Metachronic malignant transformation of small bowel and rectal endometriosis in the same patient

[ES] Background: Malignant transformation of intestinal endometriosis is a rare event with an unknown rate of incidence. Metachronous progression of endometriosis to adenocarcinoma from two distant intestinal foci happening in the same patient has not been previously reported. Case presentation: We describe a case of metachronic transformation of ileal and rectal endometriosis into an adenocarcinoma occurring in a 45-year-old female without macroscopic pelvic involvement of her endometriosis. First, a right colectomy was performed due to intestinal obstruction by an ileal mass. Pathological examination revealed an ileal endometrioid adenocarcinoma and contiguous microscopic endometriotic foci. Twenty months later, a rectal mass was discovered. An endoscopic biopsy revealed an adenocarcinoma. En bloc anterior rectum resection, hysterectomy and bilateral salpingectomy were performed. A second endometrioid adenocarcinoma arising from a focus of endometriosis within the wall of the rectum was diagnosed. Conclusion: Intestinal endometriosis should be considered a premalignant condition in premenopausal women.

Do boys and girls shere the same characteristics when they are equally classified as active or inactive?

[EN] Participation in regular physical activity in young ages is associated with health benefits. Understanding the correlated factors of physical activity is essential for the development and improvement of public health intervention. The aim of this study was to compare boys and girls when they are classified as active or inactive.

Complex stochastic boolean systems: comparing bitstrings with the same hamming weight

[EN]A complex stochastic Boolean system (CSBS) is a complex system depending on an arbitrarily large number

High plasticity of loggerhead nesting site fidelity: from using repeatedly the same small beach during different seasons to deposit consecutive nests in different islands distant more than 100 km

[EN] Sea turtles exhibit a strong natal homing associated with a high nesting site philopatry. Mark-recapture and genetic studies confirm these patterns suggesting differences among and within species. In the present study, we have analysed the degree of nest site fidelity of a loggerhead population nesting on the islands of Cape Verde and have evaluated the existence of intrapopulational variability in this trait. The loggerhead is the only sea turtle species that nests in Cape Verde, and 15,000–25,000 nests per season have been estimated for the whole archipelago.