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音量 14, 問題 8 (2022)

症例報告

Hepatocellular Carcinoma Diagnosed in Bile Cytology: A Case Report and Review of the Literature

Mariana Zaarour, Gael Roth, Pierre-Yves Eyraud, Nathalie Sturm and Diane Giovannini

Hepatocellular carcinoma (HCC) is the most common primary liver malignancy with a high mortality rate. The gold standard for making the diagnosis is liver biopsy. However, this technique can sometimes be risky and contraindicated. Endoscopic retrograde cholangiopancreatography is a largely used therapeutic procedure in hepatobiliary malignancies in case of jaundice. The latter offers also an easy access to bile samples suitable for cytological examination. In addition to previously reported cases of HCC diagnosed by bile duct brushings, we are reporting the first case of endobiliary HCC diagnosed by bile aspiration. We emphasize this rare and non-invasive cytological technique presenting advantages such as cell block preparation and immunohistochemistry.

ミニレビュー

Immunization against COVID-19 and New Infections in Cancer Patients

Charles Swanson

Introduction: Inoculation is a significant preventive wellbeing measure to safeguard against suggestive and serious Coronavirus. Disabled resistance optional to a hidden threat or ongoing receipt of antineoplastic foundational treatments can bring about less hearty immunizer titers following immunization and conceivable gamble of cutting edge contamination. As clinical preliminaries assessing Coronavirus immunizations generally barred patients with a background marked by disease and those on dynamic immunosuppression (counting chemotherapy), restricted proof is accessible to educate the clinical viability regarding Coronavirus inoculation across the range of patients with malignant growth.

Methods: We portray the clinical highlights of patients with malignant growth who created indicative Coronavirus following inoculation and contrast weighted results and those of contemporary unvaccinated patients, after change for confounders, utilizing information from the multi-institutional Coronavirus and Disease Consortium (CCC19).

Results: Patients with disease who foster Coronavirus following immunization have significant comorbidities and can give serious and, surprisingly, deadly contamination. Patients holding onto hematologic malignancies are over-addressed among inoculated patients with disease who create indicative Coronavirus.

Conclusion: Immunization against Coronavirus stays a fundamental procedure in safeguarding weak populaces, incorporating patients with malignant growth. Patients with malignant growth who foster advancement contamination notwithstanding full immunization, be that as it may, stay in danger of serious results. A multifaceted general wellbeing moderation approach that incorporates immunization of close contacts, promoters, social removing, and veil wearing ought to be gone on for a long time to come.

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