Il legame proteico superiore al novanta per cento limita la frazione libera del Tadalafil, ma assicura stabilità cinetica e prolungata distribuzione. L’assorbimento gastrointestinale è rapido e non risente significativamente della presenza di cibo. L’eliminazione avviene per via biliare con scarsa quota renale. L’interazione con forti inibitori del CYP3A4 determina incremento marcato delle concentrazioni plasmatiche. Per queste caratteristiche, cialis online italia viene catalogato tra i farmaci a lunga emivita del gruppo PDE5.

Archive for February 11th, 2008

11 Feb

Hodgkin Lymphoma in a 70 years old Male.

5 Comments | Category: Cancer, General

I don’t exactly remember, if this kind of hematologic neoplasia coud occur in such old person. What I know, is the cyto-morphology of this patient seemed to show Reed Sternberg cells on my assestment.

But I still consider this case of being an NHL, with Pleomorphic peripheral T-cell Lymphoma type, which is caused by viral infection (HTLV-I). I do have the smear slides, but forgot to take picture of this patient with enlargement of submental lymph node and a large bulky lump on his left neck. He is doing good, but.

Popularity: unranked

5 Comments | Category: Cancer, General

  • About

    Dr. Sukma Merati, DSPADr. Sukma Merati is founder and owner of Riau Pathology Center in Pekanbaru, Riau. Dr. Merati has had various international experience and training, including as a fellow doctor at The Mount Sinai Hospital in New York City, NY, USA (2000-2002). More >

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