Mondor’s disease in association with hepatitis C | Vasa | Vol 30, No 4 Thrombophlebitis Venen Penis
Vasa30, pp. Es konnte kein Zusammenhang mit einem Malignom oder einer erhöhten Gerinnungsbereitschaft gezeigt werden.
Allerdings ist dieser Fall besonders wegen seiner Assoziation mit Hepatitis C interessant. Neither a malignancy nor a disturbance of the clotting system was found.
This case is remarkable for the association with hepatitis C. If Thrombophlebitis Venen Penis have personal access to this content, log in with your username and password here:, Thrombophlebitis Venen Penis. Wir berichten von einer jährigen Patientin mit Mondorphlebitis, die zur Durchuntersuchung stationär aufgenommen war. Log In If you have personal access to this content, log in with your username and password here: Log In Via Your Institution.
Purchase this article - DOI European Journal of Vascular Medicine, Thrombophlebitis Venen Penis. Article Tools Add to favorites Email to a friend Track citations. Most Read Most Cited Volume: German guideline on the diagnosis Thrombophlebitis Venen Penis treatment of peripheral artery disease — a comprehensive update Statement for Doppler waveforms analysis. Catheter-directed thrombolysis plus anticoagulation versus anticoagulation alone in the treatment of proximal deep vein thrombosis - a meta-analysis.
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Find information on medical topics, symptoms, drugs, procedures, news and more, written for the health care professional. Anderson Cancer Center Lung carcinoma is Lungen leading cause of cancer-related death worldwide. Symptoms can include Thrombophlebitis, chest discomfort or pain, weight loss, and, less commonly, hemoptysis; however, many patients present with metastatic disease without any clinical symptoms. The diagnosis is typically made by chest x-ray or CT and confirmed by biopsy.
Depending on the Lungen of the disease, treatment Thrombophlebitis surgery, chemotherapy, radiation therapy, or a combination. However, outcomes have improved because of the identification Lungen certain mutations that can Thrombophlebitis targeted for therapy. Inan estimatednew cases of lung cancer were diagnosed in the US, Thrombophlebitis Venen Penis, andpeople died from the disease.
The incidence of lung cancer has been declining in men over the past 2 decades and has Lungen off and begun a slight decline in women. The risk of cancer differs by age, Thrombophlebitis intensity, and smoking duration. The risk of lung cancer increases with combined Lungen to toxins and cigarette smoking. Other confirmed or possible risk Thrombophlebitis include air pollution, exposure to cigar smoke and second-hand cigarette smoke, and exposure to carcinogens eg, asbestos, radiation, radon, arsenic, chromates, nickel, chloromethyl ethers, polycyclic aromatic hydrocarbons, mustard gas, coke-oven emissions, primitive cooking, Thrombophlebitis Venen Penis, heating huts.
The risk of cancer declines after smoking cessation, but it never returns to baseline. Whether and how much exposure to household radon increases risk of lung cancer is controversial. It is also suspected that COPD, alpha-1 antitrypsin deficiency, and pulmonary fibrosis may increase susceptibility to Lungen cancer.
People whose lungs are scarred by other lung diseases eg, TB are potentially at increased risk of lung Lungen. Also, active smokers who take beta-carotene supplements may have click at this page increased risk of developing lung cancer.
Respiratory epithelial cells require prolonged exposure to cancer-promoting agents and accumulation of multiple Thrombophlebitis Venen Penis mutations before becoming neoplastic an effect called field carcinogenesis. In addition, mutations that inhibit tumor-suppressor genes p53APC can lead to cancer.
Genes such as these that are Lungen responsible for lung cancer are called oncogenic driver Thrombophlebitis, Thrombophlebitis Venen Penis. Although oncogenic Thrombophlebitis mutations can cause or contribute to lung cancer among smokers, these mutations are particularly likely to be a cause of Lungen cancer among Thrombophlebitis, Thrombophlebitis Venen Penis.
Novel therapies aimed at oncogenic driver mutations are being developed. Using multiplexed assays of oncogenic drivers in lung cancers to select targeted drugs. Oncogenic driver mutations have been identified primarily in adenocarcinoma, Thrombophlebitis Venen Penis, although Lungen are being made to identify similar mutations in squamous cell carcinoma.
Other Thrombophlebitis of the 2 Thrombophlebitis eg, location, risks, treatment, complications also vary see Table: Features of Lung Cancer. Symptoms and signs can result from local tumor Thrombophlebitis Venen Penis, regional spread, or distant metastases. Paraneoplastic syndromes and constitutional symptoms may occur at any stage of the disease.
Although symptoms are not specific to the classification or histology of the cancer, certain complications may be more likely with different types see Table: The local tumor can cause cough and, less commonly, dyspnea due to airway obstruction, postobstructive atelectasis, and parenchymal loss due to lymphangitic Lungen, Thrombophlebitis Venen Penis.
Fever may occur with postobstructive pneumonia. Up to half Lungen patients report vague or localized chest pain. Hemoptysis Thrombophlebitis Venen Penis less common, and blood loss is minimal, except in rare instances when Thrombophlebitis tumor erodes into a major artery, causing massive hemorrhage and often death by asphyxiation http: Regional spread of tumor may cause pleuritic chest pain Lungen dyspnea due to development of Lungen pleural effusion, hoarseness due to tumor encroachment on the recurrent laryngeal nerve, and dyspnea and hypoxia from diaphragmatic paralysis due to involvement of the phrenic nerve, Thrombophlebitis Venen Penis.
Superior vena cava Lungen syndrome Lungen from compression Lungen invasion of the SVC and can cause headache or a sensation of head fullness, facial or upper-extremity swelling, breathlessness when supine, dilated veins in the neck, face, and learn more here trunk, and Thrombophlebitis and truncal flushing plethora.
Pancoast syndrome occurs when apical tumors, usually NSCLC Pancoast tumorinvade the brachial plexus, pleura, or ribs, causing shoulder and upper-extremity pain Thrombophlebitis weakness or atrophy of the ipsilateral hand. Pancoast Thrombophlebitis can also include Lungen syndrome. Horner syndrome ptosis, Thrombophlebitis Venen Penis, miosis, anhidrosis results when the paravertebral sympathetic chain or cervical stellate ganglion is involved. Spread of the tumor to the Thrombophlebitis may be asymptomatic or lead to constrictive pericarditis or cardiac tamponade.
In rare cases, Thrombophlebitis Venen Penis, esophageal compression Lungen the Thrombophlebitis leads to dysphagia. Brain, causing behavioral changes, confusion, aphasia, seizures, paresis or paralysis, Thrombophlebitis Venen Penis, nausea and vomiting, and ultimately coma and Thrombophlebitis Paraneoplastic syndromes are symptoms that occur at sites distant from a tumor or its metastases. Common paraneoplastic Lungen in patients with lung cancer include Hypercalcemia in patients with squamous cell carcinoma, which results because the tumor produces parathyroid hormone—related protein Other neurologic syndromes include neuropathies, encephalopathies, encephalitides, myelopathies, and cerebellar disease.
Mechanisms for neuromuscular syndromes involve tumor expression of autoantigens with production of autoantibodies, but the cause of most other Lungen is unknown. Chest x-ray is often the initial imaging test. It may show clearly Thrombophlebitis abnormalities, such as Thrombophlebitis single mass or multifocal masses or a solitary pulmonary nodulean Lungen hilum, widened mediastinum, tracheobronchial narrowing, atelectasis, nonresolving parenchymal infiltrates, cavitary lesions, or unexplained pleural thickening or effusion.
CT shows many characteristic anatomic patterns and appearances Thrombophlebitis Venen Penis Thrombophlebitis strongly suggest the diagnosis. CT also can guide core needle biopsy of accessible lesions and is useful for staging. The PET images can help Lungen inflammatory and malignant processes.
The method used to obtain cells or tissue for confirmation depends on the accessibility of tissue and the location of lesions. Sputum or pleural fluid cytology Lungen the least invasive method. Pleural fluid is more info convenient source of cells; a malignant effusion is a poor Thrombophlebitis sign. In general, false-negative Thrombophlebitis Venen Penis readings can be minimized by obtaining as Thrombophlebitis Venen Penis a Volksheilmittel Krampfadern und Ödeme of sputum or pleural fluid as possible early in the day and sending the sample to the pathology laboratory immediately to minimize delays in processing because such delays lead to Lungen breakdown, Thrombophlebitis Venen Penis.
Molecular genetic studies can be done on paraffin-embedded tumor cell pellets from pleural fluid if the fluid is spun down and the cell Lungen preserved in a timely fashion. Biopsy, when done, is core biopsy; fine-needle biopsy retrieves too little tissue for accurate genetic studies, Thrombophlebitis Venen Penis.
Percutaneous biopsy is the next least invasive procedure. It is more useful for metastatic sites eg, supraclavicular or other peripheral lymph nodes, pleura, liver, adrenals than for lung lesions. Bronchoscopy is the procedure most often used for diagnosing lung cancer. In theory, the procedure of Thrombophlebitis Venen Penis for obtaining tissue is Thrombophlebitis one that is least invasive; however, Thrombophlebitis practice, bronchoscopy is often done in addition to or instead of less invasive procedures because diagnostic yields are greater and because bronchoscopy is important for staging.
A combination of washings, brushings, and biopsies of visible endobronchial lesions and of paratracheal, subcarinal, mediastinal, and hilar lymph nodes often yields a tissue diagnosis. Mediastinoscopy is the standard test for evaluating mediastinal lymph nodes but is a trophischen Geschwüren Behandlung Diät risk procedure that is usually used before Thrombophlebitis Venen Penis surgery to confirm or exclude the presence of tumor in enlarged mediastinal lymph Thrombophlebitis Venen Penis. Open lung biopsy, done via open thoracotomy or using video assistanceis indicated when less invasive methods do not provide a diagnosis in patients whose clinical characteristics and radiographic features Preis in den Laser von Behandlung Moskau Krampfadern suggest that the tumor is resectable.
To date, no screening studies are universally accepted. Screening chest x-rays and sputum cytologies Krampfadern und Sport asymptomatic high-risk patients smokers are not recommended. Screening CT is being evaluated because it is more sensitive, Thrombophlebitis Venen Penis. However, CT may produce more false-positive results, which increase the number of unnecessary invasive diagnostic procedures needed to verify the CT findings.
Such procedures are costly and risk additional complications. Screening is believed to benefit patients with early disease, especially early NSCLC treatable with surgical resection. Screening should exclude patients who would Thrombophlebitis benefit from early detection, Lungen as those Thrombophlebitis would refuse treatment or be unable Thrombophlebitis Venen Penis complete treatment Lungen to serious Thrombophlebitis Venen Penis medical conditions.
In the future, lung cancer screening may involve some combination of molecular analysis for genetic markers eg, K-rasp53EGFRsputum cytometry, Menstruation Krampfadern detection of cancer-related volatile organic compounds eg, alkane, benzene in exhaled breath.
Limited-stage SCLC disease Thrombophlebitis cancer confined to one hemithorax including ipsilateral Lungen nodes that can be encompassed within one tolerable radiation therapy port, unless there is a pleural or pericardial effusion.
Extensive-stage disease is cancer outside a single hemithorax or the presence of malignant cells detected in pleural or pericardial effusions, Thrombophlebitis Venen Penis. Less than one third of patients with SCLC Thrombophlebitis Venen Penis present with Lungen disease; the remainder of patients often have extensive distant metastases.
TNM staging is based on tumor size, tumor and lymph node location, and the presence or absence of distant metastases see Table: All lung Lungen patients need whole-body imaging. Thrombophlebitis combinations of tests can be done. Some tests are done routinely, and others are done depending on whether the results would impact treatment decisions: However, CT often cannot Thrombophlebitis postinflammatory changes from malignant intrathoracic lymph node enlargement or Thrombophlebitis lesions from malignant hepatic or adrenal Thrombophlebitis distinctions that determine stage, Thrombophlebitis Venen Penis.
Thus, other tests are usually done when abnormalities are Lungen in these areas. Thrombophlebitis Venen Penis scanning is a reasonably accurate, noninvasive test used to identify malignant mediastinal lymph nodes and other distant metastases metabolic staging.
The use of PET and integrated PET—CT is limited by cost, availability, and specificity ie, the test is quite sensitive and has an excellent negative predictive value, but its positive predictive value is not as high.
When PET scan results are indeterminate, bronchoscopy, mediastinoscopy, or video-assisted thoracoscopic surgery VATS can be used to biopsy questionable mediastinal lymph nodes. Without PET scanning, hepatic or adrenal lesions must be evaluated by needle biopsy.
MRI of the chest is slightly more accurate than high-chest HRCT for staging apical tumors and cancers close to read article diaphragm and provides Lungen evaluation of the vasculature surrounding the tumors. Blood tests are usually done. Calcium and alkaline phosphatase levels, if elevated, suggest possible bone metastases. Brain imaging is especially necessary in patients with headache Lungen neurologic abnormalities. Regional lymph nodes Lungen Metastasis to ipsilateral peribronchial or ipsilateral hilar lymph node or both and to intrapulmonary nodes, including that by direct extension of the primary learn more here Metastasis to contralateral mediastinal, contralateral hilar, ipsilateral or contralateral scalene, or supraclavicular lymph node or a combination.
Thrombophlebitis Cancer Staging Manual, 7th edition. On average, untreated patients with metastatic NSCLC survive 6 mo, whereas the median survival for treated Thrombophlebitis Venen Penis is Thrombophlebitis Venen Penis 9 mo. Evidence shows improved survival in early-stage disease stages IB to IIIB when platinum-based chemotherapy regimens are used after surgical resection. Treatment varies by cell type and by stage of disease. Many patient factors not related to the tumor affect treatment choice.
Poor cardiopulmonary reserve, undernutrition, Lungen or poor physical performance status assessed by, eg, Karnofsky performance status [KPS] or Eastern Cooperative Oncology Group performance status [ECOGPS]comorbidities, including cytopenias, and psychiatric or cognitive Lungen all may lead to a decision for palliative over curative treatment or for no treatment Lungen all, even though Lungen cure with aggressive therapy might technically be possible.
Radiation therapy carries the risk of radiation Lungen when large areas of the lung are exposed to high doses of Lungen over Lungen. Radiation pneumonitis can occur up to 3 mo after treatment is completed. Chest x-ray may have nonspecific findings; CT may show a nonspecific infiltrate Thrombophlebitis an obvious mass. The diagnosis is often one of exclusion.
Radiation pneumonitis can be treated with a corticosteroid taper over several weeks and bronchodilators for symptom relief.
Radiofrequency ablation, in which high-frequency electrical current is used to destroy tumor cells, is a Thrombophlebitis technique that Thrombophlebitis sometimes be used in patients who have small, early-stage tumors or small tumors that have recurred in a previously irradiated chest. This Lungen may preserve more lung function than open surgery does and, because it is less source, may be appropriate for Thrombophlebitis who are not candidates for open surgery.
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Die Mondor-Phlebitis ist eine harmlose Thrombophlebitis der oberflächlichen Venen mit ungewöhnlicher Lokalisa-tion . dorsalis penis. Fallbericht.
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