J Natl Med Assoc

Anatomic, age, and sex distribution of colorectal cancer in a New York City Hispanic population.

Chattar-Cora D. Onime GD. Coppa GF. Valentine IS. Rivera L.
Department of Surgery, Morristown Memorial Hospital, New Jersey, USA.
This study was undertaken to examine the regional distribution of colorectal cancer, the age of presentation for different subsite locations of the disease and whether there is any intersex difference in frequency of the disease, in New York City Hispanics. The charts of Hispanic patients on file with the tumor registry at Bellevue Hospital Center in New York City from 1976 to 1995 were reviewed. Demographic and pathologic data including patient age and cancer location were analyzed. Lesions of the distal colon and rectum accounted for more than 70%, while right-sided lesions were found in 20.7% of patients. The male to female ratio was 47.6% to 52.4%. The overall mean age of patients was 60.4 years. Proximal lesions presented at a later age than distal lesions, 63.2 years for the right colon and 58.5 years for the rectum; this difference in ages was significant. These results suggest that Hispanic-American patients with colorectal cancer appear to be presenting at an earlier age than the general American population. Further study is needed to determine whether Hispanic women are presenting with a higher frequency of colorectal cancer than their male counterparts and whether Hispanic patients are presenting at an earlier age than the general population with colorectal malignancies and why.

Atypical presentation of Wilms tumor: evaluation and early diagnosis.

Yarboro TL Jr.
No information.
Wilms' tumor is a malignancy that most often affects children. It usually is discovered incidentally by a parent or family member in an asymptomatic child. The development of surgical techniques and the addition of adjuvant therapies have made this once incurable disease curable. The National Wilms' Tumor Study group, developed in 1969, has done extensive research of the disease, and in an ongoing process, performs trials of various treatment modalities to improve the survival of patients with Wilms' tumor. This article describes a patient with an atypical presentation of Wilms' tumor.

Hereditary angioedema: an unusual case in an African-American woman.

Year 1998
Borum ML.
George Washington University Medical Center, Washington, DC 20037, USA.
Hereditary angioedema is a rare disorder characterized by a localized subepithelial edema and swelling of the gastrointestinal and upper respiratory tract. The disorder is estimated to occur in 1 in 50,000 to 150,000 individuals. However, the prevalence of the disorder among the African-American population is uncertain. This is a case report of hereditary angioedema occurring in an African-American woman whose symptoms persisted for more than a decade prior to diagnosis.

Hemoperitoneum in a postmenopausal woman.

Year 1998
Poma PA.
Department of Obstetrics and Gynecology, Loyola University Chicago, Ravenswood Hospital Medical Center, Illinois, USA.
As the number of postmenopausal women increases, physicians will have more opportunities to treat elderly women with gynecological complications. This case report describes a 76-year-old, obese, multiparous woman, known to have gallstones who presented with acute abdomen complaints and was admitted for observation. Treatment was delayed until significant blood loss was recognized. At laparotomy, a ruptured ovarian granulosa cell tumor was found.