Air apple-core-like narrowing of the dilated transverse colon.
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A case of mesenteric panniculitis in a 55-year-old female was reported. Image diagnosis of this rare clinical entity, which is characterized by a nonspecific inflammatory process involving the adipose tissue of the mesentery, was considered. We treated this patient conservatively and this led to remission.
Tumor antigens (CEA and AFP) were studied by radioimmunoassay and immunoglobulins A, M and G--after Mancini in blood plasma from 144 cases of colorectal cancer. In most patients, raised levels of CEA, AFP, IgA and IgG were identified. A 5-10-fold increase in CEA and AFP levels matched by a pronounced dysimmunoglobulinemia or IgG deficit (under 10 mg/ml) were prognostically unfavorable. If said shifts persist at days 25-30 after surgery, suspicion of inadequate removal of tumor, its occult dissemination and unfavorable prognosis is justified. Similarly inauspicious are concomitant low antigenic activity in tumor and IgC deficit or a marked dysimmunoglobulinemia. Therefore, a complex assay of tumor-associated antigens (CEA and AFP) and immunoglobulins A, M and G makes a contribution to evaluation of surgery, course of tumor progression and its prognosis.
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