scholarly journals Three primary testicular tumours: Trials and tribulations of testicular preservation

2013 ◽  
Vol 7 (9-10) ◽  
pp. 630 ◽  
Author(s):  
Connor M Forbes ◽  
Charles Metcalfe ◽  
Nevin Murray ◽  
Peter C Black
Keyword(s):  
Side Effects ◽  
Male Patient ◽  
Patient Preference ◽  
Young Male ◽  
Recurrence Risk ◽  
Testicular Neoplasms ◽  
Testis Cancer ◽  
Testicular Tumours ◽  
Radical Orchiectomy ◽  
Partial Orchiectomy

Balancing recurrence risk, side effects and patient preference in the treatment of multiple metachronous testicular tumours can be challenging. We present the case of a young male patient who developed 3 different primary testicular neoplasms over an 8-year period, each associated with retroperitoneal lymphadenopathy requiring chemotherapy. The first tumour at age 19 was managed with radical orchiectomy. Four years later, a partial orchiectomy was performed to remove 2 small lesions. Another 4 years later, a complete orchiectomy was required for an additional tumour. This case highlights the caveats of testis-sparing surgery for testis cancer and the need for careful surveillance in these patients.

Young male patient with bilateral synchronous testicular germ cell tumour. Considerations for partial orchiectomy

2008 ◽  
Vol 10 (12) ◽  
pp. 850-852 ◽  
Author(s):  
Joan Manel Gasent Blesa ◽  
Juan Laforga Canales ◽  
Pedro Romero Pérez ◽  
Manuel Amat Cecilia ◽  
Francisco José Merenciano Cortina ◽  
...  
Keyword(s):  
Germ Cell ◽  
Male Patient ◽  
Germ Cell Tumour ◽  
Young Male ◽  
Cell Tumour ◽  
Testicular Germ Cell Tumour ◽  
Testicular Germ Cell ◽  
Partial Orchiectomy

scholarly journals A Paratesticular Angiolipoma: A Case Report of a Rare Benign Scrotal Mass and Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Mohamed Ali Nouioui ◽  
Tarek Taktak ◽  
Seif Mokadem ◽  
Faten Gargouri ◽  
Houssem Mediouni ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Young Male ◽  
Recurrence Risk ◽  
Review Of Literature ◽  
Solid Mass ◽  
Mesenchymal Tumour ◽  
Surgical Specimen ◽  
Ultrasound Findings ◽  
Radical Orchiectomy ◽  
Aggressive Clinical Course

We report a rare case of paratesticular angiolipoma in a young male. The patient is a 21-year-old male who presented with a palpable firm right intrascrotal mass of 21 mm. Ultrasound findings demonstrated that it is a solid mass. Under the diagnosis of an intrascrotal solid mass, a right inguinal radical orchiectomy was performed. Histopathological examination concluded to a paratesticular angiolipoma. Angiolipoma is a rare benign form of paratesticular tumour and its diagnosis is based on histological findings of the surgical specimen with no recurrence risk. This mesenchymal tumour should be distinguished from liposarcoma, which has malignant or aggressive clinical course.

Remission of Recurrent Cochlear Hydrops Associated With Bromocriptine Treatment for Macroprolactinoma

2019 ◽  
Vol 28 (3) ◽  
pp. 548-552
Author(s):  
Andro Košec ◽  
Ivan Kruljac ◽  
Jakov Ajduk
Keyword(s):  
Dopamine Receptors ◽  
Male Patient ◽  
Endolymphatic Hydrops ◽  
Young Male ◽  
Oral Steroid ◽  
Case Description ◽  
Diuretic Treatment ◽  
Potential Therapeutic Role ◽  
Transient Improvement ◽  
Systemic Glucocorticoids

Objective Current recommendations for cochlear hydrops treatment include systemic glucocorticoids and diuretics. Cochlear cells express dopamine receptors, although their role is unknown in the pathophysiology of cochlear hydrops. Case Description We report the case of remission of recurrent right-sided cochlear hydrops in a young male patient treated with bromocriptine due to pituitary macroprolactinoma. Transient improvement was observed after oral steroid and diuretic treatment, but cochlear hydrops recurred until the dose of bromocriptine was increased to 10 mg daily. Conclusion Bromocriptine may stimulate dopamine receptors in cochlear cells with potential therapeutic role in patients with cochlear hydrops. There are no widely accepted and effective treatments for endolymphatic hydrops, and identifying potential new and efficacious therapeutics is of high relevance.

scholarly journals Attenuation of COVID-19-induced cytokine storm in a young male patient with severe respiratory and neurological symptoms

2021 ◽  
Author(s):  
Christian Muschitz ◽  
Anita Trummert ◽  
Theresa Berent ◽  
Norbert Laimer ◽  
Lukas Knoblich ◽  
...  
Keyword(s):  
Decision Making ◽  
Male Patient ◽  
Young Male ◽  
Standard Of Care ◽  
Multiple Organ ◽  
Cytokine Storm ◽  
Invasive Ventilation ◽  
Organ Systems ◽  
The Central Nervous System

SummarySevere acute respiratory syndrome coronavirus type 2 (SARS-CoV-2), the etiological agent of coronavirus disease 2019 (COVID-19), produces protean manifestations and causes indiscriminate havoc in multiple organ systems. This rapid and vast production of proinflammatory cytokines contributes to a condition termed cytokine storm. A 35-year-old, otherwise healthy, employed, male patient was tested positive for COVID-19. He was admitted to the hospital on disease day 10 due to retarded verbal reactions and progressive delirium. On account of these conditions and the need for noninvasive/invasive ventilation, a combination treatment with baricitinib and remdesivir in conjunction with standard of care was initiated. The cytokine storm was rapidly blocked, leading to a vast pulmonary recovery with retarded recovery of the central nervous system. We conclude that the rapid blockade of the COVID-19-induced cytokine storm should be considered of avail as a principle of careful decision-making for effective recovery.

scholarly journals Extreme hypereosinophilia in a young male patient presenting with palindromic morphoea

Rheumatology ◽  
1999 ◽  
Vol 38 (11) ◽  
pp. 1158-1159 ◽  
Author(s):  
S. A. W. Fadilah ◽  
S. K. Cheong ◽  
S. Shahdan
Keyword(s):  
Male Patient ◽  
Young Male

Acute Myopericarditis Complicating Acute Tonsillitis: Beware the Young Male Patient with Tonsillitis Complaining of Chest Pain

2008 ◽  
Vol 117 (4) ◽  
pp. 295-297 ◽  
Author(s):  
Yoav Talmon ◽  
Peter Gilbey ◽  
Nancy Fridman ◽  
Alice Wishniak ◽  
Nathan Roguin
Keyword(s):  
Chest Pain ◽  
Male Patient ◽  
Young Male ◽  
Acute Tonsillitis

scholarly journals A Japan nationwide web-based survey of patient preference for renal denervation for hypertension treatment

2021 ◽  
Author(s):  
Kazuomi Kario ◽  
Hideaki Kagitani ◽  
Shoko Hayashi ◽  
Satsuki Hanamura ◽  
Keisuke Ozawa ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Drug Therapy ◽  
Side Effects ◽  
Antihypertensive Drug ◽  
Patient Preference ◽  
Renal Denervation ◽  
Antihypertensive Drugs ◽  
Japanese Patients ◽  
Home Blood Pressure ◽  
Antihypertensive Drug Therapy

AbstractRenal denervation is a potential alternative to antihypertensive drug therapy. However, data on patient preference for this treatment option are limited and there are no data specifically from Asian patients. This study evaluated patient preference for renal denervation in patients with hypertension from Japan. Patients were a subset of those who participated in a March 2020 online electronic survey of patients with hypertension who had regularly visited medical institutions for treatment, were receiving antihypertensive drug therapy and had home blood pressure recordings available. The survey included a question about patient preference for treatment with renal denervation. A total of 2,392 patients were included (66% male, mean age 59.8 ± 11.6 years, mean duration of hypertension 11.4 ± 9.5 years). Preference for renal denervation was expressed by 755 patients (31.6%), and was higher in males than in females, in younger compared with older patients, in those with higher versus lower blood pressure, in patients who were less adherent versus more adherent to antihypertensive drug therapy, and in those who did rather than did not have antihypertensive drug-related side effects. Significant predictors of preference for renal denervation on logistic regression analysis were younger patient age, male sex, higher home or office systolic blood pressure, poor antihypertensive drug adherence, the presence of heart failure, and the presence of side effects during treatment with antihypertensive drugs. Overall, a relevant proportion of Japanese patients with hypertension expressed a preference for renal denervation. This should be taken into account when making shared decisions about antihypertensive drug therapy.

scholarly journals Non-Healing Ulcer, managed through Unani Formulation along with Leech Therapy: A Case Study

2019 ◽  
Vol 9 (6-s) ◽  
pp. 211-215
Author(s):  
Minhaj Ahmad ◽  
Zehra Zaidi ◽  
Abdul Nasir
Keyword(s):  
Side Effects ◽  
Male Patient ◽  
Severe Pain ◽  
New Delhi ◽  
Healing Ulcer ◽  
Unani Medicine ◽  
Leech Therapy ◽  
The Right ◽  
Local Examination

A male patient aged 43yrs. came to surgery OPD Majeedia Unani Hospital Jamia Hamdard New Delhi, in September 2018 with the complain of ulcer in the right foot posteriorly along the necrosis of Tendon Achilles. He was unable to walk a distance of about 100 meter due severe pain in the ulcer and calf muscle. limping on movement was very prominent. After required investigations and local examination of wounds, patient was planned and treated by local application, and combination of Unani Medicines formulations along with leech therapy as described in texts of Unani System of Medicine. With this Unani treatment non healing ulcer completely healed without any locomotor disturbances. The condition of leg totally resolved without any complications and side effects. Keywords: Non healing ulcer, Unani medicine, leech therapy.

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