Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsSimple Congenital Hamartoma of Retinal Pigment Epithelium.
A 45-year female presented in the Outpatient Department of a tertiary care hospital of Lahore with dimness of vision in the right eye. Her history revealed that the patient had noticed decreased vision since her childhood. Fundus examination revealed a jet-black slightly raised lesion about the size of ¼-disc diameter, located in the centre of macula. ⋯ Choroid and surrounding retina was normal in our patient, which was helpful in differentiating it from choroidal nevus/choroidal melanoma. Our final diagnosis was simple congenital hamartoma of RPE. Key Words: Hamartoma, Retinal pigment epithelium, Macula.
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J Coll Physicians Surg Pak · Apr 2022
Evaluation of the Preoperative Haematological Parameters Predicting the High T-Stage and Fuhrman Grade in Renal Cell Carcinoma.
To investigate the role of cost-effective and widely used hemogram parameters in predicting stage and histological grade. ⋯ Renal cell carcinoma, Tumor staging, Tumor grading.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsMelena: An Unusual Manifestation of Metastatic Lung Cancer.
Lung cancer is the most common cancer around the world, and the leading cause of cancer-related deaths. Clinical manifestations of lung cancer may vary from non-specific respiratory symptoms to symptoms due to metastases. ⋯ Here, we present a case of squamous cell lung cancer in a 71-year male metastasing to the stomach, a very uncommon site of metastasis. Key Words: Lung cancer, Melena, Metastasis, Stomach.
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J Coll Physicians Surg Pak · Apr 2022
Success of the Cytokine Absorption Therapies in COVID-19 Patients Diagnosed with Cytokine Release Syndrome.
To compare the effects of cytokine absorption therapy with a resin-based cytokine absorption cartridge to tocilizumab treatment in critically ill COVID-19 patients diagnosed with cytokine release syndrome (CRS). ⋯ SARS-CoV-2, Cytokine release syndrome, Chemokines, Absorption, Tocilizumab.
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsContralateral Recurrence of a Lumbar Juxtafacet Cyst Following Spontaneous Resolution.
We present a patient who had spontaneous resolution of a right L3/4 lumbar juxtafacet cyst (LJFC); and in whom, 2.5 years after regression of the previous cyst, a new contralateral L3/4 LJFC developed. Furthermore, with an extensive review, we discuss the selection criteria for patients for conservative treatment. A 44-year woman presented with right leg pain for two months. ⋯ In the setting of significant instability, conservative treatment for LJFCs can still be beneficial; however, its role in preventing recurrence of LJFCs may be inadequate. In such patients, early surgical correction of instability may result in better long-term outcomes. Key Words: Degeneration, Juxtafacet cyst, Recurrence, Spinal instability, Spontaneous resolution.