This content is machine translated Radiochemotherapy as therapy of choice Anal carcinoma: diagnostics and current treatment concepts Risk factors for anal carcinoma include female sex, human papillomavirus infections, promiscuity/anal intercourse, smoking, and immunosuppression (e.g., HIV infection). If there are abnormal findings on inspection, palpation, and/or anoscopy, the…
View Post 8 min This content is machine translated From adjuvant to neoadjuvant radio/radiochemotherapy. Multimodal therapy of rectal cancer Analogous to the S3 guideline of the DKG 2014, recommendations can be made depending on the stage. Stage I: Here, total mesorectal excision (TME) alone is standard. Stage II and…
View Post 5 min This content is machine translated Non-infectious dermatoses in the genital area The spectrum ranges from inflammatory to malignant dermatoses Dermatoses in the genital area are not always infectious in nature. It is important to distinguish inflammatory dermatoses from malignant changes (e.g. erythroplasia as a manifestation of Bowen’s disease). Contact…
View Post 4 min This content is machine translated Striking accumulation of genital mycoses in Triemli and USZ Genital mycosis as a new entity of STI? If there are sharply demarcated, erythematous and scaly plaques or pustules in the genital area, tinea should be considered. To avoid scarring alopecia, rapid antifungal treatment should be initiated after…
View Post 7 min This content is machine translated Early detection of colorectal cancer Colonoscopy: who, when, for everyone? Colonoscopy is the gold standard of screening for colorectal cancer (CRC), preventing 70-80% of CRC. Screening colonoscopy is covered by health insurance for moderate-risk individuals starting at age 50 and…
View Post 7 min This content is machine translated Pancreas transplant Improved survival, glucose control and quality of life Pancreas transplantation is a standard treatment option for patients with type 1 diabetes and concomitant higher-grade diabetic nephropathy. Pancreas transplantation offers the chance of permanent insulin freedom, a reduction in…
View Post 9 min This content is machine translated New antidiabetic agents Combination therapies enable very potent HbA1c reduction Lifestyle modification (exercise, diet) and metformin remain the cornerstones in the treatment of diabetes mellitus type 2. Before initiating antidiabetic therapy, it is recommended to set an individual HbA1c target. Advantages…
View Post 6 min This content is machine translated Wounds, sprains, fractures Trauma to the hand: the essentials for the primary care provider Most hand injuries can be evaluated and treated by the primary care provider. It is important to identify injuries that require surgical management.For the common distal radius fracture, an anatomic…
View Post 7 min This content is machine translated Therapy of anterior cruciate ligament rupture Cruciate ligament preservation surgical techniques offer a new treatment option The treatment decision after cruciate ligament injury remains difficult. Instrumented stability measurement is an additional valuable parameter. Concomitant injuries to the meniscus and cartilage argue for (rapid) surgical treatment of…
View Post 6 min This content is machine translated Current status of a nearly 70-year therapy Radioiodine therapy in differentiated thyroid carcinoma. For papillary and follicular thyroid carcinomas, ablative radioiodine therapy with TSH stimulation is given four to six weeks after surgery. Studies show that high standard activity (3.7 GBq vs. 1.1…
View Post 7 min This content is machine translated Pituitary tumors Surgical therapy when and how? In case of visual symptoms or disturbances of hormonal function, an adenoma of the pituitary gland may be present, which must be considered and clarified endocrinologically and by means of…