Six patients with mucinous eccrine carcinoma of the eyelid were identified in the case records of the L.F. Montgomery Laboratory. Five of these patients had undergone Mohs micrographic surgery after their initial diagnosis. Follow-up ranged from three months to eight years. Four patients with negative margins of excision had no evidence of recurrence, one patient was lost to follow-up and one patient with positive margins of excision had two recurrences after incomplete excision of the tumor. We recommend surgical excision of mucinous eccrine carcinoma of the eyelid with histologic monitoring of the surgical margins of resection.
Analysis of the attitudes of a 1977 cross-sectional sample of 1,530 American adults concerning euthanasia and suicide indicates that sex, age, and education are significant variables. Males, those who are younger and those who are better educated, are more likely to approve of euthanasia and suicide when a person has an incurable disease. Religious affiliation was not an important variable, although those who were frequent church-service attenders or who were high on religiosity were highly likely to reject euthanasia and suicide.
This is a survey undertaken to assess the importance of age in determining the use of both conventional (licit) and deviant (illicit) drugs among junior and high school students in the Brazos Valley, Texas, in 1976. In addition the age-drug use relationships were examined in terms of the age, sex, and residence of the respondents. The results show that the use of conventional drugs (e.g., tobacco and alcohol) increases with age, but no such relationship obtains for deviant drugs. Curvilinem relationships are evidenced in the deviant drug-age relationships. Patterns of drug use appear to be characteristic by specific sex, racial, and residential subgroups. Black females, especially those from rural areas use deviant drugs such as hallucinogens, heroin, cocaine, and solvents at rates which equal or exceed the rates of other subgroups, but are 30 per cent less likely to use beer than urban white females.
PURPOSE. Rhabdomyosarcoma is the most common primary orbital malignant tumor in children. Though rare above the age of twenty, the authors present a case of primary orbital rhabdomyosarcoma in an adult and review the literature. DESIGN. Clinico-pathologic case report. METHODS. A 34-year-old man presented with a recurrent orbital tumor four years after initial excision. This tumor was initially misdiagnosed elsewhere as Merkel cell tumor on the basis of spurious immunohistochemical studies. Excision biopsy of the recurrent orbital mass was performed. MAIN OUTCOME MEASURES. MRI of the orbit and brain was done as well as histopathologic examination and immunohistochemistry of the excised mass. RESULTS. Histopathologic study of the excised orbital tumor revealed rhabdomyosarcoma. CONCLUSION. Careful microscopic evaluation and immunohistochemical stains are important in confirming the diagnosis of atypical cases of orbital tumors.
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