of 77% and specificity of 52.3% for predicting discharge outcomes, and a critical value of 24 for increased mortality risk, substantiating its predictive value. \u0000Conclusions: The Oakland Score effectively predicts safe discharge and mortality among LGIB patients in a Turkish hospital setting. With defined critical thresholds for clinical decision-making, it stands as a valuable tool for optimizing patient management and resource allocation in emergency departments.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"31 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia. A Case Report. 弥漫性特发性肺神经内分泌细胞增生症。病例报告。

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.397

Lutfi Alia, T. Bushati, L. Berdica

{"title":"Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia. A Case Report.","authors":"Lutfi Alia, T. Bushati, L. Berdica","doi":"10.32391/ajtes.v8i2.397","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.397","url":null,"abstract":"Introduction; Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia (DIPNECH) is a sporadic but underdiagnosed pulmonary disorder at the benign end of the neuroendocrine cell proliferation spectrum of preinvasive lesions of the lungs. This disease is characterized by hyperplasia of bronchiolar and bronchial pulmonary neuroendocrine cells. DIPNECH can be primary or reactive. \u0000In the WHO - IASLP classification of lung tumors (1999, 2004, 2005, 2015), DIPNECH is considered a preneoplastic lesion in the spectrum of pulmonary tumors. According to the WHO classification, the definition of DIPNECH is purely histological. \u0000The DIPNECH was initially described in 1992 by Aguayo et al., who reported six non-smoking patients with cough, exertional dyspnea, wheezing, less frequent hemoptysis, and a mixed obstructive/restrictive defect on pulmonary function tests. This disease has a predilection for non-smoking middle-aged women (female to male ratio is approximately 10:1) \u0000In this article, we present a 62-year-old, non-smoker woman presented with respiratory symptoms ascribable to DIPNECH. After surgery, the morphological study of lung specimens confirmed the DIPNECH, multiple tumors, one peripheral carcinoid, and obliterative bronchiolitis in the right middle pulmonary lobe. \u0000Conclusions: DIPNECH remains a rare pulmonary condition and is considered a preneoplastic lesion in the spectrum of pulmonary tumors. According to the WHO classification, the definition of DIPNECH is purely histological. While most patients experience a relatively uneventful clinical course, this condition may be associated with tumors, carcinoid tumors, and airway obstruction (Aguayo-Miller disease).","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"124 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of the third-Year Students Attending the Bachelor Study Programs, Regarding their Readiness to Face the Labor Market. A cross-Sectional Study. 学士学习课程三年级学生对其面对劳动力市场准备情况的看法。跨部门研究。

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.384

J. Kraja, Mario Çurçija, Edra Fresku, Samanda Shtjefni

{"title":"Perceptions of the third-Year Students Attending the Bachelor Study Programs, Regarding their Readiness to Face the Labor Market. A cross-Sectional Study.","authors":"J. Kraja, Mario Çurçija, Edra Fresku, Samanda Shtjefni","doi":"10.32391/ajtes.v8i2.384","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.384","url":null,"abstract":"Introduction: The educational environment is an essential component of student learning. The study of the academic environment is crucial to providing a learning quality, a student-centered program for the nursing and midwifery fields. \u0000Our study aims to identify the perceptions of the third-year students of bachelor's study programs in nursing, midwifery, and physiotherapy regarding readiness to face the labor market and how they differ based on the study program. \u0000Material and Methods: A total of 132 (73.74%) students participated in this study out of 179 students who had a whole the third year, 28 (87.5) were in bachelor in physiotherapy out of 32 students, 32 (82.05) were in bachelor in midwifery out of 39 students, and 72 (66.66) were in bachelor in nursing out of 108 students. All students continued their studies in the 2022-2023 academic year. Two tools were used in this study: a demographic questionnaire and the assessment of the adequacy level of preparedness for work used by Günner (Güner., 2015a). \u0000Results: Only 57.74% of students are ready to face the labor market. Activities of education and preparation regarding the Contribution of the clinical environment to education, Mentoring, Library resources, Laboratory environments, Technological resources, and Social resources for the nursing study program need to show a connection with the general readiness to work. \u0000Conclusions: The study highlighted students' need for more confidence to face the work, primarily related to clinical training.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"111 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wernicke’s Encephalopathy from Hyperemesis Gravidarum. A Case Report 孕吐引起的韦尼克脑病。病例报告

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.408

Teuta Dalipi, Suzana Klenkoski, Gazmend Mehmeti, Rezeart Dalipi

{"title":"Wernicke’s Encephalopathy from Hyperemesis Gravidarum. A Case Report","authors":"Teuta Dalipi, Suzana Klenkoski, Gazmend Mehmeti, Rezeart Dalipi","doi":"10.32391/ajtes.v8i2.408","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.408","url":null,"abstract":"Introduction: Wernicke's encephalopathy (WE) is a potentially reversible, yet serious neurological emergency due to vitamin B1 (thiamine) deficiency. It is a rare but known complication of hyperemesis gravidarum. Prolonged vomiting in pregnancy results in thiamine depletion. Most frequently Wernicke's encephalopathy is found among persons suffering from chronic alcoholism. It can also occur in any medical condition producing malnourishment and causing thiamine deficiency including gastric bypass, a variety of gastrointestinal disorders, malignant diseases, anorexia nervosa, hyperthyroidism and prolonged intravenous feeding. Magnetic resonance imaging (MRI) is sensitive and specific for diagnosis and follow up evaluation. Most patients present with the triad of ocular signs, ataxia, and confusion. It can be associated with life-threatening complication like central pontine myelinolysis. Although early recognition and treatment with thiamine can reverse the symptoms, the mortality rate remains 10-20% due to underdiagnosis. It is frequently not identified until autopsy. Here we stress upon the importance of early diagnosis and prompt treatment of WE. \u0000The aim of this report is to present case of Wernicke's encephalopathy induced by hyperemesis gravidarum. The course of the disease, clinical signs, diagnostic tools, treatment and its results are presented. \u0000 ","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"60 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Pancreatic Lymphoma with Active Gastric Bleeding. A Clinical Case and Review Literature. 原发性胰腺淋巴瘤伴活动性胃出血。临床病例与文献综述。

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.400

Gjergj Andrea, Henri Beqiri, Sara Ferizaj, Fjoralba Mulgeci, A. Dogjani

{"title":"Primary Pancreatic Lymphoma with Active Gastric Bleeding. A Clinical Case and Review Literature.","authors":"Gjergj Andrea, Henri Beqiri, Sara Ferizaj, Fjoralba Mulgeci, A. Dogjani","doi":"10.32391/ajtes.v8i2.400","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.400","url":null,"abstract":"Introduction: Primary pancreatic lymphoma is a rare clinical entity representing <0.5% of pancreatic cancers and 1% of extranodal lymphomas. Due to the lack of evidence of cases in the literature, their clinicopathological features, differential diagnosis, optimal therapy, and outcomes should be better defined. \u0000We will present a case of a 41-year-old woman who presented symptoms such as nausea, epigastric pain, red blood vomiting, and melena. \u0000At laparotomy, a large necrotic mass was found in the body and tail of the pancreas, infiltrating the stomach and spleen. A biopsy of the mass confirmed large B-cell lymphoma. The patient was diagnosed and started chemotherapy. \u0000Conclusion: Primary pancreatic lymphoma is a rare clinical entity often misdiagnosed as pancreatic adenocarcinoma on presentation. Its clinical manifestations, radiological features, and biochemical signs are usually non-specific. It is based on a precise diagnosis made possible by histologic examination. Combined therapy remains the most optimal treatment approach for PPL but needs further evaluation. \u0000 ","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"48 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antiphospholipid Syndrome in a Male Patient Presenting with Abdominal Pain 一名出现腹痛的男性患者的抗磷脂综合征

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.392

Ardit Çollaku, Blerina Dhamo, Erjon Dushi, R. B. Celep

{"title":"Antiphospholipid Syndrome in a Male Patient Presenting with Abdominal Pain","authors":"Ardit Çollaku, Blerina Dhamo, Erjon Dushi, R. B. Celep","doi":"10.32391/ajtes.v8i2.392","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.392","url":null,"abstract":"Introduction: Antiphospholipid syndrome (APS) is a systemic autoimmune disorder characterized by antiphospholipid antibodies (aPL), leading to a hypercoagulable state and an increased risk of thrombotic events. While abdominal complications have been reported as the initial presentation of APS in some cases, these instances are predominantly observed in female patients. Here, we present a case of a 49-year-old male patient who presented with complaints and a CT scan mimicking intestinal ileus. However, no mechanical or other evident cause of ileus could be found on the explorative laparotomy. After an uneventful postoperative hospitalization and being discharged in good condition, the patient was readmitted within two weeks, and this time, an extensive small bowel resection due to ischemia was done. After going home in a good and stable condition, he presents again, but this time with cerebral ischemia. \u0000Further investigations led to the APS diagnosis. With this case, we want to emphasize the importance of being aware of and considering the diagnosis of APS, especially in cases with repeated, unexplained abdominal pain and non-typical complaints, even in male patients. An early diagnosis could prevent a more complex disease complication. \u0000Conclusion: This case underscores the importance of considering APS in the differential diagnosis of unexplained abdominal pain, particularly in male patients with a history of thrombotic events or elevated aPL levels. Heightened awareness of APS in the emergency setting can facilitate timely diagnosis and appropriate management, ultimately optimizing patient care and outcomes.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"18 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Prematurity and Glutation S-Transferase Gene Polymorphisms on the Degree of Asthma Control in Children 早产和谷草转氨酶基因多态性对儿童哮喘控制程度的影响

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.409

Selma Dizdar, V. Mišanović, Mirela Mačkić- Đurović, Almedina Moro

{"title":"Influence of Prematurity and Glutation S-Transferase Gene Polymorphisms on the Degree of Asthma Control in Children","authors":"Selma Dizdar, V. Mišanović, Mirela Mačkić- Đurović, Almedina Moro","doi":"10.32391/ajtes.v8i2.409","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.409","url":null,"abstract":"Introduction: asthma is the most common chronic inflammatory disease of the respiratory tract in children. The clinical manifestation of asthma is closely related to the pathomorphological changes presenting the basis of the disease, and it concerns the difficult air flow through the lower airways during the expiratory phase of breathing. Inadequate treatment of children who have asthma affects the appearance of remodeling of the lower airways and, in the most severe cases, permanent reduction of the lung function values. \u0000The Aim is to determine the influence of prematurity and GSTT1 and GSTM1 gene polymorphisms on the degree of asthma control. \u0000Materials and Methods: The research was designed as a clinical, cohort, observational, retrospective-prospective study. It included 200 patients divided into two groups of one hundred respondents each. The first group of respondents consisted of premature children hospitalized at the Department of Neonatal Intensive Care of the CCUS Pediatric Clinic due to respiratory problems caused by immaturity. In contrast, the second group consisted of at-term-born children monitored through the Pulmonary Counselling of the Pediatric Clinic. \u0000Results: The male and female genders were equally represented. In the premature children group, respiratory support was used in 60/100 (60%) cases. GSTT1 polymorphism was proven in 150 respondents, and GSTM1 polymorphism in 98. Fisher's test showed that gestational age at birth significantly influenced asthma control: the test value was 11.281, p=0.019. \u0000Conclusion: gestation weeks at birth have a statistically significant effect on the degree of asthma control at older age. Although poorly controlled asthma and uncontrolled asthma were more prevalent in children with positive GSTT1 and GSM1 gene polymorphisms, we could not demonstrate a statistically significant influence of the mentioned polymorphisms on the degree of asthma control.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"12 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Liver Abscess after Laparoscopic Cholecystectomy. A Case Report. 腹腔镜胆囊切除术后的肝脓肿。病例报告。

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.405

Endrit Shehi, Johana Vruho, A. Dogjani

{"title":"The Liver Abscess after Laparoscopic Cholecystectomy. A Case Report.","authors":"Endrit Shehi, Johana Vruho, A. Dogjani","doi":"10.32391/ajtes.v8i2.405","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.405","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy is the gold standard in the management of symptomatic gallstones. However, it is estimated that there are 2–15 cases of hepatic abscesses per 100,000 people in the U.S., mostly of bacterial etiology, and approximately half of these are caused by cholangitis. \u0000Given the infrequency of cholangitis-induced pyogenic hepatic abscesses and the 0.4 % incidence of choledocholithiasis in post-cholecystectomy patients, pyogenic hepatic abscesses secondary to post-cholecystectomy choledocholithiasis comprise a rare entity. \u0000A hepatic abscess occurring post-laparoscopic cholecystectomy is a known complication that can manifest months or even years after the surgery. \u0000This case involves a 56-year-old female patient who presented with a 10-day history of abdominal pain and discomfort, primarily in the right hypochondrium, accompanied by fever unresponsive to antibiotics and antipyretics. The appropriate treatment approach was chosen based on clinical signs, abscess size, and the patient's overall condition. \u0000Conclusion: This case shows the late complications arising from gallstone spillage into the abdominal cavity during laparoscopic cholecystectomy. It underscores the importance of careful laparoscopic exploration, especially in gallbladder perforation and stone spillage cases. Detailed documentation of the operative procedure is crucial, as it aids in the prophylactic and symptomatic treatment of long-term complications such as abscess formation. \u0000 ","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"57 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Situs Inversus Dextrocardia with Cyanogen Complex Cardiopathy in a 16-Year-Old Albanian Male 一名 16 岁阿尔巴尼亚男性伴有青原复合心病的右心室肥大症

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.407

Arketa Pllumi (Guli), Z. Shabani, E. Pjetri

{"title":"Situs Inversus Dextrocardia with Cyanogen Complex Cardiopathy in a 16-Year-Old Albanian Male","authors":"Arketa Pllumi (Guli), Z. Shabani, E. Pjetri","doi":"10.32391/ajtes.v8i2.407","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.407","url":null,"abstract":"Introduction: Dextrocardia is rare in the general population and may be associated with significant additional cardiac malformations. It is commonly associated with additional cardiac malformations. \u0000In this report, we have described the follow-up of a patient with Situs inversus dextrocardia and cyanogen complex cardiopathy in a 16-year-old Albanian male. The male patient born on 2007 in Albania, was referred to our ambulatory at 6 months of life by pediatrician cause of cyanosis and cardiac murmur. It was performed the echo Color Doppler examination, with the conclusion: situs inversus dextrocardia, unique ventricle, pulmonary arterial atresia. On 2008, a diagnostic catheterization was performed. The medico-chirurgical consultation has decided to leave the boy in natural history with a periodic follow–up. On 06.2009 in one of the routine examinations, there was make evidence of hypertrophy of the unique ventricle associated with arteria hypertension. From that time the patient is under medical treatment with periodic monitoring. \u0000Conclusions: The regular follow up of complex cyanogen congenital heart disease improve health care towards risqué target group. In heave desaturations patient the hypertension must be valuated as secondary complication of primary problem. \u0000 ","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"121 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small Cell Lung Cancer in a Young, Non-Smoker Patient 非吸烟的年轻患者患小细胞肺癌

Albanian Journal of Trauma and Emergency Surgery Pub Date : 2024-07-20 DOI: 10.32391/ajtes.v8i2.395

Jolanda Nikolla, D. Xhemalaj, Arben Dhima, Daniela Bega

{"title":"Small Cell Lung Cancer in a Young, Non-Smoker Patient","authors":"Jolanda Nikolla, D. Xhemalaj, Arben Dhima, Daniela Bega","doi":"10.32391/ajtes.v8i2.395","DOIUrl":"https://doi.org/10.32391/ajtes.v8i2.395","url":null,"abstract":"Introduction: A single lung nodule (SPN) is defined as a solitary lung opacification less than 3 cm in size. In particular, small cell lung cancer (SCLC) affects more patients, older and heavy smokers. A contrast-enhanced computed tomography of the chest followed by a f-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) and the pathology examinations are the main ones that determine the diagnosis. \u0000Case Report: A young patient, 33 years old, a non-smoking male mining engineer, presented to the clinic with a dry cough that started after a viral situation. No other known comorbidities and family history of lung cancer. A routine chest x-ray was ordered, where an apical round opacity in the apex of the right lung was seen. Sputum for mycobacterium tuberculosis was done and came back negative. A chest scan with contrast showed a solitary pulmonary nodule in the apex of the right lung with well-demarcated contours with dimensions 28 x 22 mm. Given that the dimensions of the nodule were large and not specific for benign pathology, a PET/CT was ordered, which confirmed the nodule resulted in an SUV over that 4.5, which was also not specific for lung TB. The histologic examination of the nodule was done then, and the result, unfortunately, was a small cell lung cancer in the right lung. \u0000Conclusion: SCLC is found to be a mass lesion in the lungs in most cases. Differential diagnosis between lung tuberculosis (TB) and lung cancer in such cases is an excellent dilemma for pulmonologists and radiologists.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"120 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0