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Biomedical subjects

Y Montilla

Publications and source records attributed to Y Montilla.

5 recordsLinked to original sources

[Duodenal duplication cyst].

The duodenal duplication cyst is an uncommon inherited anomaly. Its etiology is related to malformations of the canal in the gastrointestinal duct during the formation of the embryo. It develops in the infancy period or during childhood, it is uncommon in adults. The most frequent finding, is abdominal mass, although it might appear along with obstructive symptoms, recidivante pancreatitis and digestive bleeding. The diagnosis is based on image methods (ultrasonics, radiology, computed tomography, CPRE), nevertheless its identification through ultrasonics is of great value. Therefore we consider important the introduction of a 72-year-old woman case, whose pre-surgery diagnosis was performed with ultrasonics and reaffirmed by all other image methods. We also mention the usefulness of inner-surgery ultrasonics, in the surgery case of this pathology.

Aged↗

[Leiomyosarcoma of the vena cava inferior. The correlation: ultrasound and fine-needle puncture biopsy].

The leiomyosarcoma of the inferior vena cava is a non-frequent tumor, mesenchymal, that has its origin in the smooth muscular tissue of the vascular wall. Its growth is slow and expansive, more frequently found on females. The symptomatology is related to the cava segment where it is located. The diagnosis is performed by ultrasonics, computed tomography and cavography, actually magnetic resonance acquires more and more importance. The treatment is specifically surgery along with radiotherapy and chemotherapy. A case of leiomyosarcoma of the inferior vena cava is presented in which diagnosis was performed using ultrasonics, tomography and cavography confirmed before surgery by biopsy punction with thin needle. In the diagnosis of this pathology it is described the use of intro-surgery ultrasonics.

Biopsy, Needle↗

[Primary gastrointestinal lymphoma].

20 patients were evaluated and found to have a radiologic-endoscopic diagnosis of primary gastrointestinal lymphoma, in the Digestive Tract Department of the "Padre Machado" Oncological Hospital in a 19 years period (1970-1989). In 17 patients diagnosis of non-Hodgkin's Lymphoma was made and the 3 other patients were diagnosed with the Hodgkin's Lymphoma. It was located more frequently in the stomach: 14 (70%). Through double contrast radiology, endoscopy and deep biopsy, the diagnosis was made in 12 (67%) patients. The most frequent hystological type was diffuse histiocytic lymphoma. Surgery was the most used treatment. The value of double contrast radiology, and deep biopsy stand out as adequate methods to obtained a positive diagnostic, avoiding unnecessary surgical procedures.

Adolescent↗

[Determination of alpha fetoproteins in patients infected with virus B and C. Preliminary report].

The presence of detectable levels of aFP was investigated through RIA in 78 serum samples classified as follows: 32 samples from healthy volunteers (group A), 15 anti-HCV positive sera, 19 samples from HBV Chronic carriers (Group B), and 12 sera from a group of anti-core positive individuals, (Group C). Increased aFP levels, upper to the calculated maximal limit (Above 2.6 ng/ml) were detected in 2 individuals from Group A, in 2 HCV positive sera and in 6 HBV chronic carriers. None of the Group C demonstrated increased aFP value. Two B positive sera with augmented aFP activity showed significantly elevated values of this protein 13 and 20 fold upper than maximal limit. In Venezuela, aFP levels the HBV chronic carriers do not appear to be comparable to the reported values in HBV hyper-endemic countries. The need to analyze aFP values in normal groups is emphasised.

Adult↗

[Adenocarcinoma of the adrenal gland. An accidental finding. Report of a case and review of the literature].

Carcinoma of the adrenal gland is a very unusual entity with a very poor prognosis. Even though the great advances in imaging during the last few years, the possibility of an early diagnosis of these tumors has not been reached. In a high percentage of cases, the diagnosis was made as incidentalomas while doing some complementary tests. A multidisciplinary team is necessary for the diagnosis and management of this pathology. We report a case of non functional adrenal cortex carcinoma, it's diagnosis, management and evolution.

Adrenal Cortex Neoplasms↗