Three-hundred-sixty-eight men with an abnormal digital rectal examination, elevated serum PSA level or both were evaluated for prostate cancer. Only 36 patients (9.8%) of the patients had commercial insurance (Table 1), indicative of a hospital serving an inner-city community. Demographic, clinical and pathologic characteristics of the study cohort are presented in Table 2. Age at [...]
Population Shands Jacksonville is a 696-bed tertiary-care teaching hospital serving Duval County, FL (population 817,480) and northeast Florida. The current study included 373 consecutive men who underwent a transrectal ultrasound needle-guided biopsy of the prostate between January 2003 and May 2005 at Shands Jacksonville after an abnormal digital rectal examination, an elevated PSA test result [...]
INTRODUCTION Despite recent advances in diagnosis, staging and treatment, prostate cancer remains the second most common cause of cancer-related death in American men older than 45 years. African-American men suffer disproportionately from the disease, having a 50% higher incidence and a two-fold greater mortality than do Caucasian men. This disparity has been variously attributed to: [...]
DISCUSSION Poland’s syndrome is a congenital anomaly with varying presentations. This case is an addition to the very few existing reported cases in females, since the disorder is noticed mostly in males. Our patient probably represents a sporadic case, as no member of her family had a similar abnormality—although variable expressivity and reduced penetrance is [...]
A 12-year-old, secondary-school girl presented in June 2004 with flattening of the right anterior chest wall since birth. She also noticed underdevelopment of the right breast. She had about four episodes of spontaneous minor bleeding from the ipsilateral anterior chest wall within a period of six months before presentation. She is yet to attain menarche [...]
INTRODUCTION Poland’s syndrome is a rare anomaly characterized by unilateral absence (partial or complete) of the pectoralis muscles and ipsilateral syndactyly and microdactyly. Associated anomalies include defect of the breast and anterior chest wall. Also known as Poland’s sequence or Poland’s anomaly, this syndrome consists of many distinctive features. First described by Alfred Poland in [...]
Parathyroid Cyst: An Uncommon Cause of a Palpable Neck Mass and Hypercalcemia PARATHYROID CYSTS ARE rare lesions arising in the neck and anterior mediastinum. Goris reported the first case in 1905, and since then, fewer than 250 cases have been published in the literature. Parathyroid cysts constitute only 0.6% of all thyroid and parathyroid lesions, [...]
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