Abstract The leiomyosarcomas of the inferior vena cava are tumors so rare that it is estimated below 200 welldocumented and published patients. Its incidence is higher in women and frequently appear between 50- 60 years. They originate in the muscle cells of the middle layer of the venous wall, present an extraluminal growth, being more rare to find exclusively intraluminal growth and have, in general, a slow progression and a poor prognosis. The symptoms are nonspecific causing the diagnosis to be made late; This generates great comorbidity despite its slow growth. The diagnosis is made through imaging and guided biopsy, but the exact origin of the tumor is usually discovered during the surgical procedure and especially after the definitive histological study. Surgical treatment is the only one that has described changes in survival. We report the case of a 71-year-old woman with a diag...

Introduction: Surgical treatment of esophageal cancer remains a challenge despite advances in surgical technique, pre-operative care, postoperative care and postoperative complications. Objective: diagnosis and updated management in the surgical treatment of cancer in the national hospital Edgardo Rebagliati Martins - EsSalud. Methods: Patients diagnosed with esophageal cancer who were admitted to the surgery service at the Edgardo Rebagliati Martins - EsSalud national hospital during 2017 were selected. Patients of both sexes were included, starting at 20 years of age. . For the selection of the sample, it was stratified by age and sex according to the diagnosis of esophageal cancer. Results: Fourteen patients with esophageal cancer were diagnosed by means of the clinical history, laboratory exams, endoscopy with biopsy, cervical abdominal thoracic tomography, and contrasted d...

Abstract The leiomyosarcomas of the inferior vena cava are tumors so rare that it is estimated below 200 welldocumented and published patients. Its incidence is higher in women and frequently appear between 50- 60 years. They originate in the muscle cells of the middle layer of the venous wall, present an extraluminal growth, being more rare to find exclusively intraluminal growth and have, in general, a slow progression and a poor prognosis. The symptoms are nonspecific causing the diagnosis to be made late; This generates great comorbidity despite its slow growth. The diagnosis is made through imaging and guided biopsy, but the exact origin of the tumor is usually discovered during the surgical procedure and especially after the definitive histological study. Surgical treatment is the only one that has described changes in survival. We report the case of a 71-year-old woman with a diag...

Introduction: Surgical treatment of esophageal cancer remains a challenge despite advances in surgical technique, pre-operative care, postoperative care and postoperative complications. Objective: diagnosis and updated management in the surgical treatment of cancer in the national hospital Edgardo Rebagliati Martins - EsSalud. Methods: Patients diagnosed with esophageal cancer who were admitted to the surgery service at the Edgardo Rebagliati Martins - EsSalud national hospital during 2017 were selected. Patients of both sexes were included, starting at 20 years of age. . For the selection of the sample, it was stratified by age and sex according to the diagnosis of esophageal cancer. Results: Fourteen patients with esophageal cancer were diagnosed by means of the clinical history, laboratory exams, endoscopy with biopsy, cervical abdominal thoracic tomography, and contrasted d...

ABSTRACT Introduction: Hearing loss or hearing loss in the elderly is generally caused by degenerative changes typical of aging and can influence the cognitive deterioration of the person, which is manifested by different changes in memory as age increases. Objective: To determine the relationship between hearing loss and cognitive impairment in the elderly. Method: Descriptive, correlational and cross-sectional study. Otoscopy, audiometry and the Pfeiffer questionnaire were performed in 104 adults over 65 years of age, who attended the Otorhinolaryngology service of the Arzobispo Loayza National Hospital. The otoscope, the audiometer and the Pfeiffer questionnaire were used as instruments. Analyzing the relationship using Spearman's Rho correlation coefficient. Results: Hearing loss was found in 58 cases (55.8%) and normal hearing in 46 cases (44.2%). When applying the Pfeiffer question...

Introduction: Hearing is the usual way to acquire language, which allows us the development of thought and knowledge; hearing loss can affect the ability to learn and communicate in children and cause alterations in their behavior and academic performance. Objective: To determine the relationship between hearing level and academic performance in primary school students from a public educational institution in Lima. Methods: Observational, correlational and cross-sectional study. Otoscopy and audiometry were performed in 94 students of the sixth year of primary school of the Santa Rosa de Lima educational institution, in Los Olivos-Lima. Was used the otoscope, the audiometer and the final grades of each student of the first academic semester 2022 as instruments. The relationship was analyzed using Spearman's Rho correlation coefficient. Results: 35.1% of students had mild hearing l...

El autor Presenta la experiencia de 46 pacientes con esofagitis cáustica severa y estenosis, que fueron tratados quirúrgicamente mediante esofagocoloplastía o faringocoloplastía. La etiología correspondió en 26 casos por ácido muriático, 16 por "Drano", 3 por ácido nítrico y un caso por ácido sulfúrico. En 14 casos se realizó faringocoloplastía y en 32 esofagocoloplastía. El 22% Presentó complicaciones respiratorias en el Post-opertorio, 3 casos neumotórax y en 4 fistula cervical manejadas médicamente; no se registró mortalidad hospitalaria y la evolución de los Pacientes a mediano y largo plazo fue satisfactoria.

Introduction: Being multifactorial is a clearly recognized feature of cancer in humans. Recently, some members of the human papillomavirus family have been associated as conditioning factors for the development of epidermoid esophageal carcinoma.Clinical case: This is the first case described in Latin America of an esophageal cancer with the presence of a human papillomavirus-16 in a patient undergoing renal transplantation. This patient, a 59-year old woman, had a renal transplant eleven years ago because of a nephritic syndrome with an unknown cause. She received immunosuppression using cyclosporine, prednisone and mycophenolate, never interrupting therapy. Three months before diagnosis, the patient presented with dysphagia to solid foods, associated to weight loss. An upper gastrointestinal endoscopy showed the presence of a proliferative ulcerated lesion in the middle third...

La hidatidosis es una enfermedad prevalente en países en vías de desarrollo, a pesar de tener tratamiento oportuno y vías de prevención su prevalencia aún es alta, generando gastos económicos. Su presentación generalmente es a nivel pulmonar, muy rara es la presentación a nivel de extremidades. La tomografía es el examen de elección para el diagnóstico, se puede encontrar cosinofilia en el hemograma y el ELISA para hidatidosis es positivo. El abordaje quirúrgico va a depender de la localización del quiste.Se presenta el caso de un paciente con hidatidosis en muslo izquierdo que mostró una tumoración en partes blandas a nivel de miembro inferior no dolorosa, siendo sometido a una resección amplia de dicha lesión, el resultado de la anatomía patológica fue hidatidosis.

La hidatidosis es una enfermedad prevalente en países en vías de desarrollo, a pesar de tener tratamiento oportuno y vías de prevención su prevalencia aún es alta, generando gastos económicos. Su presentación generalmente es a nivel pulmonar, muy rara es la presentación a nivel de extremidades. La tomografía es el examen de elección para el diagnóstico, se puede encontrar cosinofilia en el hemograma y el ELISA para hidatidosis es positivo. El abordaje quirúrgico va a depender de la localización del quiste.Se presenta el caso de un paciente con hidatidosis en muslo izquierdo que mostró una tumoración en partes blandas a nivel de miembro inferior no dolorosa, siendo sometido a una resección amplia de dicha lesión, el resultado de la anatomía patológica fue hidatidosis.

Introduction: Being multifactorial is a clearly recognized feature of cancer in humans. Recently, some members of the human papillomavirus family have been associated as conditioning factors for the development of epidermoid esophageal carcinoma.Clinical case: This is the first case described in Latin America of an esophageal cancer with the presence of a human papillomavirus-16 in a patient undergoing renal transplantation. This patient, a 59-year old woman, had a renal transplant eleven years ago because of a nephritic syndrome with an unknown cause. She received immunosuppression using cyclosporine, prednisone and mycophenolate, never interrupting therapy. Three months before diagnosis, the patient presented with dysphagia to solid foods, associated to weight loss. An upper gastrointestinal endoscopy showed the presence of a proliferative ulcerated lesion in the middle third...