sâmbătă, 8 august 2009

Mesothelioma

Mesothelioma is a form of cancer that is almost always caused by exposure to asbestos. In this disease, malignant cells develop in the mesothelium, a protective lining that covers most of the body’s internal organs. Its most common site is the pleura (outer lining of the lungs and internal chest wall), but it may also occur in the peritoneum (the lining of the abdominal cavity), the heart,[1] the pericardium (a sac that surrounds the heart) or tunica vaginalis.

Most people who develop mesothelioma have worked on jobs where they inhaled asbestos particles, or they have been exposed to asbestos dust and fiber in other ways. Washing the clothes of a family member who worked with asbestos can also put a person at risk for developing mesothelioma.[2] Unlike lung cancer, there is no association between mesothelioma and smoking, but smoking greatly increases risk of other asbestos induced cancer.[3] Compensation via asbestos funds or lawsuits is an important issue in mesothelioma (see asbestos and the law).

The symptoms of mesothelioma include shortness of breath due to pleural effusion (fluid between the lung and the chest wall) or chest wall pain, and general symptoms such as weight loss. The diagnosis may be suspected with chest X-ray and CT scan, and is confirmed with a biopsy (tissue sample) and microscopic examination. A thoracoscopy (inserting a tube with a camera into the chest) can be used to take biopsies. It allows the introduction of substances such as talc to obliterate the pleural space (called pleurodesis), which prevents more fluid from accumulating and pressing on the lung. Despite treatment with chemotherapy, radiation therapy or sometimes surgery, the disease carries a poor prognosis. Research about screening tests for the early detection of mesothelioma is ongoing.

Signs and symptoms

Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to asbestos. Shortness of breath, cough, and pain in the chest due to an accumulation of fluid in the pleural space are often symptoms of pleural mesothelioma.

Symptoms of peritoneal mesothelioma include weight loss and cachexia, abdominal swelling and pain due to ascites (a buildup of fluid in the abdominal cavity). Other symptoms of peritoneal mesothelioma may include bowel obstruction, blood clotting abnormalities, anemia, and fever. If the cancer has spread beyond the mesothelium to other parts of the body, symptoms may include pain, trouble swallowing, or swelling of the neck or face.

These symptoms may be caused by mesothelioma or by other, less serious conditions.

Mesothelioma that affects the pleura can cause these signs and symptoms:

* chest wall pain
* pleural effusion, or fluid surrounding the lung
* shortness of breath
* fatigue or anemia
* wheezing, hoarseness, or cough
* blood in the sputum (fluid) coughed up (hemoptysis)

In severe cases, the person may have many tumor masses. The individual may develop a pneumothorax, or collapse of the lung. The disease may metastasize, or spread, to other parts of the body.

Tumors that affect the abdominal cavity often do not cause symptoms until they are at a late stage. Symptoms include:

* abdominal pain
* ascites, or an abnormal buildup of fluid in the abdomen
* a mass in the abdomen
* problems with bowel function
* weight loss

In severe cases of the disease, the following signs and symptoms may be present:

* blood clots in the veins, which may cause thrombophlebitis
* disseminated intravascular coagulation, a disorder causing severe bleeding in many body organs
* jaundice, or yellowing of the eyes and skin
* low blood sugar level
* pleural effusion
* pulmonary emboli, or blood clots in the arteries of the lungs
* severe ascites

A mesothelioma does not usually spread to the bone, brain, or adrenal glands. Pleural tumors are usually found only on one side of the lungs.

Acne - baskets

Acne is a common disease, in part genetically determined, observed especially during pubertara but adult.Este to a disease in which coexist polimorfa retention and inflammatory lesions are often on a leather seboreica.
Acne treatment must take into account the type of acne: retention, or joint inflammation, the intensity and seriousness, the Triggers of any association or other disease onset afectiuni.La retention lesions are reduced, the picture may be clinically insignificant but treatment is sometimes difficult.

It is essential that the patient is guided towards the dermatologist, to discuss with the patient, and to explain the evolution of the disease and eradicate preconceived ideas.
Dermatology defines and establishes the potential severity depending on the strategy of acne terapeutica.Leziunile induce an increased reactivity to emotional instability, stress, and even dismorfofobie.Medicul dermatologist should be prepared to treat the disease but also behavioral changes deceleze to take on Psychological support of the patient or to use aid psychologist or psychiatrist.

Acne is a common disease, in part genetically determined, observed especially during pubertara but adult.Este to a disease in which coexist polimorfa retention and inflammatory lesions are often on a leather seboreica.

Alopecia-hair loss

Alopeciile are diseases of hair and scalp characterized by diffuse or fall located hair.

Diffuse Alopeciile defined in relation to the normal fall of about 50 hairs on the hair falls zi.Unele are physiological (lanugo fall burn to the newborn and called seboreica the male sex).

Androgenic Alopecia is very common in men, responsible for calvitia common with dominant-hereditary predisposition. It begins after adolescence, particularly in the temporal region and is dependent on the affective attitude of the subject vis-avis the ornament to capilara.Acest type calvitie a woman must go in search of a syndrome virilizare.Tratamentul such alopecie disappointing and represents an important source of profit for dealing with medical products and para-medical.

Efluvium telogen (diffuse alopecia stress) is due to timing of many hairs in phase telogena after febrile episode, a difficult Naser, a surgery or an episode negative psychosocial afectiv.Refacerea completed after such an episode are 4 up to 6 months.

Toxic Alopeciile are due in particular anti-cancer chemotherapy, antitiroidienelor Synthesis, anticoagulants, anticonvulsivantelor or derivatives of vitamin A.

Alopeciile diffuse interest is observed in case mixedemului, insufficient pituitare, hipertiroidiei, hipoparatiroidiei, severe diabetes, colagenozelor, food gaps, malabsorption syndromes, syphilis.

Pelade disease is a frequent cause of still does, associated with vitiligo, with auto-antibodies stomach, anti-thyroid, heredity, diabetes, atop, without the trauma psihice.Limita net par is, the skin is shiny, the holes folliculitis pilo-sebacei surrounded by broken wires in 1 cm, deformed shape of the sign can be exclamarii.Evolutia to increase spontaneous or whimsical for generalization.

Other boards are in alopecii be traumatic: tricotilomania or alopecii created different types of hair.

Alopeciile cicatriciale follow any process that destroys pilose folliculitis: trauma, burn, congenital diseases, lupus, folliculitis, data modifications radiotherapy treatments, primitive epithelial cancers, metastases, etc..

Fordyce disease

Fordyce disease is characterized by glands located at sebacee lips, especially at the higher level, some points appear yellow.

Skin cancer

Skin cancer (multiplying excessive skin cells) usually occur on parts of skin exposed to sunlight.

There are three main categories of skin cancer: bazocelular carcinoma, melanoma and carcinoma scuamos. The first two forms have developed slowly and are treated in most patients, especially if detected early. In contrast, melanoma is the most serious form, because affect deep layers of the skin and has the greatest potential for expansion to other body tissues other. Incidence of skin cancer is increasing.

To reduce the risk of skin cancer, avoid excessive or limited exposure to ultraviolet rays. Detected in early stages, most cases of cancer can be treated successfully.



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