Metastatic hepatocellular carcinoma in the nasal septum: Report of a case

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 台中附設醫院 > 期刊論文 > Item 310903500/29148

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题名:	Metastatic hepatocellular carcinoma in the nasal septum: Report of a case
作者:	Lin, CD;Cheng, KS;Tsai, CH;Chen, CL;Tsai, MH
贡献者:	附設醫院耳鼻喉部;China Med Coll Hosp, Dept Otolaryngol, Taichung 400, Taiwan;China Med Coll Hosp, Dept Gastroenterol, Taichung 400, Taiwan;China Med Coll Hosp, Dept Pathol, Taichung 400, Taiwan
日期:	2002
上传时间:	2010-09-24 14:24:05 (UTC+8)
出版者:	EXCERPTA MEDICA ASIA LTD
摘要:	Smith-Magenis syndrome (SMS) is a syndrome of multiple malformations caused by an interstitial deletion of chromosome 17p11.2. We report the case Of an 8-year old boy with SMS. Down syndrome was initially suspected in infancy based on the findings of generalized hypotonia, flat midface, and upslanting palpebral fissures His sleep had been disturbed since infancy, and self-injurious behavior developed at 2 years. When he was 8 years old, these unusual neurobehavioral features led to suspicion of SMS, and chromosome analysis showed the 17p deletion, which was confirmed by fluorescence in situ hybridization of the SMS region. Bilateral vesicoureteral reflux, grade IV, was found at the same time, and he under-went bilateral ureteroplasty. The postoperative course was smooth and lie was discharged with antibiotic prophylaxis. His sleep disturbance improved after treatment with melatonin. A high index of suspicion is needed for the timely diagnosis of SMS. Patients should be thoroughly evaluated for associated complications both at the time of diagnosis and at regular follow-up.
關聯:	JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION 101(10):715-718
显示于类别:	[台中附設醫院] 期刊論文

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