Niger J Clin Pract
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Case Reports
Diagnostic challenge and surgical management of multiple pancreatic neuroendocrine tumors - A case report.
Insulinoma is the most common functional solitary, benign pancreatic neuroendocrine tumor. In this paper, we share our experience of triple pancreatic insulinomas, with an idea to highlight the fact that despite the high frequency of solitary insulinoma, there is the possibility of multiple lesions and point out the need for a systematic and detailed radiographic and clinical examination. A 33-year-old woman was admitted to our clinic due to chronic fatigue, sweating, sporadic episodes of palpitations, unsteady hands, and blurred images, which resolve spontaneously after a few minutes. ⋯ Intraoperative exploration by manual palpation and ultrasonography revealed two more lesions. In the case of sporadically distributed lesions in the pancreas and if it is not possible to accurately differentiate those that represent the insulinoma for sure, the surgical procedure should be delayed. Additionally, tests such as selective arterial calcium stimulation testing should be carried out, and then, with more information in hands, make a re-plan of the potential surgical treatment which should be made.
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Although its etiology is not fully known, the accepted view is that bruxism is a multifactorial disorder. ⋯ The findings revealed that, although bruxism was common among dental students, gender and psychosocial factors are also mostly associated with the etiology of bruxism. In this context, during the challenging dentistry education period, it is important to direct students who are found to have high levels of psychological symptoms to psychological counseling and guidance services.
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The purpose of this in vivo study was to investigate the effect of translucent adhesive resin cement on the final color of ceramic laminate veneer restoration before and after polymerization in intraoral conditions. ⋯ Within the limitations of this in vivo study, the results suggest that light polymerization of the translucent resin cement (Choice 2, Bisco) used is an important factor for the final color of the restoration and should be considered during shade selection and fabrication.
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Giant congenital melanocytic nevus (GCMN) is a rare congenital benign neoplasm with the potential to become malignant. Various extracutaneous malformations may accompany GCMN. ⋯ To the best of our knowledge, this case report of ours is the first reported case of GCMN diagnosed and treated with hip dislocation based on developmental dysplasia of the hip (DDH). The rare coexistence prompted us to report this case.
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Evidence-based information should be provided to clinicians to explain the effectiveness of hydrophilic and hydrophobic forms of resin based sealants (RBSs). ⋯ There was no statistically significant difference in retention and the cariostatic impact was found between hydrophilic and hydrophobic RBSs.