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Dra. Adriana Brasil

Oral cancer is a public health problem worldwide with approximately 300,000 new cases diagnosed every year and more than 170,000 deaths annually. Squamous cell carcinoma (SCC) accounts for approximately 90% of all oral malignancies and it is frequently preceded by lesions known as oral potentially malignant disorders (OPMDs). Screening programs for early detection of oral lesions have been conducted. Therefore, the objective of this research was to carry out an active search in a screening program in the city of Piracicaba, Brazil. High-risk patients were identified at the city’s health center through their medical records and referred for dental consultation. Other patients who opportunistically sought dental care were also seen and if they did not present risk factors for SCC, they were considered low-risk. A total of 756 patients were examined, and 445 met the criteria for the high-risk group and 311 for the low-risk group. It was possible to diagnose 27 OPMDs and six SCCs – 21 OPMDs and six SCCs occurred in high-risk patients and six OPMDs in low-risk patients. A chi-square test was applied and a statistically significant value (p = 0.006) was obtained for the detection of OPMD and SCC in patients of the high-risk group. Screening of high-risk patients through active search proved to be an effective program for diagnosing OPMD and SCC. Therefore, we encourage its implementation on a large scale to reduce the current scenario of this disease.

A detailed clinical examination is important for early diagnosis of oral lesions in every dental specialty, including orthodontics, particularly because these patients are constantly checked during orthodontic treatment. This report describes 2 men receiving orthodontic treatment and who had swelling on the hard palate diagnosed as mucoepidermoid carcinoma. Both patients received appropriate treatment and had a good prognosis because of the rapid recognition of these oral lesions by their orthodontists.

Aim
In this study we described the causes of mortality in Brazil, its 5 geographic regions, and in the most populated cities of Sao Paulo State in order to contribute for development of prevention and intervention strategies.
Methods
Data on causes of death and age distribution of the populations were collected from online public databases and then submitted to the 2001 World Health Organization age standardization of rates for better assessment.
Results
Data showed that the main causes of death in Brazil and in all 5 geographic regions were diseases of the circulatory system. Neoplasms were the second most frequent cause of death in Brazil and in 3 regions (South, Southeast and Midwest). However, in the other 2 regions (North and Northeast) the second most common was associated to external causes, being neoplasms the third most often. Additionally, in the South and Southeast the third cause of deaths were from diseases of the respiratory system and from the external causes occupied the fourth position. Analyzing the most populated cities of Sao Paulo State it was observed that all of them have the same profile of the country. On the other hand, as speculated previously, in Piracicaba city, the most common cause of mortality was neoplasm.
Conclusions
These findings showed that Brazil has a large spectrum of causes of death and methods to decrease the mortality rates should be implemented in a local scenario rather than a nation-wide approach, where each location has to focus on its most urging problem.

Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small bowel and both rectus muscles, besides presenting with a skin fistula. A Hartmann colostomy was also performed. Chemotheraphy was interrupted because of toxicity. The patient is free of disease after 38 months. There are very few cases that describe an extended hemipelvectomy as part of a colorectal carcinoma treatment.

A reconstrução de defeitos na mandíbula decorrentes de ressecções oncológicas é complexa devido à exigência de um alto nível de precisão para otimizar a estética e restabelecer a função do paciente. Como opções para reconstrução mandibular, o enxerto microvascularizado é considerado a melhor, uma vez que o enxerto autógeno representa o padrão ouro. A fíbula é um osso longo e possui várias vantagens em relação aos outros enxertos, o que faz ser uma boa indicação para este tipo de reconstrução.

Relatar uma reconstrução mandibular feita com enxerto microvascularizado de fíbula após ressecção de lesão maligna. Conduta clínica: MGAO, sexo masculino, 66 anos, compareceu à Santa Casa de Piracicaba com queixa de incômodo na língua no lado esquerdo. Clinicamente, a lesão apresentava bordas irregulares e endurecidas. O laudo da biópsia incisional confirmou o …

According to Mori, the procedure was first described by the French surgeon Vicq d’Azyr in the seventeenth century and later detailed by Tandler in 1916 and disseminated in the USA by Sicher in 1949 [1]. In 1909, Chevalier Jackson [2] described the surgical techniques and factors necessary to perform cricothyroidostomy, called

Cricothyroidostomy or cricothyrotomy, is surgical access to the airways through the cricothyroid membrane, a procedure that promotes access to the airways by means of an incision in the cricothyroid membrane with placement of a tube for oxygenation and ventilation.

Surgery is the most effective way of treating a locally advanced colorectal carcinoma and an extended en bloc resection is necessary to achieve the best overall survival rate. In this rare case, a multi-visceral resection was performed along with the entire lower left limb and left iliac bone for a sigmoid carcinoma. The T4N0M0 (B3) tumor involved the left iliac vessels, left pelvic wall, small bowel and both rectus muscles, besides presenting with a skin fistula. A Hartmann colostomy was also performed. Chemotheraphy was interrupted because of toxicity. The patient is free of disease after 38 months. There are very few cases that describe an extended hemipelvectomy as part of a colorectal carcinoma treatment.

Shock Log in or Register Subscribe to journalSubscribe Get new issue alertsGet alerts Secondary Logo Journal Logo Advanced Search Toggle navigation Subscribe Register Login Articles & Issues For Authors Journal Info Advanced Search December 1996 – Volume 6 – Issue Previous Abstract Next Abstract Abstracts: PDF Only C-8 CALCIUM GLUCONATE INJECTIONS PREVENT HYPOCALCEMIA SECONDARY TO RAPID TRANSFUSIONS OF CPDA WHOLE BLOOD TRANSFUSIONS Duarte, PP; Moreira, AEB; Terzi, RGG Author Information Laboratório de Técnica Cirúrgica, Núcleo de Medicina e Cirurgia Experimental, Univ. Campinas, Campinas, SP, Brazil. Shock 6():p 21, December 1996. ©1996The Shock Society Back to Top Current Issue Cover Image Never Miss an Issue Get new journal Tables of Contents sent right to your email inbox Get New Issue Alerts Browse Journal Content Most Popular For …