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Query: UMLS:C0034065 (pulmonary embolism)
 14,979 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Staging pelvic lymphadenectomy (PLND) was performed in 210 prostatic cancer patients (mean age 67 years, clinical stage T0-T3 M0). A radical retropubic prostatectomy was subsequently performed in 54 men, ten of whom also received postoperative radiotherapy due to positive surgical margins. Ninety-eight patients were treated with external beam radiation alone (70 Gy in 35 fractions) and the remaining 58 received endocrine therapy. The complications of PLND alone (156 patients), consisted of wound infection in eight patients, hematoma or lymphocele in seven, venous thrombosis in three, and cardiac infarction in one patient. Early side-effects of radiotherapy included mild to moderate proctitis and/or cystitis in 57 patients. One year after completion of therapy, 48 of the irradiated men had proctitis, but only six had severe symptoms. Four patients developed radiation cystitis and two urethral stricture. Following prostatectomy (54 patients), two patients died in pulmonary embolism and another one developed a deep venous thrombosis. Hematoma occurred in five patients. Of the 42 surviving patients who did not receive postoperative radiotherapy, eight developed anastomotic strictures and four had severe stress incontinence. Only five were fully potent one year after surgery. Eight of the ten patients receiving radiotherapy after prostatectomy developed side-effects from the intestine and/or the urinary bladder. Two of them became totally incontinent. One developed a severe hemorrhagic cystitis necessitating urinary diversion. All ten were impotent after treatment.
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PMID:Morbidity of pelvic lymphadenectomy, radical retropubic prostatectomy and external radiotherapy in patients with localised prostatic cancer. 781 68

Cervical carcinomas are common in developing countries. More than 60 % of all cases are locally advanced, considered as no carcinologic resectable because of the frequent pelvic structures involvement. The aim of this study is to evaluate the surgical resection of locally advanced of the cervical carcinoma after neo-adjuvant external beam radiotherapy. It was retrospective study and we enrolled 48 cervical carcinomas staging FIGO : IIA (18,8 %), IIB (58,3 %), III (16,7 %) and IVA (6,2 %) with objective response and operated after neo-adjuvant radiotherapy from 2000 to 2003. The mean age was 48,8 years and squamous cells carcinomas represented 95,8 %. We studied surgical assessment, macroscopic residual tumour, histological evaluation and follow-up. The mean delay of the surgery was 13,2 weeks. We realized radical hysterectomy Piver's type III in 75 %, type II in 8,3 %, and extrafacial hysterectomy in 12,5 %. Pelvic lymphadenectomy was done in 26 cases. We noted 15 haemorrhages, 2 injuries of bladder and ureteri, 2 urinary fistulas and 1 radic cystitis. Two patients died of pulmonary embolism. Macroscopic residual tumour noted in 29,2 %. Of the 30 cases with histological evaluation, complete sterilization was 60 % and partial sterilization 40 %. The mean follow-up was 40 months. The rate of local control was 60,4 %. A 36 months survival was 55 % and without recurrence 92 %. Very few patients presenting locally advanced of the cervical carcinoma benefit treatment. Our results may be validate by cases control studies between patient treated by exclusive radiotherapy and patient treated by radiotherapy follow up radiotherapy of surgery.
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PMID:[Evaluation of surgical resection in the locally advanced cervical carcinomas after neoadjuvant external beam radiation therapy]. 1830 6

Septic pulmonary embolism (SPE) is an uncommon disease in which a microorganism- containing thrombus causes an inflammatory reaction and a mechanical obstruction in the vascular system of the lungs. Usually it is associated with tricuspid valve vegetation, septic thrombophlebitis or infected venous catheters. We present a rare and fatal case of massive septic pulmonary thromboembolism occurred in a diabetic woman, who complained in previous days dyspnoea, abdominal pain and nausea. Autopsy findings showed evidence of an erosive cystitis, while lungs examination showed total occlusion of pulmonary circulation system due to thrombo-embolic clots. In literature cases report about an association between septic pulmonary thromboembolism and erosive cystitis haven't been reported. So, we here show the first reported fatal case of a septic pulmonary thromboembolism as a lethal evolution of an erosive cystitis.
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PMID:A forensic case of erosive cystitis and septic pulmonary embolism: is there a correlation? 3232 5