RESUMEN

Carotid body tumors are rare neuroendocrine tumors originating from paraganglionic cells in the carotid body. Although these tumors are typically slow-growing and benign, their location and vascularity present unique challenges in management. Here, we present a case study of a 58-year-old male who presented with a painless, gradually enlarging neck mass over a six-month period. Physical examination revealed a non-tender, pulsatile mass measuring approximately 3 cm in the left carotid triangle. Imaging studies, including ultrasound and contrast-enhanced computed tomography, confirmed the presence of a well-defined, hypoechoic mass at the left carotid bifurcation, displacing adjacent vessels. A multidisciplinary team planned surgical resection, guided by imaging, resulting in the successful removal of the tumor. Histopathological examination confirmed the diagnosis of a carotid body tumor. This case report underscores the significance of accurate diagnosis, a multidisciplinary approach, and advanced imaging techniques in managing carotid body tumors. Surgical resection, guided by imaging, aims to achieve complete excision while preserving vital structures. Long-term follow-up is crucial to detect potential recurrence or progression early.

RESUMEN

BACKGROUND: In order to improve post-operative patient's quality-of-life, attention must be paid to the identification of factors that play a role in patient's satisfaction with surgical treatment. Patient satisfaction with the outcomes of scoliosis surgery has not been addressed so comprehensively in Saudi literature, as well as the effect of patient satisfaction on the different domains of the SRS-22 questionnaire and radiographic parameters is yet to be reported locally. The aim of this study is to explore such findings especially in our population. METHODS: A retrospective cohort study was conducted at two of the largest centers of spine surgery in the Kingdom of Saudi Arabia. A total of 316 eligible patients were selected via consecutive sampling technique. Data were collected from eligible patients who fit our inclusion criteria, which includes patients with adolescent idiopathic scoliosis aged from 10 to 21 years. Student t test, Pearson's and Spearman's correlation coefficients statistical tests were used. RESULTS: There were 283 (89.6%) females and 33 (10.4%) male patients with a mean age of 15.09 (± 2.27 SD) years. All the domains of SRS-22 showed significantly higher scores 2-year postoperatively, when compared with preoperative values (P < 0.001). The change in all SRS-22 domains correlated positively and significantly with the 2-year postoperative satisfaction using Pearson's correlation coefficient (P < 0.05); the total score showed the highest correlation followed by the self-image domain. The major Cobb angle correction percentage correlated significantly (P < 0.05) solely with the change in pain domain. CONCLUSION: Self-image correlated highly and significantly with patient satisfaction postoperatively. It also had the biggest influence SRS-22 scores postoperatively in conjunction with satisfaction scores. That is an indication of the role it plays in patient satisfaction and quality-of-life postoperatively, which may influence the surgical decision making.

Asunto(s)

Cifosis , Escoliosis , Adolescente , Femenino , Humanos , Masculino , Satisfacción del Paciente , Calidad de Vida , Estudios Retrospectivos , Arabia Saudita , Escoliosis/diagnóstico por imagen , Escoliosis/cirugía , Encuestas y Cuestionarios , Resultado del Tratamiento

RESUMEN

Background: The evidence showed that prostate cancer (PC) is the second most common malignancy in men globally. Unfortunately, it rarely produces symptoms, and the diagnosis is delayed until the tumor is advanced. Objectives: To determine the participants' uptake of prostate cancer screening (PCS). Also, to assess their perceptions regarding PCS. Furthermore, to evaluate the association between patients' knowledge of PC and their beliefs and behaviors towards PCS. Methods: This cross-sectional study recruited men aged older than 40attending the King Khalid University Hospital (KKUH) between October 2020 and March 2021. SMS messages were sent to a random sample of 228 participants, inviting them to participate in an online self-administered questionnaire. The questionnaire consisted of 1- demography and history of PCS; 2- the knowledge questionnaire about PC; 3-the Champion's Health Belief Model (HBM). Results: Out of the 228 participants, 45.2% were men aged 60 years and above, 54.4% with college degrees and postgraduate studies, and 92.5% were married. The median knowledge score was 5, and the range was 12. Most men (72.4%) had a low knowledge score, and 79.4% of them did not have a previous PCS. Men aged 60 + were more likely to undergo the screening than their counterparts, with P values of 0.005. Higher knowledge scores were associated with the perceived benefits of prostate-specific antigen (PSA), digital rectal examination (DRE), and health motivation, P values of 0.0001, 0.0001, and 0.02, respectively. PSA and DRE>s perceived barriers were associated with low knowledge scores, P values of 0.0001 and 0.003, respectively. A higher probability of PCS participation was associated with the older age group, a P value of 0.001. Low participation was associated with perceived barriers of DRE, a P value of 0.031. Conclusion: The majority of the participants had poor knowledge regarding PC and PCS. Only a fifth of the men did PCS. High knowledge was associated with PSA and DRE perceived benefits and health motivation.