The Journal of the Florida Medical Association最新文献_第10页

Fatal gastrointestinal bleeding as the primary manifestation of granulocytic sarcoma in a patient with myelodysblastic syndrome. 致死性胃肠道出血是骨髓增生异常综合征患者粒细胞肉瘤的主要表现。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

H A Saleh, G Khatib

{"title":"Fatal gastrointestinal bleeding as the primary manifestation of granulocytic sarcoma in a patient with myelodysblastic syndrome.","authors":"H A Saleh, G Khatib","doi":"","DOIUrl":"","url":null,"abstract":"Granulocytic sarcoma (GS), or chloroma, is a rare extramedullary tumor composed of immature myeloid cells. It most commonly involves bone, soft tissue, lymph nodes and skin and develops during the course of or preceding myelogenous leukemia (ML). Involvement of other organs has been rarely reported including ovary, uterus and cervix, lung and the gastrointestinal tract; however, GS presenting as upper and lower gastrointestinal (GI) bleeding from ulcerated gastric mass and concurrent bleeding vaginal mass is an unusual rare manifestation of GS. We describe a case of GS in a 70 year old black woman who presented with a bleeding \"lump\" in the vaginal wall and suffered fatal GI bleeding from an ulcerated gastric lesion. She was diagnosed with myelodysblastic syndrome a few months earlier. From the review of the available English literature, this is a unique presentation of GS. It is important to include this entity in the differential diagnosis when encountering GI bleeding particularly in a patient previously diagnosed with myeloid leukemia or preleukemia. The importance of Naphthol Chloracetate Esterase (NCAE) stain and lysozyme immunoperoxidase stain in establishing the diagnosis is breifly discussed.","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 2","pages":"111-4"},"PeriodicalIF":0.0,"publicationDate":"1997-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20021896","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

Achalasia in patients over 65. 65岁以上患者的失弛缓症。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

D B Simmons, B M Schuman, J W Griffin

引用次数: 0

The physician's office is his castle: risk management for self preservation and reducing medical errors. 医生的办公室是他的城堡:自我保护和减少医疗差错的风险管理。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

F S Ashkar

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Struck by 'arrow of time'. 被“时间之箭”击中。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

E R Griffin

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Fighting health care fraud in Florida. 打击佛罗里达州的医疗欺诈。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

D M Cook

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Aspects of the problems in treating chronic pain: Florida pain management guidelines. 在治疗慢性疼痛方面的问题:佛罗里达疼痛管理指南。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

M Skinner

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Pornography in cyberspace. 网络色情。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

J P Lafferty

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DNA flow cytometric measurements in breast cancer: a review of the instrumentation principles and clinical significance. 乳腺癌DNA流式细胞术测量:仪器原理和临床意义的综述。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

M Berho, A L Viciana, R J Poppiti, P Ruiz

{"title":"DNA flow cytometric measurements in breast cancer: a review of the instrumentation principles and clinical significance.","authors":"M Berho, A L Viciana, R J Poppiti, P Ruiz","doi":"","DOIUrl":"","url":null,"abstract":"Breast cancer treatment remains a controversial and challenging issue. Treatment of this disease is often guided by the clinical stage and type of tumor present, as well as information provided by a variety of prognostic indicators which can be employed. DNA analysis by flow cytometry is a relatively new technique that is emerging as a powerful tool to predict the biologic behavior of breast tumors. A majority of studies have demonstrated that the S-phase fraction measured by DNA flow cytometric is an independent predictor of patient outcome. There is less conclusive information regarding the association of DNA ploidy with the clinical behavior of breast malignancies, although, tumor grading often closely parallels this DNA parameter. New flow cytometry methodology involves multiparameter analysis that allows a simultaneous examination of DNA ploidy and cell cycle analysis with surface or internal molecules. This newer approach permits a precise delineation of DNA characteristics in distinct cell populations within a tumor and will likely enhance the utility of this procedure in determining the biologic behavior of the breast tumor.","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 2","pages":"104-10"},"PeriodicalIF":0.0,"publicationDate":"1997-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20021895","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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The pharmacologic management of obesity. 肥胖的药理学管理。

The Journal of the Florida Medical Association Pub Date : 1997-02-01

J J Cerda

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Pain after injury: some basic mechanisms. 损伤后疼痛:一些基本机制。

The Journal of the Florida Medical Association Pub Date : 1997-01-01

T L Yaksh

引用次数: 0