1.Intravascular schwannoma as an extremely unusual cause of vein obstruction: a case report
Luis Miguel CHINCHILLA-TÁBORA ; Beatriz Segovia BLÁZQUEZ ; José María SAYAGUÉS ; Marta Rodríguez GONZÁLEZ ; Joaquín GONZÁLEZ-RIVERO ; José Antonio Muñoz LEÓN ; Andrea Beatriz Jiménez PÉREZ ; Idalia González MORAIS ; Diego BUENO-SACRISTÁN ; María Dolores LUDEÑA
Journal of Pathology and Translational Medicine 2024;58(5):249-254
The blood vessel lumen is an extremely rare location for a benign peripheral nerve sheath tumor like schwannoma. Less than 10 cases have been previously reported. In this report, we present a case of a 68-year-old woman who had a soft tissue nodule at the posterior calf of her left leg during a physical examination. Pathological examination was performed after complete surgical excision. The patient underwent follow-up for 12 months after surgery without evidence of recurrence or any other complication. This is the first case of intravascular schwannoma reported as a cause of vein obstruction. Microscopically, the tumor was composed of Schwann spindle cells that were immunoreactive for S100 protein and SOX10. This tumor was surrounded by a well-defined vascular smooth muscle wall. Prospective series are required to improve the knowledge on the underlying mechanisms of intravascular schwannoma development.
2.Clinical Parameters in the First 5 Minutes after Birth Have a Predictive Value for Survival of Extremely Preterm Infants
Laura TORREJÓN-RODRÍGUEZ ; Álvaro SOLAZ-GARCÍA ; Inmaculada LARA-CANTÓN ; Alejandro PINILLA-GONZÁLEZ ; Marta AGUAR ; Máximo VENTO
Maternal-Fetal Medicine 2023;05(4):244-247
Extreme preterm infants (<28 weeks' gestation) often require positive pressure ventilation with oxygen during postnatal stabilization in the delivery room. To date, optimal inspired fraction of oxygen (FiO 2) still represents a conundrum in newborn care oscillating between higher (>60%) and lower (<30%) initial FiO 2. Recent evidence and meta-analyses have underscored the predictive value for survival and/or relevant clinical outcomes of the Apgar score and the achievement of arterial oxygen saturation measured by pulse oximetry ≥85% at 5 minutes after birth. New clinical trials comparing higher versus lower initial FiO 2 have been launched aiming to optimize postnatal stabilization of extreme preterm while avoiding adverse effects of hypoxemia or hyperoxemia.
3.Clinical Parameters in the First 5 Minutes after Birth Have a Predictive Value for Survival of Extremely Preterm Infants
Laura TORREJÓN-RODRÍGUEZ ; Álvaro SOLAZ-GARCÍA ; Inmaculada LARA-CANTÓN ; Alejandro PINILLA-GONZÁLEZ ; Marta AGUAR ; Máximo VENTO
Maternal-Fetal Medicine 2023;05(4):244-247
Extreme preterm infants (<28 weeks' gestation) often require positive pressure ventilation with oxygen during postnatal stabilization in the delivery room. To date, optimal inspired fraction of oxygen (FiO 2) still represents a conundrum in newborn care oscillating between higher (>60%) and lower (<30%) initial FiO 2. Recent evidence and meta-analyses have underscored the predictive value for survival and/or relevant clinical outcomes of the Apgar score and the achievement of arterial oxygen saturation measured by pulse oximetry ≥85% at 5 minutes after birth. New clinical trials comparing higher versus lower initial FiO 2 have been launched aiming to optimize postnatal stabilization of extreme preterm while avoiding adverse effects of hypoxemia or hyperoxemia.

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