Correspondence to Christina Steger, Christina.M. Steger@i-med.ac.at CS and HS contributed equally to this work. SummaryThymolipomas are rare tumours located in the anterior mediastinum. Sometimes these tumours may be combined with thymomas or lymphomas. We present a unique case of a thymic carcinoid arising within a thymolipoma. A 68-year-old patient presented with chronic chest and neck pain, which was initially thought to be caused by coronary artery disease. A chest x-ray, exercise tolerance test and coronary angiography were unremarkable. The following CT scan of the neck and chest showed a small tumour in the anterior mediastinum. A robotic-assisted thymectomy was performed and histological examination revealed a neuroendocrine tumour of the thymus within a thymolipoma. The patient was discharged 3 days after surgery in good general condition. BACKGROUND
We present the case of a 62-year-old woman who consulted her physician in December 2005, suffering from a mass at the left lower anterior neck with rapid enlargement. Intraoperative frozen section was highly suspicious of a CASTLE tumour (carcinomas showing thymus-like differentiation). Finally, immunohistochemical investigation revealing positivity for CK5/6, c-kit (CD117) and CD5 as well as negativity for thyroglobulin, calcitonin, vimentin and TTF-1 confirmed the diagnosis. Due to lymph node metastases, radiochemotherapy was performed. Fifteen months after the initial diagnosis disseminated pulmonary metastases were found and treated with cisplatin based chemotherapy, which led to a stabilisation of the disease. In June 2008, computed tomography showed progress of the pulmonary metastases, making further chemotherapeutical treatment necessary. Although treatment was changed in October 2008, the staging evaluation in January 2009 revealed further progress of the metastatic disease. Currently, the patient is still alive, but receives no medical treatment at the moment.
La présente étude porte sur les pères en congé parental au Tirol. Les auteurs constatent que les réflexions systématiques à propos des pères en congé sont rares. Les auteurs tentent de répondre à la question suivante : le congé parental a-t-il des implications sur l'attachement père-enfant ? L'étude pilote porte sur un échantillon de 15 dyades père-enfant. La description et l'analyse du comportement d'interaction père-enfant ont été effectuées à l'aide du Child Adult Relationship Index (CARE-Index) élaboré par Crittenden (1988, 2000).A pilot study of fathers on parental leave in Tirol The current study examines fathers in parental leave in Tirol. The authors have come to realise that systematic reflections concerning fathers on leave of their work are rare. The authors attempt to answer the following question: does parental leave have implications on child/father attachment? The pilot study examines a small sample of 15 father/child couples. The description and analysis of father/child interactions was elaborated with the Child Adult Relationship Index (CARE-Index) designed by Crittenden (1988, 2000).Un proyecto piloto sobre el permiso parental en Tirol El estudio trata de los padres en permiso parental en Tirol. Los autores constatan que son muy pocas las reflexiones systématicas sobre los padres en permiso. ¿Tiene el permiso parental implicaciones sobre el apego padre-hijo? Los autores tratan de responder a esta pregunta en un estudio piloto con una muestra de 15 dyadas padre-hijo. La descripción y el analisis del comportamiento de la interaccion padre-hijo han sido realisadas con la ayuda del Child Adult Relationship Index (CARE-Index) elaborado por Crittenden (1988, 2000)
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