Upper outer quadrant

Top PDF Upper outer quadrant:

Decreased survival in patients with carcinoma of axillary tail versus upper outer quadrant breast cancers: a SEER population-based study

Decreased survival in patients with carcinoma of axillary tail versus upper outer quadrant breast cancers: a SEER population-based study

Background: Carcinoma of the axillary tail of Spence (CATS) is a poorly studied type of breast cancer. The clinicopathological characteristics and prognostic features of CATS are unclear. Methods: Using the Surveillance, Epidemiology, and End Results database, we identified 149,026 patients diagnosed with upper outer quadrant breast cancer (UOBC) (n=146,343) or CATS (n=2,683). The median follow-up was 88 months. The primary and secondary outcomes were breast cancer-specific survival (BCSS) and overall survival. The survival outcomes of UOBC and CATS were compared using competing risks analysis, log-rank test, Cox proportional hazards regression model, and propensity score matching method. Multivariate logistic regres- sion was utilized to present the relationship between CATS and lymph node (LN) metastasis. Results: CATS presented a higher grade, higher negative hormone receptor rate, and more positive nodal metastasis. The 10-year BCSS rate was worse for CATS than for UOBC (85.1% vs 87.3%, P=0.001). The multivariate Cox analysis showed a higher hazard ratio (HR) for CATS over UOBC (BCSS: HR =1.20, P=0.001; overall survival: HR =1.11, P=0.019). The difference in the BCSS was also observed in a 1:1 matched cohort (BCSS P=0.019). A subgroup analysis revealed the inferior outcomes of CATS in the metastatic LN subgroup and the hormone receptor- negative subgroup. The multivariate logistic regression indicated that CATS is an independent contributing factor to LN metastasis.
Show more

9 Read more

Incidental detection of two adult gravid filarial worms in breast: a case report

Incidental detection of two adult gravid filarial worms in breast: a case report

1  A Aspiration of the parasite from lump in the upper outer quadrant of left breast; B sonomammography with cystic lesion measuring 1 × 0.73 cm and filarial dance sign; C adult filarial[r]

5 Read more

A Study of Benign Breast Diseases in a Tertiary Rural Hospital

A Study of Benign Breast Diseases in a Tertiary Rural Hospital

Fibroadenoma is commonly affected in the Right upper outer quadrant (27 cases) followed by left upper outer quadrant (14 cases), then by right upper inner quadrant (4 cases).. To[r]

5 Read more

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

There were 18 patients in the oncoplastic group who had a superomedial extension pedicle. All patients had a di- agnosis of breast cancer, and underwent a lumpectomy, which was reconstructed with an immediate oncoplas- ticmastopexy or reduction procedure. The lumpectomy defects were in the lateral or upper-outer quadrant in all patients. The average weight of the lumpectomy speci- men was 217 grams (range: 36 - 400 grams). In only 2 patients was additional volume resected to complete the reconstruction. Complications occurred in 3 patients (3/ 18), and included cellulitis, and wound dehiscence. Two patients required revisional surgery for recurrence or ra- diation changes. There were no complications related to the extended dermatoglandular pedicle.
Show more

8 Read more

Magnetic resonance imaging is more accurate than mammography for assessing response to neoadjuvant chemotherapy in a breast cancer patient with significant calcifications

Magnetic resonance imaging is more accurate than mammography for assessing response to neoadjuvant chemotherapy in a breast cancer patient with significant calcifications

A 59-year-old woman with a past medical history signifi cant for only hypertension noted a mass in her right breast one month prior to presentation at our clinic. A mammogram ordered by her primary care physician showed suspicious calcifi cations spanning 5 cm in the upper outer quadrant of her right breast and also in enlarged axillary lymph nodes (Figure 1). A physical examination performed in our clinic showed the skin around the right nipple was erythematous and thickened and the breast tissue was macronodular and dense. There was an 11 × 10 cm mass in the upper outer quadrant of the right breast and a 5 × 5 cm area of matted lymph nodes in the axilla. The rest of the examination was otherwise unremarkable.
Show more

6 Read more

Underarm antiperspirants/deodorants and breast cancer

Underarm antiperspirants/deodorants and breast cancer

Clinical studies dating back decades report a dispro- portionately high number of female breast cancers originating in the upper outer quadrant of the breast [1], and although this is attributed to a greater amount of epithelial tissue in that region, it is also the area to which underarm cosmetic products are applied [2,3]. Early studies reported 31% of cancers in the upper outer quadrant [1], but later studies in the 1990s report up to 61% [2,3]. The annually recorded quadrant incidence of breast cancer in Britain documents a rise in England and Wales from 47.9% in the upper outer quadrant in 1979 to 53.3% in 2000, and in Scotland a rise from 38.3% in the upper outer quadrant in 1980 to 54.7% in 2001 [4]. Any increase in the disproportionality of breast cancer in the upper outer quadrant would be inconsistent with an explanation relating to the greater amount of target epithelial tissue in that region but does parallel the increasing use of cosmetics in the underarm area [2-5].
Show more

5 Read more

Grading operative findings at laparoscopic cholecystectomy- a new scoring system

Grading operative findings at laparoscopic cholecystectomy- a new scoring system

(oliguria, creatinine > 2.0 mg/dL liver dysfunction (pro- thrombin time > 3, international normalized ratio > 2) or platelet count <100 000/μL. Moderate acute calculous cholecystitis (grade II) is accompanied by any of the follow- ing parameters: white blood cell count greater than 18 000/ μL, a palpable tender mass in the right upper abdominal quadrant, duration of complaints for more than 72 hours, or marked local inflammation (gangrenous cholecyst- itis, pericholecystic abscess, hepatic abscess, biliary peritonitis, or emphysematous cholecystitis). Cases not meeting criteria for severe or moderate acute calculous cholecystitis are classified as mild (grade I). This classi- fication is not surgical based however, and rather broad.
Show more

8 Read more

SUBFASCIAL ABSCESSES OF THE ABDOMINAL WALL IN CHILDREN

SUBFASCIAL ABSCESSES OF THE ABDOMINAL WALL IN CHILDREN

Roentgenogram of the abdomen revealed a poorly defined mass in the right upper quadrant involving either the abdominal wall or lying just beneath it.. Preoperative diagnoses considered w[r]

10 Read more

The role of US examination in the management of acute abdomen

The role of US examination in the management of acute abdomen

only one quarter of patients who have previously been classified with an acute abdomen actually receive surgical treatment, so the clinical dilemma is if the patients need surgical treatment or not and, furthermore, in which cases the surgical option needs to be urgently adopted [1,2]. Therefore, a thorough and logical approach to the diagnosis of abdominal pain is necessary. Some Authors assert that the location of pain is a useful starting point and will guide a further evaluation that the American College of Radiology has recommended using different imaging studies to assess abdominal pain based on pain location: ultrasonography (US) is recommended to assess the right upper quadrant pain, and computed tomography (CT) is recommended for the right and left lower quad- rant pain (Table 1) [3]. However some causes are more frequent in the paediatric population (like appendicitis or adenomesenteritis) or are strictly related to the gender (i.e. gynaechologic causes). It is also important to consider
Show more

9 Read more

Further Studies on the Electrophysiological Anatomy of the Left and Right Giant Cells in Aplysia

Further Studies on the Electrophysiological Anatomy of the Left and Right Giant Cells in Aplysia

Electrophysiological investigations have shown that the giant cell in the right upper quadrant of the abdominal ganglia RGC and the giant cell of the left pleural ganglion LGC have axona[r]

25 Read more

Changes in retinal microvascular diameter in patients with diabetes

Changes in retinal microvascular diameter in patients with diabetes

Interpretation and conclusion: The employed quantitative method demonstrated that patients with diabetes exhibited venule dilation in the upper temporal quadrant, and the duration of diabe- tes mellitus was positively correlated with blood glucose level. Therefore, the early assessment of retinal microvascular changes is possible prior to the onset of diabetic retinopathy.

7 Read more

Adequacy and quality of abdominal echographies requested by primary care professionals

Adequacy and quality of abdominal echographies requested by primary care professionals

In primary care the main reasons for requesting an abdominal echography are an alteration in the liver function tests, pain in the upper right quadrant, unspe- cific abdominal disturbances, control of chronic liver diseases, and control of biliary polyps and cysts. Of all these situations, the most appropriate for requesting an abdominal echography are for the screening of hepatao- carcinoma in patients with chronic liver diseases [2], the presence of gallstones [5], the study of probable steatosis in patients with alterations in liver function tests [4,17] and the control of biliary polyps. It is not very useful in either the study of dyspepsias [18] or unspecific abdom- inal disturbances [19].
Show more

6 Read more

First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE

First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE

Patients presenting to emergency and urgent care centers with calf pain after long and short-haul flights are a common presentation throughout Europe. Patients fitting an epidemiological risk pro- file for cholelithiasis and presenting with right upper quadrant abdominal pain can also be a com- mon presentation fitting of a specific patient profile. However, pulmonary hypertension can present in a nuanced and possible missed chronic and acute presentation. The patient case we present profiles a mildly obese 54-year-old Caucasian woman and recent holiday maker with unilateral calf pain and shortness of breath after traveling on a long-haul flight with tertiary symptoms of in- digestion and epigastric discomfort indicative of gastroenteritis. This case highlights the required diligence for emergency physicians to maintain a high index of suspicion and broad differential diagnosis in the undifferentiated patient with seemingly common or classic presentations. We find that a serendipitous definitive diagnosis is made by following a systematic and organized approach.
Show more

5 Read more

Congenital Posterolateral Defect in the Right Side of the Diaphragm

Congenital Posterolateral Defect in the Right Side of the Diaphragm

Later a loop of gut high in the right upper quadrant of the abdomen led to the diagnosis of hernia and the discovery of a large posterolateral defect in the right side of the diaphragm, [r]

6 Read more

Superficial Galactocelic Progression, Size Variation and Assessment in a Patient

Superficial Galactocelic Progression, Size Variation and Assessment in a Patient

DOI: 10.4236/abcr.2017.64009 104 Advances in Breast Cancer Research ever its genesis remain milky and fatty liquids associated with lactating women. Ultrasound examination of the left breast did not reveal lymphadenopathy. Con- sidering the patient was in breastfeeding period our first diagnosis was a galac- tocele in the (lateral) upper quadrant of the breast tissue, but because the sonar appearance (Figure 2) is consistent with the ultrasound criteria of a benign sim- ple cysts. Our observation is in line with [16] who described internal echo ma- terial exhibiting rigid well-designed echogenic walls. It should be emphasised that since galactocele has a wide range of sonographic appearance, diagnostic clues include; recent childbirth and lactation. In a confirmatory histo-patholog- ical tissue sample, results collaborated diagnosis by ultrasound.
Show more

7 Read more

Stability of a solution set for parametric generalized vector mixed quasivariational inequality problem

Stability of a solution set for parametric generalized vector mixed quasivariational inequality problem

Then, we have E(γ ) = { (ζ , γ ζ ) : ζ ∈ R} for all γ ∈ [, ]. Hence, E is outer-open and outer- continuous at . It is not hard to see that (i)-(iii) in Theorem . and Theorem . are satisfied. Hence, (·, ·) is outer-open and outer-continuous at (, ) (in fact, (γ , μ) = {(ζ , γ ζ ) : ζ ∈ R} for all γ ∈ [, ]). We see that E(·) is not upper semicontinuous at . Thus, (·, ·) is not upper semicontinuous at (, ). Hence, we cannot apply Theorem ..

17 Read more

Analysis of Nootropic Effect of Ethanolic Extract of Beta Vulgaris L  Roots in High fat diet induced amnesia in Swiss albino mice

Analysis of Nootropic Effect of Ethanolic Extract of Beta Vulgaris L Roots in High fat diet induced amnesia in Swiss albino mice

On day 5 th . the platform was removed. Each mouse was placed in water maze and allowed to explore the maze for 120 sec. Each rat was subjected to four such trials and each trial was started from different quadrant. Mean time spent in target quadrant i.e. Q4 in search of missing platform provided an index of retrieval. Care was taken that relative location of water maze with respect to other subject in laboratory serving as visual clues were not disturbed during the total duration of the study.

9 Read more

lower quadrant biomechanics.ppt

lower quadrant biomechanics.ppt

– lunate surface- only the periphery of superior, anterior, lunate surface- only the periphery of superior, anterior, and posterior articular surfaces are in contact with the and post[r]

230 Read more

Synchronous perforation of non Hodgkin's lymphoma of the small intestine and colon: a case report

Synchronous perforation of non Hodgkin's lymphoma of the small intestine and colon: a case report

On laparotomy, copious amount of fluid, intestinal contents and well-organized pus (collection of pus sur- rounded by a capsule) were found in the left upper quadrant of the peritoneal cavity. Upon exploration we found a perforated tumor in the proximal jejunum mea- suring 8 × 5 cm in size, positioned 10 cm from the liga- ment of Treitz (Figure 2). The proximal jejunum was edematous with thickened inflamed mesentery and enlarged lymph nodes. The left descending colon was edematous and covered with flakes of pus and exudates. A small bowel resection was performed with Roux-en-Y

5 Read more

Selective splenic artery embolization for the treatment of thrombocytopenia and hypersplenism in paroxysmal nocturnal hemoglobinuria

Selective splenic artery embolization for the treatment of thrombocytopenia and hypersplenism in paroxysmal nocturnal hemoglobinuria

The most significant clinical side effect of SSAE was se- vere pain radiating from the left upper quadrant, presum- ably from nerve endings in the splenic capsule, and it requires medication, including opiates, which, if given in time, can prevent splinting; we recommend delivery intra- venously by patient controlled analgesia (PCA). Here, sub- sequent embolizations were associated with less pain than the initial procedure. Strict aseptic technique is impera- tive, and we administered peri-procedural antibiotics. An- ticoagulants should be stopped prior to the procedure, and then re-started, as we have done, to avoid hemorrhage at the site of arterial entry, and perhaps also to allow a brief period of time for a thrombus to form in the embolized artery. Since splenic rupture is a potential complication, a surgical team with expertise in hepato- biliary diseases should be consulted prior to the procedure and remain available. Because SSAE never removes all of the splenic parenchyma, the risk of overwhelming infection is probably very low; however, pre-procedure vaccinations are reasonable, in the event that complications require a splenectomy. For those on eculizumab, the administration should remain on schedule.
Show more

9 Read more

Show all 10000 documents...