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

Abstract:

: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.

journal_name

South Med J

journal_title

Southern medical journal

authors

McGinley K,Googe P,Hanna W,Bell J

doi

10.1097/00007611-199508000-00020

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

873-5

issue

8

eissn

0038-4348

issn

1541-8243

journal_volume

88

pub_type

杂志文章
  • Doctoring: the philosophic milieu.

    abstract::To understand fully a physician's role in society, and to deal successfully with the current sense of crisis, the medical profession must evolve a world-view that appropriately relates a physician to the patient, to the practice environment, to the base of knowledge, and to the physician's own sense of self. Such a wo...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198812000-00022

    authors: Bessinger CD Jr

    更新日期:1988-12-01 00:00:00

  • Pseudo-central hypothyroidism.

    abstract::Central hypothyroidism is an exceedingly rare form of hypothyroidism that results from a variety of conditions affecting the hypothalamus and the pituitary gland. The classic biochemical abnormality seen in these patients includes a low serum level of circulating thyroxine (T4) concomitant with an inappropriately low ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000051278.88218.03

    authors: Basaria S,Altman K,Braga-Basaria M

    更新日期:2003-02-01 00:00:00

  • Follow-up of adolescent psychiatric inpatients.

    abstract::Psychiatric hospital services for adolescents have steadily increased in recent years and great interest has been generated in determining treatment outcome. In this study, 74 adolescent inpatients completed structured telephone interviews one year after discharge. The questions probed school, job, and family adjustme...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198009000-00013

    authors: Davis DM,Gonzalez V,Piat J

    更新日期:1980-09-01 00:00:00

  • Tetany in a child with AIDS receiving intravenous tobramycin.

    abstract::Aminoglycosides have been reported to cause tetany by inducing renal wasting of magnesium and secondary hypocalcemia. A 9-year-old girl with AIDS was brought to the emergency department because of tetany. She had just finished a 3-week course of intravenous tobramycin for bronchiectasis and had an elevated serum tobra...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199611000-00019

    authors: Slayton W,Anstine D,Lakhdir F,Sleasman J,Neiberger R

    更新日期:1996-11-01 00:00:00

  • Alternating painful ophthalmoplegia.

    abstract::The ultimate evolution of our case and its atypical features of unilateral blindness, bilateral involvement, and extensive involvement of the trigeminal nerve revealed the pathogenesis of this case of alternating painful ophthalmoplegia resembling the Tolosa-Hunt syndrome to be that of a parasellar pituitary adenoma. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198010000-00033

    authors: Freeman NR,Shraberg D

    更新日期:1980-10-01 00:00:00

  • Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky.

    abstract:OBJECTIVES:Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia. METHODS:Data on patients diagnosed as having ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000821

    authors: Ore RM,Chen Q,DeSimone CP,Miller RW,Baldwin LA,van Nagell JR Jr,Huang B,Tucker TC,Johnson MS,Fredericks TI,Ueland FR

    更新日期:2018-06-01 00:00:00

  • Routine upper gastrointestinal examinational examination in preoperative cholecystectomy patients.

    abstract::The charts of 663 patients who had cholecystectomy were reviewed to determine the usefulness of preoperative radiologic examination of the upper gastrointestinal tract. In 14% of the patients a positive finding was reported. However, slightly less than half of these findings were confirmed at surgery. Only 2.9% of the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197705000-00014

    authors: Mullen JT,Watts MA,Ehrlich FE

    更新日期:1977-05-01 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

    doi:10.1097/00007611-199406000-00007

    authors: Bell DS,Cutter G

    更新日期:1994-06-01 00:00:00

  • Hypnosis in the treatment of chronic pain.

    abstract::Chronic pain can be treated by combining hypnosis with brief psychotherapy. Hypnosis alone, though useful for acute pain, is seldom effective in relieving chronic pain because it does not address the significant psychologic components in the patient's illness. Treatment using self-hypnosis in conjunction with brief ps...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198303000-00013

    authors: Savitz SA

    更新日期:1983-03-01 00:00:00

  • Major venous anomalies complicating retroperitoneal surgery.

    abstract::Transposition of the inferior vena cava, duplication of the inferior vena cava, circumaortic renal collar, and retroaortic renal vein constitute the four most common major venous anomalies occurring in the retroperitoneum. Recent clinical cases are presented to review the embryogenesis, incidence, and clinical importa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197910000-00012

    authors: Babaian RJ,Johnson DE

    更新日期:1979-10-01 00:00:00

  • Placenta increta occurring in a blighted ovum.

    abstract::We present a rare case of placenta increta, confirmed postoperatively by pathologic analysis, occurring before 20 weeks' gestation in a blighted ovum. Hysterectomy was necessary for control of hemorrhage. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199605000-00023

    authors: Gist RS,Vuong V,Brody S,Rees P,Landry AD

    更新日期:1996-05-01 00:00:00

  • Cholesterol and the older adult.

    abstract::The National Cholesterol Education Program and physician/patient awareness of the risks of hypercholesterolemia have resulted in aggressive screening and treatment of elevated cholesterol levels. The "one size fits all" concept has been used as the criterion for intervention. However, this has been promulgated without...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199310001-00003

    authors: Kaiser FE

    更新日期:1993-10-01 00:00:00

  • Exsanguination from esophageal rupture of an atherosclerotic aortic aneurysm in a patient with treated tuberculosis.

    abstract::An elderly man with previous tuberculosis exsanguinated from esophageal rupture of an atherosclerotic thoracic aneurysm. Because the patient refused angiography, the source of bleeding was discovered only at autopsy. Selected clinical and pathologic aspects of the case are discussed in relation to the different causes...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197907000-00042

    authors: Braman R,Napoli VM

    更新日期:1979-07-01 00:00:00

  • Impact of an academic-community partnership in medical education on community health: evaluation of a novel student-based home visitation program.

    abstract:OBJECTIVES:Current US healthcare delivery systems do not adequately address healthcare demands. Physicians are integral but rarely emphasize prevention as a primary tool to change health outcomes. Home visitation is an effective method for changing health outcomes in some populations. The Florida International Universi...

    journal_title:Southern medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SMJ.0000000000000080

    authors: Rock JA,Acuña JM,Lozano JM,Martinez IL,Greer PJ Jr,Brown DR,Brewster L,Simpson JL

    更新日期:2014-04-01 00:00:00

  • Oropharyngeal function study: radiologic means of evaluating swallowing difficulty.

    abstract::The oropharyngeal function study is a videotaped radiographic examination of the oropharynx and cervical esophagus used in patients who are at major risk for aspiration because of swallowing difficulty. Preceding the radiographic evaluation, the patient is assessed clinically by a swallowing therapist who attends the ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199002000-00013

    authors: Ott DJ,Peele VN,Chen YM,Gelfand DW

    更新日期:1990-02-01 00:00:00

  • Emergency operations for Crohn's disease.

    abstract::Seventeen patients with Crohn's disease requiring emergency operative procedures disclosed important factors leading to successful outcome. In seven of the ten patients not known to have Crohn's disease, the history strongly suggested this diagnosis. Two patients died; three others had major complications, including t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197810000-00010

    authors: Flint LM Jr

    更新日期:1978-10-01 00:00:00

  • Protease inhibitor combination therapy and decreased condom use among gay men.

    abstract:BACKGROUND:The objective of the study was to determine whether treatment with protease inhibitors is associated with unprotected sexual behavior. METHODS:A total of 592 HIV-infected persons recruited from statewide public clinics in nonurban Alabama communities completed an assessment that, among other variables, elic...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: DiClemente RJ,Funkhouser E,Wingood G,Fawal H,Holmberg SD,Vermund SH

    更新日期:2002-04-01 00:00:00

  • Oligohydramnios sequence (Potter's syndrome): case clustering in northeastern Tennessee.

    abstract::The oligohydramnios sequence (OS) is manifest in newborns when prolonged oligohydramnios has been present during pregnancy. The most important signs are an infant small for gestational age, with wrinkled skin, Potter facies, compression deformities of the limbs, and respiratory distress caused by pulmonary hypoplasia....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Prouty LA,Myers TL

    更新日期:1987-05-01 00:00:00

  • A unique case of recurrent takotsubo cardiomyopathy.

    abstract::Takotsubo (stress induced) cardiomyopathy is also known as broken heart syndrome or transient left ventricular apical ballooning syndrome. The clinical presentation, which mimics acute myocardial infarction, is preceded by intense emotional or physical stress. Recurrence of apical ballooning syndrome seems to be rare....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181e631ce

    authors: Pathak H,Esses J,Pathak S,Frankel R,Hollander G

    更新日期:2010-08-01 00:00:00

  • Comorbidity Is a Competing Factor for Disease Recurrence Postnephrectomy.

    abstract:OBJECTIVE:There is a relation between tumor stage and grade with the risk of cancer recurrence in patients undergoing surgical treatment for kidney cancer. The association of patient comorbidity with disease recurrence is less well characterized. The objective of this study was to explore the association between comorb...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000651

    authors: Reinstatler L,Klaassen Z,Madi R,Terris MK,Moses KA

    更新日期:2017-05-01 00:00:00

  • Cronkhite-Canada syndrome with hypothyroidism.

    abstract::Cronkhite-Canada syndrome is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. This report describes a 60-year-old female who was diagnosed with Cronkhite-Canada syndrome with hypothyroidism after presenting with chronic diarrhea, alopecia, intermittent a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000157528.71614.C4

    authors: Qiao M,Lei Z,Nai-Zhong H,Jian-Ming X

    更新日期:2005-05-01 00:00:00

  • Lengthy bed rest prescribed for acute low back pain: experience at three general medicine walk-in clinics.

    abstract::Early gradual ambulation is currently recommended for patients with acute low back pain if results of neurologic examination are normal. Bed rest for up to 2 days is considered optimal. To assess management practices, we retrospectively reviewed the medical records of individuals with acute back pain treated at three ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Frazier LM,Carey TS,Lyles MF,McGaghie WC

    更新日期:1991-05-01 00:00:00

  • Clinical and biopsy specimen features in black and white men with clinically localized prostate cancer.

    abstract:BACKGROUND:The incidence of prostate cancer in black men is estimated to be 30% to 50% higher than among age-matched white men, and black men have a twofold higher mortality rate. To determine whether racial differences exist in men with similarly staged disease, we compared clinical and pathologic features in black an...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Bozeman C,Williams BJ,Whatley T,Crow A,Eastham J

    更新日期:2000-04-01 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

    doi:10.1097/00007611-198412000-00044

    authors: Bracikowski JP,Hess IE,Rein MF

    更新日期:1984-12-01 00:00:00

  • Noninvasive positive pressure ventilation.

    abstract::Noninvasive positive pressure ventilation (NPPV) has been used in treatment of a variety of clinical conditions, including acute respiratory failure (ARF) due to status asthmaticus. We present the case of a patient admitted with acute exacerbation of asthma who had ARF and required mechanical ventilation. After extuba...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199701000-00017

    authors: Clark DR,Lahren KM

    更新日期:1997-01-01 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

    doi:10.1097/00007611-198901000-00009

    authors: Ingram CW,Cooper JN

    更新日期:1989-01-01 00:00:00

  • A Retrospective Study of Students Referred to a Psychiatric Clinic at a College Counseling Center in Appalachia.

    abstract:OBJECTIVES:This study describes the clinical problems and psychiatric diagnoses of college students who sought services at a student counseling clinic and were subsequently referred for evaluation by a psychiatrist. Several important psychiatric problems present before leaving for college that could mandate the selecti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001089

    authors: Lowe B,Bryant-Melvin K,Peterson M,Hussain N,Holroyd S

    更新日期:2020-05-01 00:00:00

  • Hospital Annual Delivery Volume and Presence of Graduate Medical Education Influence Mode of Delivery after Stillbirth.

    abstract:OBJECTIVES:To evaluate the statewide experience in mode of delivery for pregnancies complicated by stillbirth by annual delivery volume and presence of graduate medical education programs. METHODS:This is a descriptive study of all stillbirths without known congenital anomalies or aneuploidy born in our state from Jul...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001180

    authors: Ramseyer AM,Whittington JR,Magann EF,Warford B,Ounpraseuth S,Nembhard WN

    更新日期:2020-12-01 00:00:00

  • Aldosteronism in pregnancy: association with virilization of female offspring.

    abstract::We have described a case of maternal primary aldosteronism in which there is virilization of the female offspring. The most common causes of virilization are considered unlikely on the basis of clinical and laboratory data. The report illustrates the exacerbation of aldosteronism that occurs postpartum and emphasizes ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Elterman JJ,Hagen GA

    更新日期:1983-04-01 00:00:00

  • Development and validation of a scaled questionnaire for evaluation of residency programs.

    abstract::As residency programs adapt to the need to promote primary care, the importance of quantitating qualitative issues increases. In this study, a questionnaire based on reported residency stressors was answered by 238 internal medicine residents. The Profile of Mood States (POMS) was also completed by 64. Factor analysis...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199507000-00010

    authors: Seelig CB,DuPre CT,Adelman HM

    更新日期:1995-07-01 00:00:00