Although mucosal leishmaniasis is a prominent disease, it has been studied only to limited extent. It classically treated with parenteral antimony or, as last resort, amphotericin B.We Bolivian due Leishmania braziliensis the oral agent miltefosine, 2.5 mg/kg/day for 28 days, and followed-up 12 months.Seventy-two patients were evaluable. The cure rate 36 who had "mild" disease (i.e., affecting nasal skin mucosa) was 83%. more extensive (involving palate, pharynx, larynx) 58%. Patients...

The aim of this study was to investigate the incidence hypoalbuminemia in critically ill patients with cancer and describe relationship serum albumin levels mortality.An observational cohort study. There were no interventions.During period, 200 eligible for inclusion. A total 164 (82%) had a concentration below 35 g/L, which 91 (55.5%) ≤20 g/L. mean 18.17 crude mortality rate 22.5%. highest (73%) seen group whose <20 g/L.The admitted ICU high.

Seasonal ecosystems play a crucial role in environmental regulation and biodiversity by hosting complex ecological dynamics that vary with climatic conditions. The Chaschoc-Sej&amp;#225; wetlands are key example of such systems southeastern Mexico. interaction between the lagoon system Usumacinta River is highly dynamic; during rainy season, lagoons increase volume, reaching depths 8 to 10 meters. However, completely dry up leaving vegetation at surface level.&amp;#160;This project aims...

To describe clinical and demographic characteristics of the parapharyngeal space tumors assess surgical approaches used to treat them at our institution.A retrospective descriptive study tumors, excluding paragangliomas, treated from June 1991 October 2002 in a cancer center. The population included 21 patients, 8 men 13 women, average age 41 years (range, 20 70 years). Fine needle biopsy was done 5 (24%) patients. Computed tomography (CT) performed all only few required magnetic resonance...

Abstract Background Liposarcoma is the most frequent histopathological variety of retroperitoneum, surgery gold standard for treatment. Case presentation We present case a 24-year-old male who was diagnosed with giant retroperitoneal liposarcoma. The patient received palliative treatment due to non-resectability on basis chemotherapy. decided perform after no benefit systemic Complete macroscopic resection tumor performed, without multi-organ resection. currently alive and disease free at 14...

Gastric cancer is an aggressive disease with nonspecific early symptoms. Its incidence and prognosis in young patients has shown considerable variability.Our objective was to retrospectively study from our institution aged <30 years gastric carcinoma. The undertaken describe the experience of this population, demonstrate its specific clinical pathological characteristics.We reviewed cases histologically confirmed between 1985 2006 at Instituto Nacional de Cancerología Mexico (INCan);...

Sarcopenia has been evaluated as a separate condition in cancer patients and an important indicator of adverse outcomes. Muscle mass phase angle are usually quantified by bioelectrical impedance analysis, due to its lower cost, availability. The aim this study was assess the impact sarcopenia, angle, other characteristics on overall survival (OS) palliative at National Cancer Institute Mexico. We enrolled 628 (female, 59%). most frequent disease gastric (39.5%). Kaplan–Meier analysis showed...

To review the demographic data of a series adenoid cystic carcinoma (ACC) tongue, as well to analyze c-kit expression, histopathologic patterns, prognostic factors, evolution, recurrences and/or persistence and survival.Retrospective study from 1986 2006, which reviews database 68 patients with diagnosis head neck ACC.We found eight cases ACC tongue (11.7% all ACCs). There were 7 female (87.5%) 1 male (12.5%) patients, an average age 51 years (range 33 67 years). Seven surgically treated,...

The aim of the current study was to describe utility Sequential Organ Failure Assessment score in assessing severity organ dysfunction patients with cancer before admission intensive care unit. This a prospective cohort performed from January October 2007. recorded Two hundred were included. having survived unit stay 3.44 +/- 3.56 and no survivor's 9.35 3.45. There 89.5% who had 2 or more dysfunctions. area under receiver operating characteristic curve for 0.87. mortality 27.5%. predictive...

The mortality and prognostic factors for patients admitted to the intensive care unit (ICU) with solid tumours are unclear aim of this study was describe demographic, clinical survival data identify associated in critically ill tumours. A prospective observational cohort 177 a medical-surgical oncological ICU undertaken. There were no interventions. Among admissions, 66% surgical, 79.7% required mechanical ventilation during their stay 31.6% presented severe sepsis or septic shock. In...

Objective . The aim of this study was to estimate the incidence delirium and its risk factors among critically ill cancer patients in an intensive care unit (ICU). Materials Methods This is a prospective cohort study. Confusion Assessment Method for Intensive Care Unit (CAM-ICU) measured daily at morning diagnose by physician. Delirium diagnosed when positive during patient’s ICU stay. All were followed until they discharged from ICU. Using logistic regression, we estimated potential...

To evaluate the clinical characteristics and outcomes of critically ill cancer patients with septic shock.Prospective, observational cohort study.Medical-surgical intensive care unit (ICU) at Instituto Nacional de Cancerología located in Mexico City from January 2008 to February 2010. There were no interventions. Eighty-two consecutive shock aged over 18 years prospectively included evaluated.During study period, 620 admitted ICU. Ninety-four evaluated for request ward onco-hematologists or...

Colorectal carcinoma is one of the most common cancers in human body. a heterogeneous disease with variegated morphological patterns; some have shown themselves to prognostic value. The World Health Organization classification recognizes many histological variants associated adverse factors, cribriform colonic (CCC). In this work, we analyzed 18 cases CCC compared 228 conventional adenocarcinomas colon, hypotheses that non-CCC worse prognosis and decreased overall survival. represent 7.3%...

Acute kidney injury (AKI) is common in critically ill patients and associated with higher mortality. Cancer are at an increased risk of AKI. Our objective was to determine the incidence AKI our cancer patients, using criteria serum creatinine (SCr) urine output (UO) proposed by Kidney Disease: Improving Global Outcomes (KDIGO). Methods. We performed a retrospective cohort analysis prospectively collected database intensive care unit (ICU) Instituto Nacional de Cancerología from January 2013...

The introduction of new treatments for cancer and advances in the intensive care critically ill patients has improved prognosis survival. In recent years, classical unit (ICU) admission comorbidity criteria used this group have been discouraged since risk factors death that studied, mainly number severity organic failures, allow us to understand determinants inside ICU. However, availability resources is dissimilar by country, these differences are known alter indications critical setting....

Introduction. Cytoreductive surgery (CS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is a new approach for peritoneal carcinomatosis. However, high rates of complications are associated CS and HIPEC due to treatment complexity; that why some patients need stabilization surveillance in the intensive care unit. Objective. This study analyzed ICU stay necessary after HIPEC. Methods. 39 carcinomatosis were treated according strict selection criteria HIPEC, closed technique,...

Background and Objectives We aimed to determine the prognostic value of mesorectum quality assessed in a two‐grade system compared with classic system. Methods Consecutive patients undergoing surgery for rectal cancer were included (n = 103). Mesorectum was into three grades (classic system: complete, nearly incomplete) (adequate, inadequate). Results complete 62 (60.25%) patients, 21, incomplete 20. Reassessment showed adequate 83 (80.5%) inadequate A R0 resection achieved 90.4% 65% ( P...