Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2023
ReviewRight Atrial Tumour Thrombus in Advanced Hepatocellular Carcinoma: Surgical Techniques and Prognosis.
Hepatocellular carcinoma (HCC) with right atrium (RA) tumour thrombus is a rare condition but the treatment always poses challenges. Debates remain with regard to the use of cardiopulmonary bypass (CPB) in the surgical procedures. The aim of the present review was to summarise the surgical procedures of RA tumour thrombus removal and to discuss the pertinent indications. ⋯ CPB is helpful for complete removal of the tumour thrombus from the RA. In patients with tumour thrombus invading the RA or vessel walls, a graft repair is warranted. Key Words: Hepatocellular carcinoma, Inferior vena cava, Right atrium, Tumour thrombus.
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J Coll Physicians Surg Pak · Apr 2023
Correlation of Serum Erythropoietin Levels with Different Stages of Diabetic Retinopathy.
To determine the correlation of serum erythropoietin concentration with diabetic retinopathy in patients with type 2 diabetes mellitus. ⋯ Erythropoietin, Diabetic retinopathy, Proliferative diabetic retinopathy.
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J Coll Physicians Surg Pak · Apr 2023
Grading Intraductal Carcinoma of the Prostate; ISUP versus GUPS Recommendations.
To evaluate the frequency of intraductal component (IDC-P) in prostatic adenocarcinoma and its effect on the final grade using the ISUP and GUPS grading system. ⋯ Prostatic adenocarcinoma, Intraductal carcinoma, IDC-P, ISUP, GUPS, Gleason Grade group.
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J Coll Physicians Surg Pak · Apr 2023
Creation of Virtual Patients for Undergraduate and Postgraduate Medical Education: An Experience from Pakistan.
To create virtual patients as an educational tool to determine their feasibility and effectiveness in clinical problem solving. ⋯ Virtual patients can be easily created using local disease patterns to make learning more contextual. They enhance clinical reasoning and decision-making in a safe learning environment. Key Words: Medical education, Virtual patients, e-learning.
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J Coll Physicians Surg Pak · Apr 2023
Insulin Resistance and the Prognosis in Diffuse Large B-cell Lymphoma.
To investigate whether insulin resistance (IR) affects the prognosis in patients with diffuse large B-cell lymphoma (DLBCL). Place and Duration of the Study: The Fourth Hospital of Hebei Medical University, Shijiazhuang, China, from September 2017 to December 2021. ⋯ Insulin resistance, Diffuse large B-cell lymphoma, Overall survival, Prognosis.