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  • ISSN: 2373-9819
    Volume 4, Issue 4
    Case Report
    Jeannette Calzadilla*, Natalia Sanhueza, Solange Farías, and Oscar Sanchez
    Testicular cancer represents 1 to 1.5% of male tumors, bilateral testicular neoplasia is uncommon, and can be synchronous or metachronous. Currently the improvements in the methods of study and treatment, it has allowed a timely diagnosis and reduction of morbidity and mortality in these cases.
    It presents the case of a patient of 37 year old, with antecedent of primary testicular tumor with surgical treatment, without evidences of residue tumoral, that 10 years later he presented testicular cancer contralateral. It is discussed the importance of a strict follow-up in men with testicular tumors, associated to the diagnostics methods and the treatment of these patients.
    Alan C. Cheng, Bernetta M. Howard, Leon Rubinsztain, and Andro G. Kacharava*
    We described a rare case of congenital right coronary artery (RCA) ostial stenosis or atresia (COSA) without other cardiac structural abnormalities. In the absence of coronary atherosclerosis the possible mechanism responsible for the chest pain in those patients include: inadequate caliber, systolic kinking, angulating, or compression of the collateral arteries, as well as the length and tortuousness of the collateral arteries, which could cause a delay in the delivery of blood to the right-sided arteries. Development of right ventricular hypertrophy and consequent increase in myocardial oxygen demands can also potentially contribute to ischemic symptoms. Our patient was treated with oral beta-blockers, and did well with no further episodes of chest pain.
    Chee Yong Chuan*
    Melioidosis is an infection caused by the gram-negative bacterium Burkholderia pseudomallei. This disease is endemic in Southeast Asia and North Australia with sporadic occurrence in temperate countries. Any organ can be involved in melioidosis it causes an acute inflammatory reaction with rapid development of small abscesses which tend to coalesce to form larger abscesses. Cutaneous manifestations vary greatly. We report a man with disseminated melioidosis who presented with cutaneous lesions.
    Aiko Kawano-Yashiro*, Yoshionobu Sugo, Yuka Oi, and Hiroyuki Shigeta
    We present a unique case of monochorionic-diamniotic twin placenta that showed no independent circulation in the smaller twin. A 31-year-old woman visited our hospital for monochorionic twin pregnancy. At 21 weeks of gestation, selective intrauterine growth restriction and intermittent absent and reversed end-diastolic flow were observed on umbilical artery Doppler. Because of rapidly growing polyhydramnios of the smaller twin, the twins were delivered by cesarean section at 34 weeks of gestation (1780 and 1490 g). The twins showed normal growth without severe complications. The placenta had one large arterio-artery anastomosis (AAA) on its surface. Except the AAA, the arterial blood flow of the smaller twin circulated to three umbilical veins (UVs) of the larger twin. The UVs of the smaller twin were drained from the UAs of the larger twin. The smaller twin was speculated to share only 25% of the placenta.
    Lamar CH*, Jason Le, and Wilber C. DeLorme
    We present the immuno pathogenesis of Lymphomatoid Papulosis associated with mild immuno suppression. The foundation of our observation was based on case reports discussing the development of LyP while concurrently using immune modulators. The medically altered immune state is mirrored by the hormone-induced changes of pregnancy. Furthermore, we explain how the natural progression of pregnancy facilitates a pathologic transformation of LyP in rare individuals. This is only the second reported case of pregnancy induced LyP. To clarify the findings, we include a basic review of Lymphomatoid Papulosis with key points of immunology related to both pathology and pregnancy.
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