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Journal of Clinical Medicine, Volume 13, Issue 22

November-2 2024 - 373 articles

Cover Story: Patients with neck metastasis and no obvious primary tumor (NCUP) pose a diagnostic challenge. Many of these cases are p16-positive oropharyngeal squamous cell carcinomas (OPSCCs), often originating in the tonsils or base of the tongue. Early neck metastasis is likely due to the unique anatomy of the oropharynx. Identifying the primary tumor is crucial for treatment planning. However, imaging studies may not always be definitive. HPV testing can help localize the primary tumor, particularly in the oropharynx. Careful consideration of clinical, biomolecular, and morphological factors is essential for accurate prognosis and treatment, especially in HPV-positive patients with tobacco exposure or p53 mutations. View this paper
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Articles (373)

  • Review
  • Open Access
7 Citations
6,115 Views
22 Pages

VEXAS Syndrome: A Comprehensive Review of Current Therapeutic Strategies and Emerging Treatments

  • Safi Alqatari,
  • Abdulaziz A. Alqunais,
  • Shahad M. Alali,
  • Mohammed A. Alharbi,
  • Manal Hasan and
  • Mohammed D. Al Shubbar

19 November 2024

VEXAS syndrome is a recently identified autoinflammatory disorder resulting from somatic mutations in the UBA1 gene, leading to a complex spectrum of severe inflammatory and hematologic manifestations. The absence of established treatment guidelines...

  • Article
  • Open Access
1,851 Views
13 Pages

Cancer and the 10-Year Incidence of Chronic Low Back Pain in 407,314 Adults Followed in General Practices in Germany

  • Karel Kostev,
  • Augustin Latourte,
  • Dong Keon Yon,
  • Josep Maria Haro,
  • Pascal Richette,
  • Johann Beaudreuil and
  • Louis Jacob

19 November 2024

Objective: There is a scarcity of data on the long-term relationship between cancer and chronic low back pain (CLBP). Therefore, this retrospective cohort study investigated the association between cancer and the 10-year incidence of CLBP in Germany....

  • Review
  • Open Access
4 Citations
3,686 Views
9 Pages

Liver Dysfunction in a Patient with Graves’ Disease

  • Filipa Campos,
  • Angelica Sharma,
  • Bijal Patel,
  • Deborah Papadopoulou,
  • Alexander N. Comninos and
  • Ali Abbara

19 November 2024

Liver dysfunction can occur in patients presenting with thyrotoxicosis, due to several different aetiologies. A 42-year-old man had mild liver dysfunction on presentation with hyperthyroidism due to Graves’ disease (GD): ALT 65 (0–45 IU/L...

  • Article
  • Open Access
2 Citations
1,424 Views
8 Pages

Greater Tuberosity Healing Rate and Clinical Results Following RSA Are Similar for Two Fracture-Specific Implant Systems

  • Dani Rotman,
  • Omer Avraham,
  • Yariv Goldstein,
  • Efi Kazum,
  • Jorge Rojas Lievano,
  • Ofir Chechik and
  • Eran Maman

19 November 2024

Background: Various fracture-specific reverse shoulder arthroplasty (RSA) systems exist on the market. We set out to examine whether the type of prosthesis used and the means of fixation (cemented or non-cemented) influenced the rate of tuberosity he...

  • Review
  • Open Access
2 Citations
4,054 Views
23 Pages

19 November 2024

Despite a decrease in prevalence and incidence rates, beta thalassemia continues to represent a significant public health challenge worldwide. In high-resource settings, children with thalassemia have an open prognosis, with a high chance of reaching...

  • Article
  • Open Access
3 Citations
2,230 Views
9 Pages

A Comparative Analysis of Carlevale IOL Versus Artisan IOL Implantation Using a Scleral Tunnel Incision Technique

  • Justus Obergassel,
  • Peter Heiduschka,
  • Florian Alten,
  • Nicole Eter and
  • Christoph R. Clemens

19 November 2024

Background: The aim of this retrospective study was to compare the surgical and refractive outcomes using the Carlevale IOL (FIL SSF; SOLEKO) with those of the retropupillary-fixated Artisan IOL (Aphakia Model 205; OPHTEC), implanted through a 6 mm s...

  • Article
  • Open Access
1 Citations
1,514 Views
18 Pages

Portuguese Lipid Study (e_LIPID)

  • Joana Rita Chora,
  • Ana Catarina Alves,
  • Cibelle Mariano,
  • Quitéria Rato,
  • Marília Antunes and
  • Mafalda Bourbon

19 November 2024

Background/Objectives: Incidence of cardiovascular disease (CVD) is increasing in low- and middle-income countries because of changing lifestyles. Since dyslipidaemia is a major independent cardiovascular risk factor, its correct identification is cr...

  • Article
  • Open Access
1 Citations
1,398 Views
13 Pages

19 November 2024

Background: Patients with congenital heart disease (CHD) show risk factors for chronic kidney disease (CKD) and it is well known that CKD has a large negative impact on survival. Methods: Observational and prospective cohort study. Adult CHD patients...

  • Article
  • Open Access
3,925 Views
13 Pages

Management of COVID-19 Infection Associated Lung Abscess with Secondary Pleural Empyema Using Percutaneous Intracavitary Drainage: Case Series and Review of the Literature

  • Emanuel Palade,
  • Ioana-Medeea Titu,
  • Angela Elena Goia,
  • Tudor Dan Simu,
  • Sergiu Adrian Ciulic,
  • Simona Manole and
  • Monica Mlesnite

19 November 2024

Background/Objectives: COVID-19-related pulmonary complications, such as lung abscesses and pleural empyema, are rare but serious. This study presents a case series of three patients with COVID-19-associated lung abscesses complicated by pleural empy...

  • Review
  • Open Access
10 Citations
3,956 Views
29 Pages

Exosomal MicroRNAs in Alzheimer’s Disease: Unveiling Their Role and Pioneering Tools for Diagnosis and Treatment

  • Alhanof Alhenaky,
  • Safiah Alhazmi,
  • Sultan H. Alamri,
  • Heba A. Alkhatabi,
  • Amani Alharthi,
  • Mansour A. Alsaleem,
  • Sameh A. Abdelnour and
  • Sabah M. Hassan

19 November 2024

Alzheimer’s disease (AD) is a common neurodegenerative disorder that presents a significant health concern, often leading to substantial cognitive decline among older adults. A prominent feature of AD is progressive dementia, which eventually d...

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J. Clin. Med. - ISSN 2077-0383