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Biomedical subjects

E Pintor Holguín

Publications and source records attributed to E Pintor Holguín.

16 recordsLinked to original sources

[Unifocal Langerhans cell granulomatosis in a young woman].

We report a 24-years-old woman who presented with thoracic pain after coughing. Physical exam revealed no abnormalities except pain after pressing under blade-bone area. A rib radiography and CT of the thorax showed a lonely osteolytic lesion inside eleventh left costal arch without affecting others tissues. There were no more osteolytic lesions at other levels and the histopathological study of a resection-biopsy of the lesion was diagnosed as Langerhans' cell granulomatosis. This is an uncommon disease which diagnosis can only be made through histopathological study of suspected lesions.

Adult↗

[Micronodular pulmonary infiltration as first manifestation of metastatic hepatocellular carcinoma].

Infectious diseases, as tuberculosis, and metastatic cancers are the main causes of multiple pulmonary micronodules on chest radiographs. Many cancers can produce this anomaly, but the most common are thyroid, melanoma and gastrointestinal (colon and pancreas). Hepatocellular carcinoma can produce lung metastasis, but seldom makes bilateral pulmonary micronodules. Here we present the case of a woman with a hepatocarcinoma that appeared as a bilateral micronodular disease on the chest radiograph.

Carcinoma, Hepatocellular↗

[Solitary hepatic mass as initial manifestation of non-hodgkin lymphoma].

A 55 years-old woman was admitted to the hospital because fifteen days of malaise, right upper quadrant pain and fever. Physical exam revealed hepato-splenomaly and radiologic evaluation (abdominal ultrasonography and CT) showed a solid hepatic mass with several retroperitoneal lymphadenopathies. Through an hepatic fine needle aspiration biopsy and a bone marrow biopsy, the diagnosis of a high grade non-Hodgkin lymphoma was made. The histopathological study of a retroperitoneal lymphadenopathy surgical biopsy got the definitive diagnosis. This form of liver involvement (big solid hepatic mass) by lymphoma is not usual and when it is found, it's necessary to make a differential diagnosis with primary hepatic tumors, hepatic metastases and primary lymphoma of the liver.

Biopsy, Needle↗

[Axillary-subclavian thrombosis: review of its etiology and features in recent years].

OBJECTIVES: To describe etiology and clinical characteristics of all patients diagnosed with axillary-subclavian vein thrombosis (ASVT) in our center. METHODS: Retrospective study during last 4 years (January 1991 to December 1994). Only those patients with a typical phlebography were included. RESULTS: 42 patients were diagnosed with ASVT. 10 in 1991, 6 in 1992, 10 in 1993 and 16 in 1994. The average age was 56.3 years. About sex, 20 were in men and 22 in women. The right upper extremity was affected in 16 patients, left side was in 24 and 2 were bilateral. Respect the incriminating agent, a central venous line was the most common, finding in 24 patients (57.14%). A local external compression was detected in 9 patients (21.4%), in 5 the ASVT was associated to a hypercoagulability state and finally only 2 patients were diagnosed with spontaneous o effort ASVT (4.76%). In those associated to a central catheter, 8 patients had a subclavian venous line and 6 had a drum catheter. Lung, colon and breast malignancies were the types of tumours more diagnosed. Treatment basically consisted on intravenous heparin, dicumarinics and subcutaneous heparin. Long term results are not valid because most patients haven't post-treatment phlebography. CONCLUSIONS: The possession of a catheter in the subclavian vein and the existence of a malignancy; especially a lung, colon or breast cancer, are the factors more associated with the development of an axillary-subclavian vein thrombosis in our area. The long of the average life span, the development and use of new oncologic treatment, besides the increasing use of the subclavian veins could do that ASVT would be a more frequent disease. In patients with several associated factors, could be used profilactics treatments.

Adult↗