Cureus最新文献

{"title":"Slicing Through the Options: A Systematic Review of Esophageal Leiomyoma Management.","authors":"Shelleen Gowrie, Anniesha Noel, Candace Wooten, Jennifer Powel, Jerzy Gielecki, Anna Zurada, Michael Montalbano, Marios Loukas","doi":"10.7759/cureus.81614","DOIUrl":"https://doi.org/10.7759/cureus.81614","url":null,"abstract":"<p><p>Esophageal leiomyomas are rare, benign tumors that can remain asymptomatic or cause dysphagia and chest discomfort when they grow large. Despite advancements in diagnostic and therapeutic strategies, optimal management remains debated. This systematic review evaluates current diagnostic modalities and treatment approaches, synthesizing findings from a comprehensive PubMed search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 51 studies were included, comprising six original studies, 26 case reports, nine retrospective cohort studies, nine case series, and two cross-sectional studies. Findings indicate that endoscopic ultrasonography (EUS) is the most accurate diagnostic tool (89% accuracy), while computed tomography (CT) and barium swallow studies provide complementary structural assessments. Immunohistochemical staining differentiates leiomyomas from gastrointestinal stromal tumors (GISTs), with leiomyomas expressing desmin and smooth muscle actin (SMA) but lacking CD34 and KIT. Surgical intervention is recommended for symptomatic tumors or those exceeding 5 cm. Minimally invasive techniques, including robotic-assisted thoracoscopic surgery (RATS) and submucosal tunneling endoscopic resection (STER), offer superior outcomes compared to traditional open surgery. RATS demonstrates a negligible mucosal injury rate versus 1-15% for other approaches, while STER minimizes blood loss and accelerates recovery. Postoperative outcomes are generally favorable, though transient gastroesophageal reflux disease (GERD) is the most common complication. While STER and RATS present effective alternatives with reduced morbidity, this review highlights limitations, including variability in study designs, small sample sizes, and a lack of long-term follow-up data. Further prospective studies are needed to optimize patient selection and establish long-term efficacy. This review provides insights to inform clinical practice and guide future research in the management of esophageal leiomyomas.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"e81614"},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Exploring Pharmacological and Non-Pharmacological Approaches to Managing Hypertension During Pregnancy: A Systematic Review.","authors":"Saeeda Bano, Shahida Husain Tarar, Precious D Atung, Abdullah Shehryar, Abdur Rehman, Ahmad Irshad, Oluwatobiloba T Ogungbemi, Nahal Ijaz, Maryam Nour, Hafsah Abdirahiim Maalim","doi":"10.7759/cureus.r172","DOIUrl":"https://doi.org/10.7759/cureus.r172","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.75534.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r172"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Role of Statins in Reducing Cardiovascular Mortality: A Systematic Review of Long-Term Outcomes.","authors":"Bipasha Seth, David Okello, Syed Saad Ullah, Rabia Yousaf, Shaikha B Alfalasi, Muhammad Hafeez, Naveed Rasool, Gurman Bhullar, Tchapleu Nana Ian Gidley, Syed Ali Hussein Abdi, Khakan Murtaza","doi":"10.7759/cureus.r171","DOIUrl":"https://doi.org/10.7759/cureus.r171","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.78137.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r171"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Minimally Invasive Approaches for High-Risk and Elderly Patients With Acute Cholecystitis: A Systematic Review of Techniques and Outcomes.","authors":"Mark Abdelmaseeh, Asem Mhmndar, Ayesha Siddiqa, Shoaib S Ahamed, Kanwal Sheraz, Ahmad F Mohd, Haider Ali, Abdullah Shehryar, Abdur Rehman, Khakan Murtaza","doi":"10.7759/cureus.r174","DOIUrl":"https://doi.org/10.7759/cureus.r174","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.78271.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r174"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Impact of Dual Antiplatelet Therapy Versus Monotherapy in Acute Stroke Management: A Systematic Review.","authors":"Muhammad Adil Areeb, Rakesh Mohanty, Hiren B Hisoriya, Javeria Mithani, Oluwatobiloba T Ogungbemi, Kesha Pathak, Umar Farooq, Rauda Al Dhaheri, Ahmad Zubair Aziz, Nishath Kausar, Ali Raza","doi":"10.7759/cureus.r176","DOIUrl":"https://doi.org/10.7759/cureus.r176","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.78138.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r176"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Outcomes of Direct-Acting Antivirals Versus Interferon-Based Therapy in Chronic Hepatitis C Infection.","authors":"Ratna Chowdhury, Wardah Rashid, Taranpreet Singh, Abdur Rehman, Nida F Daterdiwala, Varaidzo Mkosi, Bhumikala Limbu, Syeda Alliza Bukhari, Afif Ramadhan, Muath M Dabas, Abdullah Shehryar, Ramadan Khan","doi":"10.7759/cureus.r173","DOIUrl":"https://doi.org/10.7759/cureus.r173","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.75902.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r173"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Hemorrhagic Infarct as a Rare Presentation of Vascular Ehlers-Danlos Syndrome in a 40-Year-Old Female: A Case Report.","authors":"Wahab Moustafa, Taranpreet Singh, Arzoo Siddiqi, Anoushka A Sehgal, Bismil Afghan","doi":"10.7759/cureus.r177","DOIUrl":"https://doi.org/10.7759/cureus.r177","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.76952.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r177"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Implant Surface Modifications on the Osseointegration Process: An Overview.","authors":"Bansi B Sarvaiya, Santosh Kumar, Mohd Shabankhan H Pathan, Shirishkumar Patel, Vineeta Gupta, Mainul Haque","doi":"10.7759/cureus.81576","DOIUrl":"https://doi.org/10.7759/cureus.81576","url":null,"abstract":"<p><p>Osseointegration is critical to the long-term success of endosseous dental implants. Surface factors such as roughness, topography, energy, and composition considerably impact this process. Several ways have been used to optimize surface roughness, increase surface area, and improve osseointegration. Subtractive processes such as alumina and titanium dioxide blasting, acid treatment, anodization, and laser peeling are widely utilized. Many additive techniques change implant surfaces, including plasma-sprayed hydroxyapatite, vacuum deposition, sol-gel, dip coating, electrolytic procedures, and nano-hydroxyapatite coating. Recently, biomimetic implant surfaces with calcium phosphate coatings have been created under physiological settings. These coatings can transport osteogenic agents such as bone morphogenetic proteins, growth differentiation factors, and bioactive medications, including bisphosphonates, gentamicin, and tetracycline. Advances in technology have considerably broadened the methods for surface modification of endosseous dental implants. This article provides a comprehensive overview of various surface modification techniques and current trends in oral implantology.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"e81576"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Effects of Dietary Fiber Interventions on Glycemic Control and Weight Management in Diabetes: A Systematic Review of Randomized Controlled Trials.","authors":"Syed Ali Hussein Abdi, Syed Imran Ali Abdi, Mohamed H Ali, Noor A Balani, Nazik A Balani, Hestia L Jacob, Ariana Seyfi, Gadeer H Al Shabout, Dena N Hamza, Alan Deiar Al-Talabani, Ramadan Khan","doi":"10.7759/cureus.r175","DOIUrl":"https://doi.org/10.7759/cureus.r175","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.7759/cureus.78497.].</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 4","pages":"r175"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Gluteus Maximus Tendon Tear Following an Apparently Low-Impact Trauma: A Case Report.","authors":"Amrit Samra, Ayley K Loh, Alastair Littlewood, Samson O Oyibo","doi":"10.7759/cureus.81490","DOIUrl":"10.7759/cureus.81490","url":null,"abstract":"<p><p>Gluteus maximus tendon tear is an uncommon condition, probably due to the stout nature of its tendon structure as well as the potential for this type of injury to be overlooked by the attending healthcare worker. We present a case of bilateral gluteus maximus tendon tear in an 89-year-old female patient who presented with severe right buttock pain radiating to her right hip, groin, and thigh that started after sitting heavily on a stool. The bilateral tendon tear was discovered when she had a magnetic resonance imaging scan performed to rule out any occult hip or pelvic fracture that may have been missed during a previously performed X-ray and computed tomography scan. This case illustrates the importance of thorough history taking and examination and having a heightened sense of awareness when it comes to gluteus maximus tendon tear in a patient presenting with persistent traumatic pelvic or hip pain despite no fracture demonstrated on initial imaging.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 3","pages":"e81490"},"PeriodicalIF":1.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}