Annals of Clinical and Medical Case Reports最新文献_第3页

Association between Body Mass Index and Severity According of Classification of Thyroid Cancer 甲状腺癌分级中体重指数与严重程度的关系

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.71603

Song I Yang

{"title":"Association between Body Mass Index and Severity According of Classification of Thyroid Cancer","authors":"Song I Yang","doi":"10.47829/acmcr.2021.71603","DOIUrl":"https://doi.org/10.47829/acmcr.2021.71603","url":null,"abstract":"1. Abstract 1.1. Purpose: Obesity is associated with aggressive pathological features and poor clinical outcomes in breast and prostate cancers. However, the associations between excess weight and prognostic factors for thyroid cancer are uncertain. This study aimed to evaluate the associations between body mass index (BMI) and severity according of classification of thyroid cancer. 1.2. Methods: Retrospective analysis of 4485 patients with thyroid cancer was performed. Patients were grouped according to BMI (underweight, normal weight, overweight and obesity)-based World Health Organization standardized categories. Clinicopathological factors were analyzed and compared between normal and other groups. 1.3. Results: According to the results, 3789 patients were women (84.5%) and mean age was 47.1 years. 4338 patients (96.7%) were diagnosed with PTC. FTC were 115(2.6%), MTA ware 24(0.5%), ATC were 5(0.1%). There were no significant associations between BMI quartiles and Multifocality, cervical lymph node metastasis, or distant metastasis. Higher BMI were significantly associated with extrathyroidal extension of PTC (P < 0.001). And higher BMI were significantly associated with advanced TNM stage (P=0.005). 1.4. Conclusion: Increased BMI might elevate the risks of aggressive clinicopathological features of PTC, such as extrathyroidal invasion and advanced TNM stage. However, there were few cases except for PTC, which made it difficult to find statistically significant results. To confirm this result, further studies with long-term follow-up and more patients are required. 2. Introduction Recently, the incidence of thyroid cancer has been growing worldwide [1]. Higher prevalence of thyroid cancer can be explained in part by the fact that development and use of neck ultrasonography and ultrasound-guided fine-needle aspiration have led to increased diagnostic rate for asymptomatic thyroid cancer [2]. Additional aspects, such as changes in exposure to environmental factors, may also play a role in explaining such increase in prevalence. However, considering that increase in prevalence of thyroid cancer coincided with increased number of early cancer with small tumor size, as well as various tumor sizes and stages, it is suspected that there are other unidentified factors besides advances in diagnostic tools [3]. The main risk factors for thyroid cancer are exposure to ionizing radiation, a history of benign thyroid disease, and a family history of thyroid cancer [4, 5, 6]. Overweight and obesity, expressed as a high BMI, are possible risk factors for thyroid cancer Obesity is associated with onset and progression of many cancers, including those of esophagus, colon, kidney, breast, skin, rectum, and gallbladder [7]. Obesity is the second most common, preventable, and modifiable cause of carcinogenesis, after smoking, there is worldwide variation that is dependent on the different incidences of obesity [8]. Although obesity is a known risk factor for car","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127877943","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}

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PET Imaging Performed Immediately After COVID 19 Vaccination: What A Radiologist Should Know COVID - 19疫苗接种后立即进行PET成像:放射科医生应该知道的事情

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.61902

Pankaj S

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A Case Report of Fever in Returned Traveller 1例返乡旅客发热病例报告

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.7401

Lwin Zt, J. Xu

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A Pre-Neoplastic Lesion: A Case Study 肿瘤前病变:一个病例研究

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2023.101419

Souza Vlb, Soares Alb

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Mandibulofacial Dysostosis Guion-Almeida Type: A Syndrome to Recognize in Prenatal 下颌面部咬合困难:一种产前识别综合征

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.71001

Khachnaoui- Zaafrane K, Bedel B, Chami M, Sigaudy S, Bilan F, Paquis- Flucklinger V

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Incidence of Periphral Neuropathy in Breast Cancer Women on Paclitaxel 紫杉醇对乳腺癌患者周围神经病变的影响

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2023.102405

Hasan Dam, Sahib As, Al-Rokan Aah, Mohsin Kk

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Protection of the External Branch of the Superior Laryngeal Nerve in Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): An Observational Study 经口内窥镜甲状腺切除术前庭入路(TOETVA)中喉上神经外支的保护:一项观察性研究

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.61301

W. Z., F. J, Ma H, C. X, Zhong Q, Hou L, Huang J, W. R, Shen X

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One Cause of Alzheimer’s Disease: Gonorrhea and HSV-1 阿尔茨海默病的一个原因:淋病和单纯疱疹病毒-1

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2020.5201

C. Pte

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Cardiac Transplantation in Patients with Muscular Dystrophy: A Case Report and Review of Literature 肌萎缩症患者心脏移植一例报告及文献复习

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.71602

D. Fathi, H. Katzberg, C. Barnett, H. Sadeghian, V. Bril

{"title":"Cardiac Transplantation in Patients with Muscular Dystrophy: A Case Report and Review of Literature","authors":"D. Fathi, H. Katzberg, C. Barnett, H. Sadeghian, V. Bril","doi":"10.47829/acmcr.2021.71602","DOIUrl":"https://doi.org/10.47829/acmcr.2021.71602","url":null,"abstract":"1. Abstract We report a case of slowly progressive Becker’s muscular dystrophy in a 52-year-old man who required cardiac transplantation for intractable congestive heart failure. A referral was made concerning prognosis of his muscular dystrophy in the multidisciplinary approach to transplant. A review of the literature provides limited guidance on cardiac transplantation in patients with muscular dystrophy although this procedure appears to be well-tolerated in those with Becker’s muscular dystrophy. Formal assessments and neuromuscular follow-up have not been clearly documented in patients having cardiac transplantation, and robust clinical evidence or guidance in this area is lacking. 2. Introduction Muscular dystrophies are a heterogeneous group of genetic muscular disorders presenting with progressive muscular weakness which have characteristic pathological features in the muscle biopsy and are often associated with other organ involvement such as cardiac, respiratory, or central nervous system [1, 2]. Cardiac involvement can involve primarily the myocardium or conductive system or be secondary to respiratory muscle involvement by causing cor pulmonale [3, 4]. Improved management of respiratory, cardiac, and other complications in different types of muscular dystrophy (MD) has led to increased survival of with many patients surviving into adulthood [2, 3, 5, 6]. With increased life expectancy of MD patients, neuromuscular physicians may be asked to provide advice in novel areas that lack a solid evidence base or guideline. Here, we report the case of a 52-year-old Becker muscular dystrophy (BMD) patient evaluated at the request of the cardiology service regarding eligibility for cardiac transplantation. We also present the results of a literature review regarding cardiac transplantation in MD, including any consensus recommendations. 3. Case Report A 52-year-old man was first evaluated in the Prosserman Family Neuromuscular Clinic at age 41 for proximal lower limb weakness manifest as difficulty in climbing stairs. He reported that he had a normal childhood and development but that he was never athletic. His 74-year-old mother had difficulty climbing stairs starting at age 72 and examination showed that she had bilateral calf hypertrophy. Three of his sisters are healthy. He developed symptoms at age 28 with minimal difficulty in climbing stairs. The weakness progressed slowly and by age 37, he had difficulty getting up from a chair and required support to climb stairs. He had no other weakness, bulbar or respiratory symptoms. Physical examination revealed a normal cranial nerve examination and upper limb power. In the lower limbs, he had proximal weakness at 4/5 in hip flexors, quadriceps, and hamstrings, normal distal strength and bilateral calf hypertrophy. Deep tendon reflexes were reduced in the upper limbs, absent at the knees and normal at the ankles. Plantar reflexes were flexor. Sensory examination was normal. He had a waddling gait","PeriodicalId":380321,"journal":{"name":"Annals of Clinical and Medical Case Reports","volume":"260 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132907029","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}

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Tamoxifen May Have a Negative Effect on Bone Mineral Density in Fanconi Syndrome-Related Osteomalacia 他莫昔芬可能对范可尼综合征相关骨软化症患者的骨密度有负面影响

Annals of Clinical and Medical Case Reports Pub Date : 1900-01-01 DOI: 10.47829/acmcr.2021.7901

Hatano M, K. I, Nakamura M, Isawa K, S. T, H. J., Sawa N, Yamamoto S, Ubara Y

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