Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

An Atypical Initial Presentation of Hepatocellular Carcinoma as Spinal Cord Compression | OMICS International | Abstract
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

An Atypical Initial Presentation of Hepatocellular Carcinoma as Spinal Cord Compression

Swathi Sangli1,3, Pavan Kumar Mankal2*, Evan Fowle4, Jean Abed1, Eileen O’Reilly3 and Donald P. Kotler2

1Department of Medicine, Mount Sinai St. Luke’s and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, NY, USA

2Division of Gastroenterology, Department of Medicine, Mount Sinai St. Luke’s and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, NY, USA

3Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

4Department of Pathology, Mount Sinai St. Luke’s and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, NY, USA

Corresponding Author:
Pavan Kumar Mankal
MD, MA, Division of Gastroenterology
Department of Medicine Mount Sinai St. Luke's and Roosevelt
Hospitals Icahn School of Medicine at Mount Sinai, 1000 10th Ave.
New York, NY, 10019, USA
Tel: 212-523-4400
E-mail: pmankal@chpnet.org

Received Date: April 04, 2016; Accepted Date: April 18, 2016; Published Date: April 25, 2016

Citation: Sangli S, Mankal PK, Fowle E, Abed J, O’Reilly E, et al. (2016) An Atypical Initial Presentation of Hepatocellular Carcinoma as Spinal Cord Compression. J Gastrointest Dig Syst 6:416. doi:10.4172/2161-069X.1000416

Copyright: © 2016 Singli S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A young male with quiescent hepatitis B presented with sub-acute onset of lower limb weakness found to have an incidental hepatoma that had metastasized to the vertebrae causing an oncologic emergency in the form of spinal cord compression, a rare initial presentation in HBV-related hepatocellular carcinoma (HCC).

Keywords

Top