Primary angiosarcoma of the spleen: a case report and review of the literature.


:We describe a 47-year-old man with shoulder pain, multiple bony lesions, and a 1-cm lesion in the spleen. T-1 facetectomy revealed a poorly differentiated malignant neoplasm. Several months after chemotherapy, multiple splenic lesions were found by computed tomography and liver-spleen scan. A splenectomy showed a malignant spindle-cell neoplasm forming irregular vascular spaces. Tumor cells were positive for factor VIII-related antigen and vimentin. This patient died of extensive metastases from this primary angiosarcoma of the spleen. Splenic angiosarcoma is a rare neoplasm that often has a cryptic presentation and a dismal prognosis.


South Med J


Southern medical journal


McGinley K,Googe P,Hanna W,Bell J




Has Abstract


1995-08-01 00:00:00












  • Campylobacter osteomyelitis.

    abstract::We have reported a case of Campylobacter osteomyelitis, which we believe has not been previously reported. Symptoms and signs were nonspecific, but darkfield microscopy of a suspension of isolated bacteria was useful in making a presumptive diagnosis. Initial parenteral therapy based on sensitivity testing and prolong...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bracikowski JP,Hess IE,Rein MF

    更新日期:1984-12-01 00:00:00

  • Guillain-Barré syndrome as a paraneoplastic manifestation of small-cell carcinoma of lung.

    abstract::Guillain-Barré syndrome (GBS) encompasses the variants of acute immune-mediated polyneuropathies usually preceded by an infection. A few case reports have associated GBS to neoplastic diseases. It remains unclear whether these are merely coincidental or represent paraneoplastic phenomena. The clinical features of GBS ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Naveed S,Okoli K,Hollingsworth J,Kasmani R

    更新日期:2010-02-01 00:00:00

  • Characteristics of severe hypoglycemia in the patient with insulin-dependent diabetes.

    abstract::To avoid, delay, or ameliorate the microvascular complications of diabetes, intensive insulin therapy with the goal of normoglycemia is required. In most patients with insulin-dependent diabetes mellitus (IDDM), this cannot be achieved because of severe hypoglycemia, which is one of the major causes of morbidity in di...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bell DS,Cutter G

    更新日期:1994-06-01 00:00:00

  • Paraurethral cysts in the newborn.

    abstract::I have reported three case of paraurethral cysts in female neonates. These are uncommon lesions, and urologic evaluation is required to differentiate them from ectopic ureteroceles, urethral diverticula, or paraurethral tumors. Histologic appearance of the cyst epithelium identifies the embryologic origin. The cysts e...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bergner DM

    更新日期:1985-06-01 00:00:00

  • Spectrum of biliary disease in childhood.

    abstract::Obstructive biliary disease in childhood is not common, but should be considered in the differential diagnosis of a child with jaundice, abdominal pain, or an abdominal mass. We have reviewed the experience at Vanderbilt Children's Hospital from 1970 to 1985, during which 87 children 18 years of age or younger with bi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Frexes M,Neblett WW 3rd,Holcomb GW Jr

    更新日期:1986-11-01 00:00:00

  • An Examination of Racial Disparities in Inpatient Consultations.

    abstract:OBJECTIVE:To determine whether racial disparities occurred among specialty and allied health inpatient consultations for patients admitted to adult hospital services at an academic hospital. METHODS:A retrospective data analysis of the first 2000 patients, ages 18 years or older, admitted to an academic hospital. RES...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Balter D,Bertram A,Stewart CM,Stewart RW

    更新日期:2020-04-01 00:00:00

  • Critical appraisal process: step-by-step.

    abstract::We present information describing how to search to identify those reports that provide insight into the answer to the query. We have presented a reasonable approach to searching, with our end-point being the identification of published articles which appear to answer our queries. The decision as to whether these artic...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Timm DF,Banks DE,McLarty J

    更新日期:2012-03-01 00:00:00

  • Effects of cocaine-positive urine screens on serum thyrotropin levels in patients admitted to an inpatient mental health unit.

    abstract:OBJECTIVE:To assess the effect of a positive urine screen for cocaine on thyrotropin (TSH, also thyroid-stimulating hormone) concentrations. METHODS:In this retrospective cohort study, patients admitted to the mental health unit at an academic inpatient setting with a diagnosis of cocaine dependence or cocaine intoxic...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Koroscil MT,Schulte JJ,Bricker D,Koroscil TM

    更新日期:2015-02-01 00:00:00

  • Clinical experience with amphotericin B in acute myelogenous leukemia.

    abstract::The empirical use of amphotericin B in febrile leukemic patients not responding to antimicrobial agents has previously led to a significant decrease in fatal fungal infections and a significant increase in complete remissions. In this series of 66 patients receiving induction therapy for acute myelogenous leukemia (AM...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Stein RS,Greer JP,Ferrin W,Lenox R,Baer MR,Flexner JM

    更新日期:1986-07-01 00:00:00

  • Sexual relationships of patients with kleptomania.

    abstract::Kleptomania, a disorder of impulse control in which the patients feel a compelling urge to steal objects of no value to them, has long been considered a disorder related in some fashion to sexual impulses. Recent advances in the clinical understanding of human sexual functioning have not been accompanied by an effort ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Turnbull JM

    更新日期:1987-08-01 00:00:00

  • A Multidisciplinary Approach to Castleman Disease of the Neck.

    abstract::Castleman disease (CD) is a rare lymphoproliferative disorder that occurs in adults and rarely in the pediatric population. The disease is characterized by slowly enlarging masses that can form anywhere within the lymphatic system. It is an uncommon cause of a neck mass in both children and adults that presents insidi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shams AA,Ahmed MM,Scalzitti NJ,Howell DL,Hall JM,Ritter JL,Maturo SC

    更新日期:2016-02-01 00:00:00

  • Vitamin D deficiency in patients with congestive heart failure: mechanisms, manifestations, and management.

    abstract::Recent research suggests that vitamin D may play a role in cardiovascular (CV) health. Although its exact role is still debated and is a matter of controversy, vitamin D deficiency has been linked to increased prevalence of CV risk factors and events. Factors that predispose persons with congestive heart failure (CHF)...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Patel R,Rizvi AA

    更新日期:2011-05-01 00:00:00

  • Perforated solitary jejunal diverticulum.

    abstract::We report a case of perforated solitary jejunal diverticulum in an 80-year-old woman. Jejunal diverticulosis occurs in 0.07% to 2.0% of the population. Jejunal diverticulitis with perforation is rare and is associated with high mortality. Treatment is surgical resection of the involved segment. Several theories to exp...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Albu E,Parikh V,Alankar S,Gerst PH

    更新日期:1995-05-01 00:00:00

  • Use of statins in patients with chronic hepatitis C.

    abstract::Hepatitis C is a leading cause of liver failure and transplantation in the United States and a major public health issue. Studies have shown that patients with hepatitis C are at an increased risk of cardiovascular disease, which make statins of particular benefit in this patient population. However, the National Chol...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Andrus MR,East J

    更新日期:2010-10-01 00:00:00

  • Survey of major neurologic disorders in a biracial United States population: the Copiah County Study.

    abstract::To determine the prevalence of frequently occurring neurologic disorders in a biracial population, a survey of households and chronic care institutions was carried out for all residents of Copiah County, Mississippi. Along with a complete census, interviews were held using extensive questions about diagnoses, signs, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Haerer AF,Anderson DW,Schoenberg BS

    更新日期:1987-03-01 00:00:00

  • Chinese red rice-induced myopathy.

    abstract::A middle-aged man presented with joint pain and muscle weakness that had begun 2 months before presentation. Three months before presentation, he had begun to take the herbal preparation Chinese red rice. Laboratory testing revealed a moderately elevated creatine phosphokinase level. Symptoms and laboratory abnormalit...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Smith DJ,Olive KE

    更新日期:2003-12-01 00:00:00

  • Prevalence and significance of decreased bone density in pulmonary arterial hypertension.

    abstract:OBJECTIVE:Decreased bone mineral density has been found in the advanced stages of various lung diseases. Limited data are available about prevalence and risk factors for osteoporosis/osteopenia (OP) in pulmonary arterial hypertension (PAH). METHODS:Patients with PAH (either idiopathic or secondary to scleroderma [SSC-...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Malik N,McCarthy K,Minai OA

    更新日期:2012-07-01 00:00:00

  • Cobalamin pseudodeficiency due to a transcobalamin I deficiency.

    abstract::Cobalamin (vitamin B12) deficiency warrants appropriate evaluation because cobalamin is necessary in certain biochemical functions. R-binder deficiency, which causes low cobalamin levels, is a rare and benign pseudodeficiency. If not further evaluated by determining levels of methylmalonic acid and homocysteine, howev...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Adcock BB,McKnight JT

    更新日期:2002-09-01 00:00:00

  • Adolescent blood pressure survey: Tulsa, Oklahoma, 1987 to 1989.

    abstract::The study goals were to document the incidence of elevated blood pressure (BP) values in public high school students in Tulsa, Oklahoma; to determine whether age and sex are risk factors; and to encourage adolescents with abnormal screening BP values to seek medical care. Over a 2-year period, 5537 adolescents aged 14...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: O'Quin M,Sharma BB,Miller KA,Tomsovic JP

    更新日期:1992-05-01 00:00:00

  • Current controversies in pouch surgery.

    abstract::Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional res...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Garbus JE,Potenti F,Wexner SD

    更新日期:2003-01-01 00:00:00

  • Hemodialysis and renal transplantation in patients with hypernephroma.

    abstract::Of five patients with hypernephroma who were maintained on hemodialysis after nephrectomy, four died with metastic disease after having been on hemodialysis for an average of 13.7 months (range 8 to 19). The fifth patient had no evidence of malignancy after 21 months of dialysis; he then received a renal allograft fro...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Mirahmadi MK,Vaziri ND,Winer RL,Giberson A,Gentile DE,Miller RB,Gorman JT

    更新日期:1979-08-01 00:00:00

  • Epidemiology of nontyphoidal salmonellae at a tertiary care center in northeast Florida.

    abstract::Nontyphoidal salmonellae (NTS) are often isolated from stool specimens of individuals having evaluation of gastroenteritis. The significance of isolation of NTS in a stool specimen from previously healthy individuals with gastroenteritis is not clear. The purpose of this study was to determine which serotypes were bei...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rathore MH,Jenkins SG,Williams E

    更新日期:1995-08-01 00:00:00

  • Chronic myelocytic leukemia with near-total pulmonary microvascular obstruction by platelets.

    abstract::We have described a patient with long-standing chronic granulocytic leukemia. Although most patients with this disorder eventually have a picture of acute leukemia (blast crisis), this patient had massive thrombocytosis (platelet count greater than 5.000 x 10(9)/L) without major symptoms, but he died after transfusion...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Blachly RJ,Herring GF,Mansouri A

    更新日期:1988-04-01 00:00:00

  • Clostridial bloodstream infections.

    abstract::In a ten-year review at a large community teaching hospital clostridia accounted for less than 1% of all positive bloodstream isolates (26 episodes in 25 patients). All but one of the isolates were clinically significant. Twenty-two patients (88%) had a serious underlying medical condition, and 17 of the episodes (65%...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Ingram CW,Cooper JN

    更新日期:1989-01-01 00:00:00

  • Cervical myelopathy from spinal sarcoidosis as the unexpected initial presentation for systemic sarcoidosis.

    abstract::This is a case which highlights unique diagnostic challenges in the evaluation of a previously healthy patient presenting with a myelopathy initially most concerning for malignancy. However, timely recognition and nonoperative therapy of unexpected spinal sarcoidosis with corticosteroidal therapy was crucial in averti...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Nguyen H,Le C,Nguyen H

    更新日期:2010-09-01 00:00:00

  • C-reactive protein: the harbinger of cardiovascular diseases.

    abstract::Coronary heart disease remains the major cause of mortality and morbidity in the United States and other western countries despite major advances in its treatment. During the last decades, many markers of coronary artery disease have been found which help predict future risk of cardiovascular events. High-sensitivity ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Abi-Saleh B,Iskandar SB,Elgharib N,Cohen MV

    更新日期:2008-05-01 00:00:00

  • Shigellosis transmitted by nurses.

    abstract::Twelve cases of Shigella sonnei infection, with two deaths, occurred at a custodial institution in Donelson, Tennessee, in April and May 1973. Nine of the cases and both deaths were in patients hospitalized at the institution's infirmary. The patients with nosocomial shigellosis were significantly younger and had been...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Weissman JB,Hutcheson RH

    更新日期:1976-10-01 00:00:00

  • Sucralfate in the relief of gastrointestinal symptoms associated with nonsteroidal anti-inflammatory drugs.

    abstract::Sucralfate is an unabsorbed antiulcer drug that binds to gastrointestinal tissue and protects it from acid and pepsin. Twenty-two arthritic patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) were given sucralfate concomitantly for two weeks in an attempt to lessen gastrointestinal side effects. Changes from...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Caldwell JR

    更新日期:1985-08-01 00:00:00

  • Effect of physician education and patient counseling on inpatient nonsurgical percutaneous feeding tube placement rate, indications, and outcome.

    abstract:BACKGROUND:The decision to place a percutaneous feeding tube (PFT) in patients who are at the end of life is multidimensional and often complicated. We assessed the effect of physician education and counseling for patients and their surrogates on inpatient nonsurgical (endoscopic and radiologic) PFT placement rates, in...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Swaminath A,Longstreth GF,Runnman EM,Yang SJ

    更新日期:2010-02-01 00:00:00

  • Slipped capital femoral epiphysis associated with Russell-Silver syndrome.

    abstract::Slipped capital femoral epiphysis has been described in several syndromes associated with short stature and endocrine disturbances. I have presented a case of slipped capital femoral epiphysis in conjunction with Russell-Silver syndrome. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Limbird TJ

    更新日期:1989-07-01 00:00:00