Monthly Archives: November 2016

Question: An asymptomatic 66-year-old woman was referred to our hospital for further evaluation of a lower esophageal tumor discovered by upper endoscopy during a health checkup. The patient had multiple medical issues, including hypertension and diabe… Continue reading →

Question: An asymptomatic 66-year-old woman was referred to our hospital for further evaluation of a lower esophageal tumor discovered by upper endoscopy during a health checkup. The patient had multiple medical issues, including hypertension and diabe… Continue reading →

Crohn’s disease is a form of inflammatory bowel disease, or IBD. Nearly half of all Crohn’s disease patients will need to have surgery within ten years of being diagnosed. However, surgery is not a cure. Crohn’s disease can come back (recur), and up to… Continue reading →

Crohn’s disease is a form of inflammatory bowel disease, or IBD. Nearly half of all Crohn’s disease patients will need to have surgery within ten years of being diagnosed. However, surgery is not a cure. Crohn’s disease can come back (recur), and up to… Continue reading →

Question: A 70-year-old woman presented at our hospital with appetite loss and self-awareness of a mass palpable in her right breast. The family history was unremarkable, and physical examination and mammography revealed a mass lesion in the right breast measuring approximately 2.3 cm in diameter, which was diagnosed pathologically as invasive lobular carcinoma. Laboratory findings showed elevated levels of tumor markers, such as carcinoembryonic antigen (204.4 ng/mL; normal, <3.4), cancer antigen 19-9 (188.6 U/mL; normal, <37), breast cancer antigen 225 (361 U/mL; normal, <160), and National Cancer Center-ST-439 (2770 U/mL; normal, <4.5). Continue reading →

Question: A 70-year-old woman presented at our hospital with appetite loss and self-awareness of a mass palpable in her right breast. The family history was unremarkable, and physical examination and mammography revealed a mass lesion in the right breast measuring approximately 2.3 cm in diameter, which was diagnosed pathologically as invasive lobular carcinoma. Laboratory findings showed elevated levels of tumor markers, such as carcinoembryonic antigen (204.4 ng/mL; normal, <3.4), cancer antigen 19-9 (188.6 U/mL; normal, <37), breast cancer antigen 225 (361 U/mL; normal, <160), and National Cancer Center-ST-439 (2770 U/mL; normal, <4.5). Continue reading →

Question: A 39-year-old Hispanic woman, presented in her 8th week of her first pregnancy with intermittent dysphagia and acid reflux. She had been experiencing these symptoms for several months, without vomiting or regurgitation, and had recently had a… Continue reading →

Question: A 39-year-old Hispanic woman, presented in her 8th week of her first pregnancy with intermittent dysphagia and acid reflux. She had been experiencing these symptoms for several months, without vomiting or regurgitation, and had recently had a… Continue reading →

Question: A 38-year-old man was referred to us with loss of consciousness and seizure. In the history taken, it was revealed that he had had tremor, low back pain, trismus, and hand/foot locking for 4 days before presentation and constipation for almos… Continue reading →