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Obed A, Siyam M, Jarrad AA, Abdelhadi O, Ababneh M, Annab H, Füzesi L, Bashir A, Jarrad A. Unexpected long-term survival of Stage IV pancreatic cancer patient with synchronic liver metastases after multimodal therapy including upfront surgery. J Surg Case Rep 2023; 2023:rjac638. [PMID: 36636652 PMCID: PMC9831652 DOI: 10.1093/jscr/rjac638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 12/28/2022] [Indexed: 01/11/2023] Open
Abstract
We report the case of a 56-year-old male with pancreatic cancer and 25 liver metastases. The patient underwent a distal pancreatectomy with 11 metastasectomies in the left liver lobe. Histological examination demonstrated a moderately differentiated ductal adenocarcinoma with pT3N0M1, Stage IVb. Three weeks later, we performed transarterial chemoembolization for the right lobe of the liver, and after 6 weeks we started systemic chemotherapy with FOLFIRINOX. After 31 months, computer tomography examination showed increases in size of the remaining lesions at segment VII/VIII of the right lobe. All liver metastases were surgically removed and a new chemotherapy was initiated. Nevertheless, after 40 months the patient developed two brain metastases. One was surgically resected and the smaller lesion was treated by gamma knife. Unfortunately, the patient died 42 months after the first presentation. Conclusively, in very selected patients with synchronic liver metastasis, multimodal treatment including repeated surgery, TACE and chemotherapy may prolong survival.
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Affiliation(s)
- Aiman Obed
- Correspondence address. Hepatobiliary and Transplant Surgery, Jordan Hospital, Amman, Jordan. Tel: +962-6-5608030; Fax: +962-6-5608030; E-mail:
| | | | - Amr Anwar Jarrad
- Hepatology, Gastroenterology and Hepatobiliary, Jordan Hospital, Amman, Jordan
| | | | | | - Hassan Annab
- Department of Pathology, Jordan Hospital, Amman, Jordan
| | - Laszlo Füzesi
- Pathology, Faculty of Medicine, University of Augsburg, Augsburg, Germany
| | - Abdalla Bashir
- General and Transplant Surgery, Jordan Hospital, Amman, Jordan
| | - Anwar Jarrad
- Hepatology, Gastroenterology and Hepatobiliary/Transplant Unit, Jordan Hospital, Amman, Jordan
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Abdel-Qader DH, Hazza Alkhatatbeh I, Hayajneh W, Annab H, Al Meslamani AZ, Elmusa RA. IgA nephropathy in a pediatric patient after receiving the first dose of Pfizer-BioNTech COVID-19 vaccine. Vaccine 2022; 40:2528-2530. [PMID: 35339305 PMCID: PMC8942577 DOI: 10.1016/j.vaccine.2022.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 02/17/2022] [Accepted: 03/01/2022] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Wail Hayajneh
- Department of Pediatrics, Saint Louis University, USA
| | - Hassan Annab
- Nephrology Department, Jordan Hospital, Amman, Jordan
| | - Ahmad Z Al Meslamani
- AAU Health and Biomedical Research Center, Al Ain University, Abu Dhabi, United Arab Emirates.
| | - Reem A Elmusa
- Department of Pediatrics, Jordan University Hospital, Jordan
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Aladily TN, Khreisat W, Ashukhaibi O, Alkhatib SM, Annab H, Tarawneh MS, Salman TS, Abu Farsakh H, Mahgoub R, Bustami N, Mansour AT, Aldeen AlRyalat S, Abbadi AS, Al-Fararjeh F, Sughayer M, Jaber O. The epidemiology of lymphoma in Jordan: A nationwide population study of 4189 cases according to World Health Organization classification system. Hematol Oncol Stem Cell Ther 2020; 14:336-342. [PMID: 33212024 DOI: 10.1016/j.hemonc.2020.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 09/24/2020] [Accepted: 10/24/2020] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVE/BACKGROUND Lymphoma is a common human cancer that shows a variable geographic incidence worldwide. It is the fourth most common cancer in Jordan. Systemic reports of descriptive epidemiology on lymphoma from the Middle East are limited. METHODS A nationwide multi-institutional retrospective study was conducted covering all major hospitals and laboratories that provide diagnostic services. We collected data on all cases diagnosed with lymphoma between 2014 and 2019. The included variables were patients' age, gender, anatomic site, and the histologic type according to the World Health Organization classification system. RESULTS A total of 4189 cases were diagnosed with lymphoma. There was a statistically significant gender difference (p < .05), as 57.5% of patients were males. The peak incidence occurred at age 25-55 years. There were 1,652 (39%) cases of Hodgkin lymphoma (HL) and 2,537 (61%) of non-Hodgkin lymphoma (NHL), where nodular sclerosis (67%) and diffuse large B-cell lymphoma (53%) were the most common subtypes, respectively. The average age-adjusted incidence rates per 100,000 population were 8.01 for all lymphomas, 4.33 for NHL, and 3.16 for HL and all remained stable over the 6 years. CONCLUSION HL is the most common lymphoma in Jordan, with a percentage higher than most of reported studies in Asian and Western countries. It also shows a unimodal distribution of age-specific incidence rates, with a single peak in young adults. The incidence rate of HL is higher than Eastern countries but comparable to the West. In contrast, NHL demonstrates a lower incidence rate than Western countries but a similar distribution of subtypes, as mature T/natural killer-cell lymphomas were rare.
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Affiliation(s)
- Tariq N Aladily
- Department of Pathology, The University of Jordan, Amman, Jordan.
| | - Wiam Khreisat
- Directorate of Al-Bashir Hospital Laboratories and National Center for Forensic Medicine, Ministry of Health, Amman, Jordan
| | - Omar Ashukhaibi
- Pathology, Princess Iman Research and Laboratory Sciences Center, King Hussein Medical Center, Amman, Jordan
| | - Sohaib M Alkhatib
- Department of Pathology and Laboratory Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Hassan Annab
- Pathology and Laboratory Medicine, Jordan Hospital, Amman Jordan
| | | | | | | | - Randa Mahgoub
- Department of Pathology, The University of Jordan, Amman, Jordan
| | - Nadwa Bustami
- Department of Pathology, The University of Jordan, Amman, Jordan
| | - Ahmad T Mansour
- Department of Pathology, The University of Jordan, Amman, Jordan
| | | | - Abdalla S Abbadi
- Department of Hematology and Medical Oncology, The University of Jordan, Amman, Jordan
| | - Feras Al-Fararjeh
- Department of Hematology and Medical Oncology, The University of Jordan, Amman, Jordan
| | - Maher Sughayer
- Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan
| | - Omar Jaber
- Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan
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Al Ramahi JW, Annab H, Al Karmi M, Kirresh B, Wreikat M, Batarseh R, Yacoub M, Kaderi M. Chronic cutaneous mycobacterial ulcers due to Mycobacterium ulcerans (Buruli ulcer): the first indigenous case report from Jordan and a literature review. Int J Infect Dis 2017; 58:77-81. [PMID: 28344056 DOI: 10.1016/j.ijid.2017.02.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 02/14/2017] [Accepted: 02/18/2017] [Indexed: 10/19/2022] Open
Abstract
BACKGROUND Buruli ulcer is the third most common mycobacterial infection worldwide. It is endemic in tropical, subtropical, and temperate climates. It causes devastating disease with morbidity and mortality. The treatment duration is long and the regimens considered are limited. Chronic cutaneous ulcers of mycobacterial etiology have been reported previously in Amman, but these were not associated with Mycobacterium ulcerans infection. METHODS The case patient's initial diagnosis was based on chronological and morphological features, combined with appropriate diagnostic tests. The skin features were assessed histopathologically. Skin testing was positive for acid-fast bacilli (AFB), and M. ulcerans was identified by DNA strip test (GenoType Mycobacterium CM/AS, Hain Lifescience), which is based on a PCR technique targeting a 23S rRNA gene region, followed by reverse hybridization and a line probe technology. RESULTS The skin mycobacterial infection was evaluated and verified as having a Mycobacterium marinum-M. ulcerans pattern in the GenoType CM assay. It was then counted as a pattern representing individual species and was resolved with the GenoType AS assay as having an M. ulcerans pattern. M. ulcerans DNA was isolated and amplified by PCR, and then detected against reverse hybridization probes in the strip assay. CONCLUSIONS An indigenous case of M. ulcerans (Buruli ulcer) is reported for the first time from Jordan and the surrounding region.
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Affiliation(s)
- Jamal Wadi Al Ramahi
- University of Jordan, School of Medicine and Al Khalidi Medical Center, 29 Adeeb Wahbeh St., Amman 11118, Jordan.
| | - Hassan Annab
- Laboratory Department, Jordan Hospital and Medical Center, Amman, Jordan
| | - Mutaz Al Karmi
- Surgical Department, Jordan Hospital and Medical Center, Amman, Jordan
| | - Basel Kirresh
- Surgical Department, Jordan Hospital and Medical Center, Amman, Jordan
| | - Mahmoud Wreikat
- Surgical Department, Jordan Hospital and Medical Center, Amman, Jordan
| | - Rami Batarseh
- Internal Medicine Department, Jordan Hospital and Medical Center, Amman, Jordan
| | - Muhannad Yacoub
- Molecular and PCR Laboratory, Al Takhassusi Hospital, Amman, Jordan
| | - Mais Kaderi
- Internal Medicine Department, Jordan Hospital and Medical Center, Amman, Jordan
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Abstract
Of the 306 subjects studied, who had had hydatid cysts (Echinococcus granulosus) surgically excised in Jordan, 185 (60%) were female and 121 (40%) male. The liver was the most affected organ (57.8%), followed by the lung (26.4%). The kidneys, spleen, brain, soft tissues of neck, appendix and mesentery were less frequent sites. Multiple-organ infection was seen in 23 patients (7.5%). Over a third of the cases (35.8%) was aged < 21 years and the commonest occupation was housewife, followed by school student. The epidemiology of hydatidosis transmission in Jordan is discussed.
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Affiliation(s)
- S S Amr
- Department of Pathology, Jordan University Hospital, Amman
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