we have studied the patients who had a neck mass on presentation in five medical centers of tehran univ. of medical sciences (infectious disease department, ent department, dentistry faculty, cancer institute) during a period of 14 months. sixty patients, 20 women and 40 men, were eligible for our study. all patients underwent clinical and paraclinical work up and finally had histologic diagnos...

A 77-year-old woman presented with cervical adenopathy. A complete blood count was performed: white 1 , and ZAP70 1. Cytogenetics/molecular analysis revealed trisomy 12 and unmutated immunoglobulin heavy chain variable region (IgVH). Positron emission tomography computed tomography showed splenomegaly and widespread adenopathy. WBC differential by digital microscopy (Cellavision) revealed 9% ne...

OBJECTIVE To determine which sign, symptom, or combination thereof best predicts cultures positive for fungi in children with possible tinea capitis. DESIGN Convenience survey. SETTING Urban hospital-based general pediatric practice. PATIENTS Results were obtained on 100 consecutive children presenting with at least 1 sign or symptom (scalp pruritus, scaling, diffuse or circumscribed alop...

Little is known about the differences in clinical manifestations between women with various HIV-1 subtypes during acute (AI) and early (EI) HIV infection. In a longitudinal cohort study, clinical signs and symptoms among Uganda and Zimbabwe women with AI and EI were compared with HIV-negative controls; symptoms were assessed quarterly for 15 to 24 months. Early HIV infection was defined as the ...

The case: In May 2010, a 71-year-old woman not on hormone replacement therapy presented with uterine bleeding. Endometrial biopsy was foiled by severe cervical stenosis. Dilation & curettage revealed complex hyperplasia with atypia, focal clear-cell features, and endocervicitis. Endometrial intraepithelial carcinoma was suspected. Frozen section analysis from hysterectomy and bilateral salpingo...

BACKGROUND We report our experience with mediastinoscopy at Auckland city hospital, a tertiary referral centre. We wished to examine correlations between clinical diagnosis and that made by histological sampling of enlarged mediastinal nodes particularly in patients with isolated mediastinal adenopathy. METHODS We retrospectively reviewed clinical records of all patients who underwent mediast...

ObjectivesTo provide a clinical disease state review of recent relevant literature and to generate expert consensus statements regarding the breadth pediatric thyroid cancer diagnosis care, with an emphasis on surgery. To educate practitioners state-of-the-art practices value surgical experience in management this unusual challenging children.MethodsA search was conducted were constructed subje...

A prospective evaluation of 212 paired chest roentgenograms and computed tomographic (CT) scans was performed to determine the predictive value of detecting subcarinal adenopathy by finding increased subcarinal density on routine roentgenograms. Based on CT criteria for subcarinal lymphadenopathy, 37 true-positive and 124 true-negative cases of subcarinal adenopathy were found in 161 patients. ...