Small cell neuroendocrine carcinoma (SNEC) mainly occurs in the lung, and is rarely found in the head and neck region. Only a few cases of sinonasal SNEC have been reported in the English literature. A woman

aged 53 years, who had undergone successful curative radiotherapy for nasopharyngeal carcinoma 10 years earlier, presented with a history of bleeding from the left nostril for several weeks. A computed tomography scan of the head and neck showed a mass in the left nasal cavity with extension into the maxillary sinus. A biopsy specimen was taken and pathology revealed SNEC. The patient underwent a full course of concurrent chemoradiotherapy. No local learn more recurrence or distant metastasis was noted during the 12 months of follow-up.”
“Background and aims: Our first objective was to evaluate the immune response to the adjuvanted 2009 A/H1N1 pandemic (pH1N1) vaccine

in inflammatory bowel disease (IBD) YH25448 patients treated with anti-TNF-alpha alone or combined with immunosuppressants (IS). Second and third aims were the safety of pH1N1 vaccine and the effects on IBD clinical activity.

Methods: 36 patients with Crohn’s disease (CD) and 26 with ulcerative colitis (UC) and thirty-one healthy control (HC) subjects were enrolled. 47 patients were on anti TNF-alpha maintenance monotherapy and 15 on anti TNF-alpha combined with IS. Sera were collected at baseline (T0) and 4 weeks after the vaccination (T1) for antibody determination

check details by hemagglutination inhibition (HAI). Disease activity was monitored at T0 and T1.

Results: Seroprotective titers (>= 1:40) in patients were comparable to HC. Seroconvertion rate (>= 4 fold increase in HAI titer) was lower than HC in IBD patients (p = 0.009), either on anti TNF-alpha monotherapy (p = 0.034) or combined with IS (p = 0.011). Geometric mean titer (GMT) of antibodies at T1 was significantly lower in patients on combined therapy versus those on monotherapy (p = 0.0017) and versus HC (p = 0.011). The factor increase of GMT at T1 versus T0 was significantly lower in IBD patients versus HC (p = 0.042), and in those on combined immunosuppression, both versus monotherapy (p = 0.0048) and HC (p = 0.0015). None of the patients experienced a disease flare.

Conclusion: Our study has shown a suboptimal response to pH1N1 vaccine in IBD patients on therapy with anti TNF-alpha and IS compared to those on anti-TNF-alpha monotherapy and HC. (c) 2012 European Crohn’s and Colitis Organisation. Published by Elsevier B.V. All rights reserved.”
“Case Description-3 horses were referred for treatment of subchondral cystic lesions of 1 or both medial femoral condyles.