Philippine journal of surgical specialties最新文献

{"title":"Validation of the Filipino Voice Handicap Index-10 (FVHI-10)","authors":"Melfred Hernandez, Diane Clarice Atienza, Daryl Anne Madrid, Michael Valdez","doi":"10.61662/pcs_bmye9070","DOIUrl":"https://doi.org/10.61662/pcs_bmye9070","url":null,"abstract":"Rationale/Objective: The Voice Handicap Index (VHI) is a self-assessment tool that evaluates the patient’s reaction and perception to a vocal disorder. This study aimed to establish, validate and assess the reliability of the Filipino translation of the Voice Handicap Index 10 (FVHI-10). Methods: The VHI-10 was translated and adapted to the Filipino language and culture with the help of the Sentro ng Wikang Filipino- University of the Philippines Manila. A self-assessment of voice quality and FVHI-10 were performed by the patients and their GRBAS scale scoring was rated by a speech language pathologist. The Spearman’s correlation between the FVHI-10 and the self-assessment and GRBAS scale scores was obtained to test for validity. To evaluate the reliability of the FVHI-10, testing through determining internal consistency was conducted through the use of Chronbach α coefficient, inter-item correlation, item-total correlation and Cronbach α coefficient if tool item was deleted. Results: Fifty-five individuals participated in the study (29 males, 26 females, age range: 30-55 years) with the diagnosis of voice disorder based on complaints of hoarseness or dysphonia and laryngoscopic f indings. Convergent validity was confirmed with moderate to strong correlation between the FVHI-10 and self-assessment (r=-.893, p<.05) and GRBAS scale scores (r=.427, p<.05). Reliability as measured through internal consistency was confirmed (Cronbach α=.874) (average ρ<.5) (corrected item-total correlation>0.3) (average inter item correlation=.15-.85). Conclusion: The FVHI-10 was determined to be a valid and reliable instrument that can be utilized in the assessment of Filipino patients with voice disorders. Key words: Dysphonia, voice disorder, reliability, validity, voice handicap index-10, quality of life, Philippines","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":" 86","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612571","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}

{"title":"Bleeding Duodenal Diverticula Managed With Surgical Resection: A Case Report","authors":"Marc Paul Lopez, Jan Miguel Deogracias, S. Maglangit, S. I. Manlubatan","doi":"10.61662/pcs_bqto8562","DOIUrl":"https://doi.org/10.61662/pcs_bqto8562","url":null,"abstract":"The duodenum is the most common extra-colonic site of diverticulum. If present, it rarely manifests with symptoms or complications. A case is discussed involving a 78-year-old female who presented with massive upper gastrointestinal bleeding from duodenal diverticula. Due to hemodynamic instability, she eventually underwent duodenal resection, with a side-to-side duodenojejunostomy as a means of restoring intestinal continuity. The postoperative course was unremarkable. The patient was able to feed enterally and had no recurrence of bleeding. Conclusion/Learning Points: Duodenal diverticula are rarely symptomatic but remain to be a valid differential diagnosis for cases of massive upper gastrointestinal bleeding. It must be recognized in order to provide the most appropriate management. Surgical resection is indicated for patients who present with hemodynamic instability, or failure to improve by conservative or endoscopic means Key words: upper gastrointestinal bleeding, duodenal diverticulum","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138610198","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}

{"title":"Extra pancreatic Primary Retroperitoneal Solid Pseudopapillary Neoplasm: A Case Report","authors":"Ashley Dionisio, Bayani Tecson","doi":"10.61662/pcs_grcb2042","DOIUrl":"https://doi.org/10.61662/pcs_grcb2042","url":null,"abstract":"Solid pseudopapillary neoplasm (SPN) is a rare pancreatic neoplasm. This case reports a 63-year-old female previously diagnosed with bilateral adrenocortical carcinoma post resection who presents with persistent epigastric pain. Suspicions for recurrence prompted diagnostics revealing retro pancreatic and left suprarenal foci, both suspicious for malignancy. Resection of both tumors yielded a moderately to poorly differentiated retro pancreatic carcinoma with differentials not limited to recurrence and pancreatic neuroendocrine tumor with a left suprarenal lymph node. Immunohistochemistry was then done and was consistent with SPN having a strong expression for b-catenin, vimentin, pan cytokeratin. It was non-specific to melan-A and negative for chromogranin A, synaptophysin, inhibin-a and CD10. At 6 months’ follow up, patient is clinically well and abdominal CT scan showed no recurrence. SPNs can masquerade as other neoplasms having similar clinical, radiologic and histopathologic features. Immunohistochemistry thus plays a crucial role for accurate diagnosis and management. Surgical resection still remains the treatment of choice and can provide a 95% overall survival rate, while limited evidence supports the use of adjuvant chemotherapy or radiation. Key words: Solid pseudopapillary neoplasm, extra pancreatic, immunohistochemistry","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138619505","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}

{"title":"A Case Report of an Intracranial Giant Aneurysm in a 10-Year-Old Female","authors":"Emmanuel Albano, Reynaldo Benedict V Villamor","doi":"10.61662/pcs_dkpp6033","DOIUrl":"https://doi.org/10.61662/pcs_dkpp6033","url":null,"abstract":"Pediatric intracranial aneurysms are rare and differ from aneurysms in adults in terms of location, etiology, natural history and management. This is a case report of giant aneurysm in a 10-year-old patient presenting with symptoms of headache and vomiting. Cerebral catheter angiogram revealed a large aneurysm in the left middle cerebral artery, M1 segment. The patient underwent left pterional craniotomy, clip reconstruction of the patent artery, and aneurysmectomy. Post operatively the patient had an unremarkable course and was discharged improved after 1 week. Cerebral catheter angiogram was performed after 2 months and revealed no residual aneurysm. Intracranial aneurysms in children are rare; 0.5% to 4.6% of intracranial aneurysms occur in patients aged 18 years or younger. Aneurysms occurring in very young children and infants are exceedingly rare. Unlike their adult counterparts, pediatric aneurysms have been reported to exhibit features such as male predominance, a higher incidence in locations such as the internal carotid bifurcation and posterior circulation, and greater numbers of giant aneurysms. By far, pediatric aneurysms present more commonly as subarachnoid hemorrhage, with peaks at ages 2-5 years and in adolescents older than 15 years. However, the rate of subarachnoid hemorrhage in children is far lower than in adults. This may be due to high incidence of giant aneurysms that present as space-occupying lesions rather than hemorrhage. In the Philippines, intracranial aneurysms are more common in adults rather that in children. Moreover, there has been no published data about pediatric intracranial aneurysm. Presented here is a case of a 10-year-old female with left middle cerebral artery (MCA) giant aneurysm. This report discusses the epidemiology, signs and symptoms and management of the pediatric patient with a giant aneurysm. Conclusions: Intracranial aneurysms in children differ from those in adults in location, morphology, etiology, natural history, and management. Giant aneurysms produce neurologic compromise related to mass effect. The most efficacious form of treatment involves complete elimination of this lesion from cerebral circulation. Regardless of whether these aneurysms are treated or observed, children with intracranial aneurysms require follow-up imaging and clinical surveillance, given their expected long-life span during which treated aneurysms could recur or additional aneurysms could arise. Key words: pediatric, giant aneurysm, craniotomy, clip reconstruction, aneurysmectomy","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617861","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}

{"title":"A Case Report on Cecal Volvulus: Approach to Management","authors":"Alyssa Katrin Chang, M. Roxas","doi":"10.61662/pcs_ahaj5874","DOIUrl":"https://doi.org/10.61662/pcs_ahaj5874","url":null,"abstract":"Cecal volvulus is a rare cause of intestinal obstruction caused by axial twisting of the cecum that occurs in 1–1.5 % of all intestinal obstruction, with an incidence of 2.8–7.1 cases per million annually. Cecal volvulus is potentially life-threatening without prompt surgical intervention. A 57-year-old woman presented with severe abdominal pain and distention. Laboratory examinations revealed normal white blood cell count with neutrophilic predominance. Diagnosis of acute cecal volvulus was made from a “whirl sign” on abdominal computed tomography. An exploratory laparotomy confirmed the diagnosis of cecal volvulus and a segmental ileocolic resection with primary anastomosis was carried out. The patient was discharged improved and returned to her normal activities of daily living. Conclusion: The management of volvulus involves a series of stepwise decisions that must be performed rapidly. Due to the fact that this condition is relatively uncommon makes it more critical for surgeons to maintain a solidified algorithm tailored to the disease process in order to amplify chances of successful outcome. In this case, the diagnosis of acute cecal volvulus was made from a “whirl sign” on abdominal computed tomography. An exploratory laparotomy confirmed the diagnosis of cecal volvulus and a segmental ileocolic resection with primary anastomosis was carried out. The patient was discharged, improved. Key words: Cecal volvulus, ileo-colectomy, whirl sign","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138614868","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}

{"title":"Breast cancer incidence in Metro Manila and Rizal province: 1980-1992.","authors":"A V Laudico,&nbsp;D B Esteban,&nbsp;L M Reyes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Incidence was derived from published data from two population-based registries--the Philippine Cancer Society-Manila Cancer Registry, and the Department of Health-Rizal Cancer Registry, which covered 8.5 million residents (1990 census) of a 1674 sq. km area that comprises Metro Manila and Rizal province. 13 registry clerks actively sought new cancer cases in 96 hospitals and 30 Civil Registry offices. Both registries are members of the International Association of Cancer Registries and receive continuing professional assistance from the International Agency for Research on Cancer. For the period 1988-92, the combined age-standardized incidence rate (ASR) was 43.4 per 100,000 females, making breast cancer the second most common following lung cancer, and the highest among women. Breast cancer ASR in the Manila Registry was the highest in Asia with the exception of the Jews in Israel. Age-specific rates began to rise steeply starting at age-group 30-34 years and peaked at 196.6 for age-group 70-74 years. There were significant differences between cities and municipalities. The rates in the oldest and most urbanized cities were similar to some populations in Europe, South America, and Oceania, and were almost 3 times those of residents in rural municipalities whose new rates were similar to some Asian and African populations. The ASR has doubled in the 13-year period between 1980 and 1992. While the combined rates were still lower than those of Filipino migrants to Hawaii, San Francisco and Los Angeles, rates in some cities had approximated those observed in the migrant populations.</p>","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":"53 4","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22020977","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}

{"title":"The prognostic significance of the S-phase fraction and DNCA ploidy in node-negative estrogen receptor-positive breast cancer.","authors":"R S Tolentino,&nbsp;S D Ang,&nbsp;C C Cajacom,&nbsp;G G Eufemio,&nbsp;V Talla,&nbsp;R W Lo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to determine the significance of the phase fraction S-phase fraction (SPF) and DNA ploidy as determined by DNA flow cytometry on the prognosis of patients with Stage 1 (TINOMO) and stage II A (T2NOMO) breast cancer who had estrogen receptor-positive tumors. A total of 45 patients with invasive ductal carcinoma were studied. The median follow-up was 3.8 years. The prognostic cut-off for the SPF of the 45 patients was 34% as determined by log rank test and this was used to classify patients into low (34%) and high (34%) SPF groups. 30 patients (67%) had low SPF. 36 (80%) of the tumors examined were diploid. Using the cut-off, the SPF had no prognostic value in Stage 1 breast cancer patients. There was significantly longer disease-free survival and overall survival in Stage II A patients with low SPF compared to Stage II A patients with high SPF (96% vs. 50% at 4 years, p = 0.02, and 100% vs. 62% at 4 years, p = 0.03, respectively). No significant prognostic value was noted with the DNA ploidy status in both groups of patients.</p>","PeriodicalId":85275,"journal":{"name":"Philippine journal of surgical specialties","volume":"53 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22030293","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}