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Narcis Octavian ZARNESCU

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Articles signed on MÆDICA, JCM:

Management of Acute Pancreatitis in the Early Stage

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MÆDICA - a Journal of Clinical Medicine | Vol. 10, nr. 3, 2015 CNCSIS - CMR - B+ OBBCSSR

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Management of Acute Pancreatitis in the Early Stage

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ABSTRACT

Acute pancreatitis (AP) is a potential fatal disease with an overall mortality around 5%. The current treatment for AP relies on supportive medical therapy, sometimes associated with endoscopic procedures and/or surgical interventions. In this review we discuss the recent concepts regarding the fluid therapy, pain management, antibiotic prophylaxis, apheresis for hypertriglyceridemia-induced AP, timing and indications for ERCP and cholecystectomy in biliary AP. For each component, the importance and the impact of early phase treatment is presented in terms of benefits and risks.

Keywords: acute pancreatitis, early phase, early treatment, fluid therapy, nutrition, ERCP

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A Challenging Case of Primary Breast Hodgkin’s Lymphoma

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MÆDICA - a Journal of Clinical Medicine | Vol. 10, nr. 1, 2015

CNCSIS - CMR - B+ OBBCSSR

A Challenging Case of Primary Breast Hodgkin’s Lymphoma

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ABSTRACT

Primary breast lymphoma (PBL) is a rare entity accounting for less than 1% of all breast malignancies. Diagnostic criteria for primary Hodgkin’s lymphoma of the breast are: the presence of sufficient tissue for diagnosis, close interaction between mammary tissue and lymphomatous infiltrate and no evidence or prior diagnosis of widespread lymphoma. Our case illustrates an unusual presentation of Hodgkin’s lymphoma of the breast: clinically as inflammatory breast cancer and core biopsy as granulomatous mastitis, the final diagnosis requiring surgical biopsy. Current information regarding this entity is scant, mainly build upon its rarity. In this paper we assess the clinical presentation, the step-bystep diagnosis, the treatment and the importance of immunohistochemistry in this uncommon condition.

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