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Hypercalcemia as Initial Presentation of Metastatic Adenocarcinoma of Gastric Origin: A Case Report and Review of the Literature

  • Kumar, Mehandar;Kumar, Abhishek;Kumar, Vinod;Kaur, Supreet;Maroules, Michael
    • Journal of Gastric Cancer
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    • v.16 no.3
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    • pp.191-194
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    • 2016
  • Hypercalcemia of malignancy due to metastatic gastric adenocarcinoma is extremely rare; in fact, to the best of our knowledge, only three case reports of hypercalcemia associated with metastatic gastric adenocarcinoma have been published in the literature to date. Herein, we report a rare case involving a 61-year-old African-American female who had hypercalcemia at initial presentation and who was later diagnosed with poorly differentiated gastric adenocarcinoma with extensive liver metastases, without bone involvement. She was found to have elevated parathyroid hormone-related peptide and normal parathyroid hormone levels. Despite aggressive treatment, she died within a few months of diagnosis.

An unusual presentation of osteoblastoma of the maxilla: A case report

  • Lim, Joonbum;Hinchy, Nicole;Odingo, Nora;Colosi, Dan;Mahdian, Mina
    • Imaging Science in Dentistry
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    • v.51 no.4
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    • pp.455-460
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    • 2021
  • This report presents a rare case of maxillary osteoblastoma in a 17-year-old female. The patient presented with dull pain and facial asymmetry inferior to the left zygoma. An intraoral examination found a painless swelling on the buccal gingival tissue in the left posterior maxilla. Panoramic radiographs and multidetector computed tomographic images revealed an ill-defined, non-corticated, mixed attenuating entity of osseous density located within the left posterior maxilla apical to the left maxillary molars. The entity exhibited a heterogeneous internal structure with a fine granular appearance, and the periphery showed a partial hypo-attenuating rim along the antero-medial aspect. Expansion of the left posterior maxilla accompanied with displacement of the left maxillary sinus floor was noted. External root resorption of the first and second molars was noted, as well as postero-superior displacement of the third molar. The histopathologic diagnosis of the biopsy was osteoblastoma. Complete excision of the tumor was performed.

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator

  • Inho Kang;Hyun Rok Lee;Gyu Yong Jung;Joon Ho Lee
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.409-414
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    • 2023
  • The anterior interosseous artery (AIA) perforator flap is not commonly used in hand dorsum reconstruction compared with alternatives. However, it is a versatile flap with several advantages. Literature on the AIA perforator flap is based on the dorsal septocutaneous branch (DSB), which branches from the AIA and passes through fascia between the extensor pollicis longus (EPL) and extensor pollicis brevis muscles. In the described case, the authors reconstructed a hand dorsum defect in a 78-year-old man using an AIA perforator flap with double perforators supplied by the DSB and a new perforator branching from the distal than DSB. No complication was encountered, and the flap survived completely. A retrospective computed tomography review revealed the presence of the new perforator in 14 of 21 patients. Two types of new perforator were observed. One passed through the ulnar side of the extensor indicis proprius (EIP) muscle and penetrated fascia between the extensor digitorum minimi and extensor digitorum communis tendons, whereas the other passed between the EPL and EIP muscles. This report describes the anatomical location and clinical application of the new AIA perforators. The double perforators-based AIA flap provides a straightforward, reliable means of reconstructing hand dorsum defects.

Real time automatic EEG report making based on quantitative interpretation of awake EEG

  • Nakamura, Masatoshi;Shibasaki, Hiroshi;Imajoh, Koaru;Ikeda, Akio;Mitsuyasu, Isao
    • 제어로봇시스템학회:학술대회논문집
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    • 1992.10b
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    • pp.503-508
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    • 1992
  • A new method for making automatic electroencephalogram(EEG) report based on the automatic quantitative interpretation of awake EEG was developed. We first analysed a. relationship between EEG reports and quantitative EEG interpretation done by a qualified electroencephalographer(EEGer) for 22 subjects. Based on the analysed relationship and usual process of report making by the EEGer, we defined all terminology necessary for EEG report and established rules for EEG report making. By the combined use of the proposed EEG report making and the method for automatic quantitative EEG interpretation presented at '90 KACC, we were able to make the automatic EEG reports which were equivalent to the EEG reports written by the EEGer. As all the procedures were programmed in a personal computer equipped with an AD (analogue-to-digital) converter, the automatic EEG reports were obtained in almost real time in usual actual EEG recording situation with only a few seconds time lag for the analysis in the computer. The proposed report making method and the quantitative EEG interpretation method will be effectively applicable to the clinical use as an assistant tool for physicians.

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