Long-term survival from gastrocolic fistula secondary to adenocarcinoma of the transverse colon

BACKGROUND: Gastrocolic fistula is a rare presentation of both benign and malignant diseases of the gastrointestinal tract. Malignant gastrocolic fistula is most commonly associated with adenocarcinoma of the transverse colon in the Western World. Despite radical approaches to treatment, long-term survival is rarely documented. CASE PRESENTATION: We report a case of a 24-year-old woman who presented with the classic triad of symptoms associated with gastrocolic fistula. Radical en-bloc surgery and adjuvant chemotherapy were performed. She is still alive ten years after treatment. CONCLUSIONS: Gastrocolic fistula is an uncommon presentation of adenocarcinoma of the transverse colon. Radical en-bloc surgery with adjuvant chemotherapy may occasionally produce long-term survival

Recurrent laryngeal nerve palsy due to impacted dental plate in the thoracic oesophagus: case report

<p>Abstract</p> <p>Background</p> <p>Retained oesophageal foreign bodies must be urgently removed to prevent potentially serious complications. Recurrent laryngeal nerve palsy is rare and has not been reported in association with a foreign body in the thoracic oesophagus.</p> <p>Case presentation</p> <p>We present a case of a dental plate in the thoracic oesophagus that caused high dysphagia. Delayed diagnosis led to a recurrent laryngeal nerve palsy, which persisted despite successful surgical removal of the foreign body.</p> <p>Conclusion</p> <p>Oesophagoscopy is essential to fully assess patients with persistent symptoms after foreign body ingestion, irrespective of the level of dysphagia. Recurrent laryngeal nerve palsy may indicate impending perforation and should prompt urgent evaluation and treatment.</p

Breast cancer metastasis to the stomach may mimic primary gastric cancer: report of two cases and review of literature

<p>Abstract</p> <p>Background</p> <p>The stomach is an infrequent site of breast cancer metastasis. It may prove very difficult to distinguish a breast cancer metastasis to the stomach from a primary gastric cancer on the basis of clinical, endoscopic, radiological and histopathological features. It is important to make this distinction as the basis of treatment for breast cancer metastasis to the stomach is usually with systemic therapies rather than surgery.</p> <p>Case presentations</p> <p>The first patient, a 51 year old woman, developed an apparently localised signet-ring gastric adenocarcinoma 3 years after treatment for lobular breast cancer with no clinical evidence of recurrence. Initial gastric biopsies were negative for both oestrogen and progesterone receptors. Histopathology after a D2 total gastrectomy was reported as T4 N3 Mx. Immunohistochemistry for Gross Cystic Disease Fluid Protein was positive, suggesting metastatic breast cancer. The second patient, a 61 year old woman, developed a proximal gastric signet-ring adenocarcinoma 14 years after initial treatment for breast cancer which had subsequently recurred with bony and pleural metastases. In this case, initial gastric biopsies were positive for both oestrogen and progesterone receptors; subsequent investigations revealed widespread metastases and surgery was avoided.</p> <p>Conclusion</p> <p>In patients with a history of breast cancer, a high index of suspicion for potential breast cancer metastasis to the stomach should be maintained when new gastrointestinal symptoms develop or an apparent primary gastric cancer is diagnosed. Complete histopathological and immunohistochemical analysis of the gastric biopsies and comparison with the original breast cancer pathology is important.</p

Hard Scattering and Gauge/String Duality

We consider high-energy fixed-angle scattering of glueballs in confining gauge theories that have supergravity duals. Although the effective description is in terms of the scattering of strings, we find that the amplitudes are hard (power law). This is a consequence of the warped geometry of the dual theory, which has the effect that in an inertial frame the string process is never in the soft regime. At small angle we find hard and Regge behaviors in different kinematic regions.Comment: 4 page

LHC Searches for Non-Chiral Weakly Charged Multiplets

Because the TeV-scale to be probed at the Large Hadron Collider should shed light on the naturalness, hierarchy, and dark matter problems, most searches to date have focused on new physics signatures motivated by possible solutions to these puzzles. In this paper, we consider some candidates for new states that although not well-motivated from this standpoint are obvious possibilities that current search strategies would miss. In particular we consider vector representations of fermions in multiplets of $SU(2)_L$ with a lightest neutral state. Standard search strategies would fail to find such particles because of the expected small one-loop-level splitting between charged and neutral states.Comment: 16 pages, 9 figure

The Pomeron and Gauge/String Duality

The traditional description of high-energy small-angle scattering in QCD has two components -- a soft Pomeron Regge pole for the tensor glueball, and a hard BFKL Pomeron in leading order at weak coupling. On the basis of gauge/string duality, we present a coherent treatment of the Pomeron. In large-N QCD-like theories, we use curved-space string-theory to describe simultaneously both the BFKL regime and the classic Regge regime. The problem reduces to finding the spectrum of a single j-plane Schrodinger operator. For ultraviolet-conformal theories, the spectrum exhibits a set of Regge trajectories at positive t, and a leading j-plane cut for negative t, the cross-over point being model-dependent. For theories with logarithmically-running couplings, one instead finds a discrete spectrum of poles at all t, where the Regge trajectories at positive t continuously become a set of slowly-varying and closely-spaced poles at negative t. Our results agree with expectations for the BFKL Pomeron at negative t, and with the expected glueball spectrum at positive t, but provide a framework in which they are unified. Effects beyond the single Pomeron exchange are briefly discussed.Comment: 68 pages, uses JHEP3.cls, utphys.bst; references added, typos corrected, and clarifying remarks adde