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1. Lázaro B, Klemz M, Flores MS, Landeiro JA: Malignant paraganglioma with vertebral metastasis: case report. Arq Neuropsiquiatr; 2003 Jun;61(2B):463-7
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  • [Title] Malignant paraganglioma with vertebral metastasis: case report.
  • A paraganglioma is a rare tumor, composed of chromaffin cells, groups of cells associated to the autonomous system.
  • When the tumor occurs in the adrenal gland, it is called pheochromocitoma.
  • The malignant paraganglioma is a very rare presentation; it is diagnosed by local recurrence after total resection of the primary mass, or findings of distant metastases.
  • We present a case report of a 29-year-old woman with cervico-brachial pain.
  • In 1995 she underwent a carotid body tumor resection.
  • Magnetic resonance imaging (MRI), plain X-rays and computerized tomography scan revealed multiple lesions in C5, T5 and T12.
  • She underwent a surgical procedure to correct the cervical lesion.
  • The histological and immunohistochemical assays revealed a malignant paraganglioma.
  • She received adjuvant radiotherapy, showing clinical improvement after treatment, presenting no symptoms after one year.
  • The therapeutic approach is based on the total resection of the tumor.
  • The treatment of distant metastases can be made with adjuvant measures such as conventional radiotherapy, I 131-MIBG, or chemotherapy, especially in malignant pheochromocitomas.
  • [MeSH-major] Carotid Body Tumor / pathology. Head and Neck Neoplasms / pathology. Spinal Neoplasms / secondary
  • [MeSH-minor] Adult. Combined Modality Therapy. Female. Humans. Magnetic Resonance Imaging. Tomography, X-Ray Computed

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  • (PMID = 12894286.001).
  • [ISSN] 0004-282X
  • [Journal-full-title] Arquivos de neuro-psiquiatria
  • [ISO-abbreviation] Arq Neuropsiquiatr
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Brazil
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2. Bakoyiannis KC, Georgopoulos SE, Klonaris CN, Tsekouras NS, Felekouras ES, Pikoulis EA, Griniatsos JE, Papalambros EL, Bastounis EA: Surgical treatment of carotid body tumors without embolization. Int Angiol; 2006 Mar;25(1):40-5

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical treatment of carotid body tumors without embolization.
  • AIM: Carotid body (CB) paragangliomas are rare neoplasms, usually benign.
  • This study deals with our 10-year experience in their surgical treatment and the evaluation of its effectiveness, without preoperative embolization.
  • METHODS: During a 10-year period, from 1995 to 2004, we studied the medical records of 11 patients with CB tumors, 8 males and 3 females, whom only one had bilateral tumors.
  • Twelve tumors were surgically resected and no patient underwent preoperative selective embolism of his tumor.
  • Two patients had carotid endarterectomies with venous patch angioplasty.
  • No one of the patients underwent radiotherapy or chemotherapy.
  • RESULTS: Perioperative mortality was zero.
  • One patient, with a grade III tumor, had an injury of the internal carotid artery that was repaired with a vein patch.
  • Three patients had temporal cranial nerve lesions that resolved within 3 months.
  • No malignancy was found even in a 10-year follow-up.
  • CONCLUSIONS: Early surgical treatment is strongly recommended in almost all patients.
  • Preoperative embolism of the tumor does not need to be a routine procedure.
  • [MeSH-major] Carotid Body Tumor / surgery. Endarterectomy, Carotid
  • [MeSH-minor] Adult. Aged. Angioplasty. Female. Humans. Male. Medical Records. Middle Aged. Neoplasm Staging. Retrospective Studies. Survival Analysis. Treatment Outcome

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  • (PMID = 16520723.001).
  • [ISSN] 0392-9590
  • [Journal-full-title] International angiology : a journal of the International Union of Angiology
  • [ISO-abbreviation] Int Angiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
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3. Pacheco-Ojeda L: Malignant carotid body tumors: report of three cases. Ann Otol Rhinol Laryngol; 2001 Jan;110(1):36-40

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  • [Title] Malignant carotid body tumors: report of three cases.
  • The aim of the current report was to describe 3 cases of malignant carotid body tumor (CBT) and to review the literature.
  • The first was in a 40-year-old man who presented with pulmonary metastases 6 years after resection of a CBT.
  • He was treated with chemotherapy and interferon, but died with disseminated disease 2 years later.
  • The second case was in a 56-year-old woman who had a 5-cm, fixed, hard mass in the upper aspect of the neck and a paralysis of the left vocal cord.
  • This lesion was completely resected, and a shunt and reconstruction with a saphenous vein graft were performed.
  • Pathology revealed a malignant chemodectoma with invasion to 2 of the 5 lymph nodes removed.
  • Radiotherapy (50 Gy) was given after the operation.
  • She is well and free of disease 68 months after the resection.
  • The third case was in a 61-year-old woman who presented with an 8-cm nontender, hard, immobile mass in the left upper neck that displaced the left wall of the oropharynx toward the midline.
  • A carotid arteriogram showed a CBT.
  • On computed tomography, the tumor extended to the infratemporal fossa with no bone involvement.
  • The lesion was embolized with a 40% reduction in vascularity.
  • At surgical exploration, the tumor involved the sternocleidomastoid muscle and the lymph nodes at levels II and III, and the internal carotid artery could not be dissected free at the skull base, so only a partial resection was performed.
  • Locoregional control is usually obtained with complete primary tumor resection and lymphadenectomy and eventual radiotherapy.
  • Current multidisciplinary treatments have been unsuccessful in controlling disseminated disease.
  • [MeSH-major] Carotid Body Tumor. Paraganglioma, Extra-Adrenal
  • [MeSH-minor] Adult. Female. Humans. Male. Middle Aged

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  • (PMID = 11201806.001).
  • [ISSN] 0003-4894
  • [Journal-full-title] The Annals of otology, rhinology, and laryngology
  • [ISO-abbreviation] Ann. Otol. Rhinol. Laryngol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 38
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4. Rückert RI, Fleige B, Rogalla P, Woodruff JM: Schwannoma with angiosarcoma. Report of a case and comparison with other types of nerve tumors with angiosarcoma. Cancer; 2000 Oct 1;89(7):1577-85
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  • [Title] Schwannoma with angiosarcoma. Report of a case and comparison with other types of nerve tumors with angiosarcoma.
  • BACKGROUND: Schwannoma with angiosarcomatous change is a rare tumor, the clinical characteristics of which have not been analyzed.
  • METHODS: A patient with schwannoma with angiosarcoma arising in the midneck and clinically mimicking a carotid body paraganglioma is described with a literature review of all previously reported cases and a comparison of their clinical features with those of schwannoma with conventional malignant transformation and cases of neurofibroma and malignant peripheral nerve sheath tumor (MPNST) with angiosarcoma.
  • RESULTS: There are four reported cases, including the present case.
  • Three tumors arose from the vagus nerve in the neck.
  • Three of the four angiosarcomas were epithelioid in type.
  • Treatment in all cases was surgical resection followed by radiation and chemotherapy in one case and by radiation alone in another.
  • One patient died with residual local angiosarcoma 5 months after the diagnosis.
  • The remaining three patients were alive and disease free at 27 months, 43 months, and 90 months, with distant metastasis (after 15 months) reported only in the patient described in this case report.
  • CONCLUSIONS: Schwannoma with angiosarcoma should be included in the differential diagnosis of presumed carotid body paragangliomas.
  • Like angiosarcoma alone and schwannoma with conventional malignant transformation, but unlike cases of neurofibroma and MPNST with angiosarcoma, the patients are older adults, and there is a male prevalence.
  • Schwannoma with angiosarcoma is capable of local spread with a fatal outcome and of distant metastasis, but follow-up strongly suggests that these patients have a better prognosis than patients with neurofibroma or MPNST with angiosarcoma.
  • Recommended treatment is attempted complete surgical resection followed by radiation therapy and chemotherapy, if it can be tolerated by the patient.
  • [MeSH-major] Carotid Body Tumor / pathology. Hemangiosarcoma / pathology. Nerve Sheath Neoplasms / pathology. Neurilemmoma / pathology. Paraganglioma / pathology
  • [MeSH-minor] Cell Transformation, Neoplastic. Diagnosis, Differential. Humans. Male. Middle Aged. Prognosis

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  • (PMID = 11013374.001).
  • [ISSN] 0008-543X
  • [Journal-full-title] Cancer
  • [ISO-abbreviation] Cancer
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] UNITED STATES
  • [Number-of-references] 23
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5. Zhang WC, Zhang L, Wang XD, Wu YS: [Clinical and pathological analysis of malignant carotid body tumor]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi; 2008 Aug;43(8):591-5
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  • [Title] [Clinical and pathological analysis of malignant carotid body tumor].
  • OBJECTIVE: To summarize the clinical, pathological and prognosis character of malignant carotid body tumor and explore its methods of diagnosis and treatment.
  • METHODS: The data of clinic, pathology, treatment and follow-up of nine patients with malignant carotid body tumor in Tianjin Cancer Hospital from February 1982 to June 2006 were analyzed retrospectively.
  • RESULTS: Four Male and five female cases were included, their average history was 6.5 years.
  • Shamblin classification: one case was type II, eight cases were type III.
  • Seven cases were diagnosed as carotid body tumor.
  • Five cases underwent Matas test training course.
  • All the patients were performed wide excision of tumor and surrounding tissue.
  • Three carotids were occludes, one of them reconstructed with vascular prosthesis, two were resected.
  • Before operation, one case had atrophy of left side of tongue and fixed left vocal card; two cases had Horner syndrome.
  • After operation, eight cases had 13 cranial nerve deficits, they were: two cerchnus, four glossal deviation, three Horner syndrome and one drop of oral corner, one choking cough.
  • Pathologic diagnosis included nine malignant carotid body tumors, two with capsule, seven without capsule, one cervical and one lung metastasis.
  • Two cases died, one died of cervical recurrence, the other of lung cancer.
  • One case was lost.
  • CONCLUSIONS: Malignant carotid body tumor is rare in clinic, and often invade the carotid and cranial nerve, the diagnosis of malignant tumor should base on occurring extensive invasion of adjacent organs and metastasis; Wide surgical excision should be selected early, radiotherapy is effective, the effect of chemotherapy is uncertainty.
  • [MeSH-major] Carotid Body Tumor / pathology. Carotid Body Tumor / surgery. Head and Neck Neoplasms / pathology. Head and Neck Neoplasms / surgery
  • [MeSH-minor] Adult. Cranial Nerves / pathology. Female. Humans. Male. Middle Aged. Prognosis. Retrospective Studies. Treatment Outcome

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  • (PMID = 18959263.001).
  • [ISSN] 1673-0860
  • [Journal-full-title] Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
  • [ISO-abbreviation] Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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6. Sawhney SA, Chapman AD, Carney JA, Gomersall LN, Dempsey OJ: Incomplete Carney triad--a review of two cases. QJM; 2009 Sep;102(9):649-53
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  • A curious association of three rare tumours was described by Carney in 1977.
  • 'Carney's triad' characteristically includes multifocal pulmonary chondroma, gastric stromal sarcoma and extra-adrenal paraganglioma.
  • Carney acknowledged that, of 79 patients, only 17 possessed all three tumours.
  • [MeSH-major] Chondroma / diagnosis. Gastrointestinal Stromal Tumors / diagnosis. Liver Neoplasms / diagnosis. Lung Neoplasms / diagnosis. Paraganglioma, Extra-Adrenal / diagnosis
  • [MeSH-minor] Adult. Anti-Bacterial Agents / therapeutic use. Antineoplastic Agents / therapeutic use. Benzamides. Bronchial Diseases / drug therapy. Bronchial Diseases / etiology. Female. Humans. Imatinib Mesylate. Neoplasms, Multiple Primary / diagnosis. Piperazines / therapeutic use. Pyrimidines / therapeutic use. Tomography, X-Ray Computed

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  • (PMID = 19561114.001).
  • [ISSN] 1460-2393
  • [Journal-full-title] QJM : monthly journal of the Association of Physicians
  • [ISO-abbreviation] QJM
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Anti-Bacterial Agents; 0 / Antineoplastic Agents; 0 / Benzamides; 0 / Piperazines; 0 / Pyrimidines; 8A1O1M485B / Imatinib Mesylate
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7. Kavakli K, Ozturk M, Ongoru O, Gürkök S, Genc O: Primary pulmonary paraganglioma with Hodgkin's lymphoma. Thorac Cardiovasc Surg; 2009 Sep;57(6):375-7
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  • [Title] Primary pulmonary paraganglioma with Hodgkin's lymphoma.
  • Extra-adrenal paragangliomas are uncommon tumors arising from neuroectodermal-derived paraganglionic tissue.
  • There are very few case reports on primary pulmonary paraganglioma in the literature.
  • We present the case of a 21-year-old man who was treated with chemotherapy for Hodgkin's lymphoma.
  • Only a partial response was noted so he underwent additional chemotherapy and involved field radiotherapy.
  • PET-CT showed pathological activity in the lung parenchyma.
  • Subsequent bronchoscopic biopsy showed paraganglioma and the patient underwent a left lower lobectomy.
  • [MeSH-major] Hodgkin Disease / diagnosis. Lung Neoplasms / diagnosis. Paraganglioma, Extra-Adrenal / diagnosis
  • [MeSH-minor] Antineoplastic Combined Chemotherapy Protocols. Biopsy. Bronchoscopy. Chemotherapy, Adjuvant. Humans. Lymph Node Excision. Male. Pneumonectomy. Positron-Emission Tomography. Radiotherapy, Adjuvant. Tomography, X-Ray Computed. Treatment Outcome. Young Adult

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  • [Copyright] Georg Thieme Verlag KG Stuttgart New York.
  • (PMID = 19707986.001).
  • [ISSN] 1439-1902
  • [Journal-full-title] The Thoracic and cardiovascular surgeon
  • [ISO-abbreviation] Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Germany
  • [Number-of-references] 7
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8. Zhang WC, Cheng JP, Li Q, Zhang L, Wang XD, Anniko M: Clinical and pathological analysis of malignant carotid body tumour: a report of nine cases. Acta Otolaryngol; 2009 Nov;129(11):1320-5

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  • [Title] Clinical and pathological analysis of malignant carotid body tumour: a report of nine cases.
  • CONCLUSIONS: Malignant carotid body tumour (MCBT) is a clinically rare disease that often invades the carotid artery and cranial nerves.
  • Diagnosis of malignant tumour should be based on extensive invasion of neighbouring organs and distant metastasis.
  • Radiotherapy is effective, whereas chemotherapy is uncertain.
  • OBJECTIVE: To summarize the clinical pathological and prognostic characteristics of MCBT and explore methods for diagnosis and treatment.
  • MATERIALS AND METHODS: The study material comprised clinical, pathological, therapeutic and follow-up data concerning nine patients (four males, five females) with MCBT, treated at Tianjin Cancer Hospital between January 1956 and June 2006.
  • Disease duration averaged 6.4 years.
  • Shamblin classification was: one case, type II; 8 cases, type III.
  • Five patients underwent preoperative training of compression of the carotid (Matas test).
  • RESULTS: The carotid artery was blocked in three patients.
  • In one of these the artery was reconstructed with a vascular prosthesis, while two underwent carotid ligation.
  • Eight patients suffered from a cranial nerve dysfunction (defect) and two suffered postoperatively from a hoarse voice, four had a glossal deviation, five had Horner's syndrome and one had a deviation of the lip angle.
  • One patient had a congestive cough.
  • The histopathological diagnosis in all nine cases was MCBT.
  • One patient had metastases to a cervical lymph node and lung and another had liver metastasis.
  • Two patients died and one could not be traced.
  • [MeSH-major] Carotid Body Tumor / surgery
  • [MeSH-minor] Adult. Carotid Arteries / pathology. Carotid Arteries / surgery. Combined Modality Therapy. Cranial Nerves / pathology. Disease Progression. Disease-Free Survival. Female. Humans. Liver Neoplasms / diagnosis. Liver Neoplasms / secondary. Lung Neoplasms / diagnosis. Lung Neoplasms / secondary. Lymphatic Metastasis / pathology. Magnetic Resonance Angiography. Male. Middle Aged. Neoplasm Invasiveness. Neoplasm Staging. Positron-Emission Tomography. Postoperative Complications / etiology. Radiotherapy, Adjuvant. Retrospective Studies. Tomography, X-Ray Computed

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  • (PMID = 19863331.001).
  • [ISSN] 1651-2251
  • [Journal-full-title] Acta oto-laryngologica
  • [ISO-abbreviation] Acta Otolaryngol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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9. Lehmen JA, Babbel DM, Mikhitarian K, Choma TJ: Paraganglioma presenting as metastatic lesion in a cervical vertebra: a case report and review of the literature. Spine (Phila Pa 1976); 2010 Mar 1;35(5):E152-4
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  • [Title] Paraganglioma presenting as metastatic lesion in a cervical vertebra: a case report and review of the literature.
  • STUDY DESIGN: Case report.
  • OBJECTIVE: To discuss the spinal presentation and treatment of paraganglioma, a rare tumor of the extra-adrenal paraganglia, derived from neural crest cells in sympathetic ganglions.
  • SUMMARY OF BACKGROUND DATA: Malignant paragangliomas are a very rare entity.
  • The diagnosis of malignant paraganglioma is made by local recurrence after total resection of the primary mass, or findings of distant metastases.
  • Roughly half of distant metastases are located in the cervical lymph nodes, and the remainder is evenly distributed among bone, lung, and liver.
  • Vertebral metastases are exceedingly rare, and only isolated case reports have described them.
  • METHODS: A 71-year-old man reported increasing neck pain and upper extremity weakness.
  • The patient had a previous carotid body tumor resection in the past and a contralateral carotid body tumor left intact.
  • Our imaging workup, including plain radiograph, computerized tomography scan and MRI, revealed an intraosseous lesion at C6 with vertebral body destruction.
  • The histologic and immunohistochemical assays revealed a malignant paraganglioma.
  • RESULTS: Paragangliomas are often highly vascular tumors.
  • Intraoperative blood loss was significant and may have been mitigated by preoperative embolization.
  • CONCLUSION: We report a rare case of malignant paraganglioma and discussed adjuvant treatments to consider for distant metastases, such as I-MIBG, conventional radiotherapy, and chemotherapy.
  • [MeSH-major] Cervical Vertebrae. Neck Pain / etiology. Paraganglioma / diagnosis. Spinal Neoplasms / diagnosis
  • [MeSH-minor] Aged. Decompression, Surgical. Diagnosis, Differential. Humans. Magnetic Resonance Imaging. Male. Treatment Outcome

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  • (PMID = 20118832.001).
  • [ISSN] 1528-1159
  • [Journal-full-title] Spine
  • [ISO-abbreviation] Spine
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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10. Marchini G, Ghilotti G, Bonadimani M, Babighian S: Effects of 0.005% latanoprost on ocular anterior structures and ciliary body thickness. J Glaucoma; 2003 Aug;12(4):295-300
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  • [Title] Effects of 0.005% latanoprost on ocular anterior structures and ciliary body thickness.
  • PURPOSE: To assess the effects of 0.005% latanoprost on the anterior segment geometry and ciliary body thickness using ultrasound biomicroscopy.
  • PATIENTS AND METHODS: Thirty patients with untreated ocular hypertension or primary open-angle glaucoma (mean age: 59.3 +/- 9.9 years) were recruited into this prospective, controlled, open trial.
  • Before and after 1 week of 0.005% latanoprost administration, the following parameters were tested: refraction, visual acuity, pupil diameter, intraocular pressure, 5 conventional ultrasonographic A-scan variables, 16 ultrasound biomicroscopy parameters, and the ultrasound biomicroscopy ciliary body thicknesses at a distance of 1500 microns (CBT1), 2000 microns (CBT2), and 2500 microns (CBT3) from the scleral spur.
  • The A-scan echobiometry variables were unchanged, while ultrasound biomicroscopy confirmed a significant posttreatment increase of CBT2 (from 434 +/- 140 microns to 536 +/- 127 microns; +102 microns, P = 0.01) and CBT3 (from 319 +/- 103 microns to 412 +/- 100 microns; +93 microns, P = 0.003) compared with controls (CBT2: from 493 +/- 165 microns to 473 +/- 135 microns, -20 microns, P = NS; CBT3: from 388 +/- 130 microns to 365 +/- 87 microns, -23 microns, P = NS).
  • No significant correlation was detected between ciliary body thickness increase and intraocular pressure-lowering effect.
  • CONCLUSION: The increase of ciliary body thickness, which was measured in vivo by ultrasound biomicroscopy and associated with the intraocular pressure-lowering effect, indirectly supports the mechanism of uveoscleral outflow enhancement induced by latanoprost.
  • [MeSH-major] Ciliary Body / drug effects. Eye / drug effects. Eye / ultrasonography. Glaucoma, Open-Angle / drug therapy. Ocular Hypertension / drug therapy. Prostaglandins F, Synthetic / administration & dosage
  • [MeSH-minor] Adult. Aged. Female. Humans. Intraocular Pressure / drug effects. Male. Middle Aged. Osmolar Concentration

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  • (PMID = 12897573.001).
  • [ISSN] 1057-0829
  • [Journal-full-title] Journal of glaucoma
  • [ISO-abbreviation] J. Glaucoma
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Prostaglandins F, Synthetic; 6Z5B6HVF6O / latanoprost
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