Diagnostic spinal acute lymphocytic leukemia. Medical search. Frequent questions

Genomics improves risk stratification of adults with T-cell acute lymphoblastic leukemia patients enrolled in measurable residual disease-oriented trials. (cdc.gov)
Because this type of blood cancer affects the immature lymphoblast cells, it's sometimes referred to as acute lymphoblastic leukemia. (moffitt.org)
Acute lymphoblastic leukemia is rare, with only about 6,500 new cases diagnosed annually in the U.S. Both adults and children can develop acute lymphocytic leukemia, but the condition is much more common in children, especially those younger than 5. (moffitt.org)
B-Cell Acute Lymphoblastic Leukemia. (lab-ally.com)
Acute lymphoblastic leukemia (ALL ) - is the most common type of leukemia in young children. (rxharun.com)
The survival rates vary by age: 85% in children and 50% in adults.Subtypes include precursor B acute lymphoblastic leukemia, precursor T acute lymphoblastic leukemia, Burkitt's leukemia, and acute biphenotypic leukemia. (rxharun.com)
Lymphoblastic leukemia (lymphocytic leukemia), acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), hairy cell leukemia (HCL), T- cell prolymphocytic leukemia (T-PLL), big granular lymphocytic leukemia. (resultmed.com)
Cellular immunotherapy known as TAP has also been approved for children with leukemia (known as acute lymphoblastic leukemia (ALL). (resultmed.com)

Acute myelogenous leukemia (AML), also called granulocytic, myelocytic, myeloblastic, or myeloid leukemia, accounts for most of the remainder of the childhood leukemias. (texaschildrens.org)
Leukemia involving myeloid cells is called myeloid or myelogenous leukemia. (healthline.com)
Acute myeloid leukemia (AML) can occur in children and adults. (healthline.com)
Chronic myeloid leukemia (CML) affects mostly adults. (healthline.com)
APL is a subtype of an acute form of leukemia called acute myeloid leukemia (AML) . (healthline.com)
Treatment can eliminate all leukemia cells in some patients with acute myeloid leukemia (AML). (yashfiin.com)
Acute myeloid leukemia and chronic myeloid leukemia begin in the immature cells that form platelets, white blood cells, or red blood cells in the bone marrow , and they invade the blood. (healthprep.com)
Acute myeloid leukemia (AML) and related neoplasms. (oncolink.org)
Myeloid leukemia associated with Down syndrome. (oncolink.org)
ANLL is also known as Acute Myeloid Leukemia. (lab-ally.com)
In myeloid or myelogenous leukemias - the cancerous change takes place in a type of marrow cell that normally goes on to form red blood cells, some other types of white cells, and platelets. (rxharun.com)
Forms of Acute Leukemia include Acute Myeloid Leukemia (AML) and Acute Lymphocytic Leukemia (ALL). (ospring.net)

Acute myelogenous leukemia (AML) is the second most common form of leukemia in children. (texaschildrens.org)
Acute myelogenous leukemia (AML). (texaschildrens.org)
Hematologic problems: management of anemia, bleeding disorders, chronic myelogenous and lymphocytic leukemia and lymphomas. (edu.et)
Acute myelogenous leukemia (AML) is a blood cancer that affects white blood cells, red blood cells, and/or platelets. (oncolink.org)
Acute myelogenous leukemia (AML) - occurs more commonly in adults than in children, and more commonly in men than women. (rxharun.com)

What Is Acute Promyelocytic Leukemia? (healthline.com)
About 600 to 800 people develop acute promyelocytic leukemia (APL) in the United States each year. (healthline.com)
How is acute promyelocytic leukemia treated? (healthline.com)
Subtypes of AML include acute promyelocytic leukemia, acute myeloblastic leukemia, and acute megakaryoblastic leukemia. (rxharun.com)
In addition to G-CSF, the use of ATRA in the context of acute promyelocytic leukemia has shown the propagation of aberrant neutrophils as seen in drug-induced Sweet syndrome. (medscape.com)

In chronic leukemia, the disease progresses slowly and early symptoms may be very mild. (healthline.com)
Chronic leukemia - is characterized by the excessive buildup of relatively mature, but still abnormal, white blood cells. (rxharun.com)
Chronic leukemia mostly occurs in older people, but can occur in any age group. (rxharun.com)
There are also several types of Chronic Leukemia. (ospring.net)

The diagnosis of acute febrile neutrophilic dermatosis (Sweet syndrome) is usually based on histopathologic examination by a qualified dermatopathologist, but the laboratory findings are nonspecific. (medscape.com)
A chest radiograph should be obtained if pulmonary symptoms of acute febrile neutrophilic dermatosis (Sweet syndrome) are present because lung involvement may occur and is responsive to systemic corticosteroids. (medscape.com)
Skin biopsy should be performed to confirm the diagnosis of acute febrile neutrophilic dermatosis (Sweet syndrome). (medscape.com)
The classic histopathologic pattern of acute febrile neutrophilic dermatosis (Sweet syndrome) consists of a dense, diffuse neutrophilic infiltrate in the reticular dermis. (medscape.com)
Robert Douglas Sweet first described acute febrile neutrophilic dermatosis in 1964, leading to the eponym Sweet syndrome (SS). (medscape.com)
Sweet syndrome (acute febrile neutrophilic dermatosis) is a hypersensitivity reaction that occurs in response to systemic factors, such as hematologic disease, infection, inflammation, vaccination, or drug exposure. (medscape.com)
Acute febrile neutrophilic dermatosis, also termed Sweet syndrome, is a reactive process characterized by the abrupt onset of tender, red-to-purple papules, and nodules that coalesce to form plaques. (medscape.com)
Acute febrile neutrophilic dermatosis (Sweet syndrome) is uncommon but not rare. (medscape.com)

Small lymphocytic lymphoma is a form of cancer similar to chronic lymphocytic leukemia, but it has a different presentation. (healthprep.com)
Non-Hodgkin lymphoma is the classification given to any form of lymphoma in a patient that does not fit into the small lymphocytic lymphoma distinction and does not involve Reed-Sternberg cells. (healthprep.com)
this disease can occur spontaneously (idiopathic or primary) or in association with some pathologies (including lymphoma, chronic lymphocytic leukemia, SLE and other autoimmune diseases). (healthrug.com)
Any cancer/malignancy (either a "solid tumor" or a leukemia/lymphoma/bone marrow malignancy/"liquid tumor", i.e. any ICD10 code from C00-C99) can be a comorbid diagnosis --- BUT it's vital to distinguish malignancies in this category based on whether they are believed to be cured or not. (kuality.ca)
There are different types of blood cancers, such as leukemia, lymphoma, and multiple myeloma, and each type requires a specific treatment approach. (vshospitals.com)
Chemotherapy is often used as the first-line treatment for blood cancers, such as leukemia and lymphoma. (vshospitals.com)

Leukemia is cancer of the blood and develops in the bone marrow. (texaschildrens.org)
When a child has leukemia, the bone marrow, for an unknown reason, begins to make abnormal blood cells (usually white blood cells) that do not mature correctly, but continue to reproduce themselves. (texaschildrens.org)
When the immature white blood cells, called blasts, begin to crowd out other healthy cells in the bone marrow, the child experiences the symptoms of leukemia (such as fevers, infections, anemia, bone pain, or bleeding). (texaschildrens.org)
With acute lymphocytic leukemia, the bone marrow makes too many of these lymphocytes and they do not mature correctly. (texaschildrens.org)
If blood tests reveal evidence of leukemia, your doctor will likely want to take a bone marrow biopsy . (healthline.com)
Leukemia is a cancer of blood-forming tissues, including bone marrow and the lymphatic system. (yashfiin.com)
Acute lymphocytic leukemia, also known as ALL, is a type of cancer that starts in a person's bone marrow, the soft, inner part of the bones where white blood cells called "lymphocytes" are made. (moffitt.org)
But for those with acute lymphocytic leukemia, the bone marrow produces abnormal lymphoblasts that don't mature properly. (moffitt.org)
However, significant strides have been made in uncovering how subtle changes in the DNA of healthy bone marrow cells can transform them into leukemia cells. (moffitt.org)
Acute lymphocytic leukemia symptoms usually stem from a lack of healthy blood cells, which can occur when leukemia cells overtake normal blood-producing cells in the bone marrow. (moffitt.org)
Bone marrow testing can often confirm a diagnosis of leukemia , although further lab tests may be performed to identify its subtype and stage as well as the patient's prognosis. (moffitt.org)
Leukemia cells in the bone marrow may cause bone and joint pain. (msdmanuals.com)
When an individual's cancer originally develops in their bone marrow , it is referred to as a form of leukemia. (healthprep.com)
Acute lymphocytic leukemia is a fast-growing form of cancer that begins in the tissue where blood cells are produced (bone marrow ). (healthprep.com)
Chronic lymphocytic leukemia is slow-growing and begins in the white blood cells within bone marrow. (healthprep.com)
Hairy cell leukemia starts in the bone marrow when it makes an excessive amount of white blood cells called lymphocytes. (healthprep.com)
Leukemia is a cancer of the blood or bone marrow.It is a form of cancer that affects the body's ability to make healthy blood cells. (rxharun.com)
Leukemia is a cancer of the bone marrow and lymphatic system, which affects children and adults. (resultmed.com)
In leukemia, abnormal cells produced by the bone marrow begin to divide uncontrollably and replace normal blood and bone marrow cells. (resultmed.com)
In general, treatment for leukemia can be done here at VS Hospitals which is said to be the best blood cancer hospital in Chennai by chemotherapy , radiation therapy, and/or bone marrow transplant. (vshospitals.com)
Acute Leukemia is a cancer of the blood and bone marrow and is one of the most common types of childhood cancers. (ospring.net)
Diagnosis of Acute Leukemia is made by testing of the blood and bone marrow. (ospring.net)

AML may also be called acute myelocytic leukemia, acute granulocytic leukemia, or acute non-lymphocytic leukemia. (oncolink.org)

Leukemia can refer to all cancers affecting the white blood cells. (healthline.com)
Generally, leukemia refers to cancers of the WBCs. (healthline.com)
Leukemia is a group of cancers that develop in the cells that produce blood cells. (healthline.com)
Overview of Leukemia Leukemias are cancers of white blood cells or of cells that develop into white blood cells. (msdmanuals.com)
She is now focusing on improving companion diagnostic biomarker testings for solid cancers in immuno-oncology using computer vision. (upstate.edu)

Despite the numerous etiologies, the diagnosis is most often based on the anatomopathological study of the ganglion accessible to the biopsy requiring a rigorous diagnostic approach beforehand. (scirp.org)
The most important differential diagnosis for this variant is leukemia cutis. (medscape.com)
Still, blood cancer is a serious disease, therefore one who suffers from this leukemia should get proper treatment and early diagnosis. (vshospitals.com)

Acute megakaryoblastic leukemia. (oncolink.org)

What are the symptoms of leukemia? (healthline.com)
Leukemia can also cause symptoms in organs that have been infiltrated or affected by the cancer cells. (healthline.com)
Read on to learn about how APL differs from other leukemias, how to spot signs and symptoms, the diagnostic process, and how it's treated. (healthline.com)
The symptoms of APL tend to be nonspecific and can resemble those of many other conditions or other types of leukemia. (healthline.com)
You should consult a medical professional if you have any potential warning symptoms of APL, even if leukemia is unlikely to be the cause. (healthline.com)
Several of these symptoms are associated with common benign conditions like the common cold and flu, which can make acute lymphocytic leukemia difficult to recognize early. (moffitt.org)
The initial diagnostic evaluation of patients with any lymphoproliferative malignancy should include a careful history and physical examination, with close attention paid to the presence of systemic B symptoms, lymph node involvement, organomegaly, and evidence of cutaneous involvement. (medscape.com)

The word "acute" indicates that this form of leukemia progresses quickly, and the resulting abnormal cells can steadily accumulate in the blood until treated. (moffitt.org)
Treatment depends on multiple factors, including the patient's age and health, the exact form of leukemia and associated genetic mutations. (ospring.net)

Leukemia involving lymphocytes is called lymphocytic leukemia. (healthline.com)
In lymphoblastic or lymphocytic leukemias - the cancerous change takes place in a type of marrow cell that normally goes on to form lymphocytes, which are infection-fighting immune system cells. (rxharun.com)

Acute lymphocytic leukemia (ALL), also called acute lymphoblastic or lymphoid leukemia, accounts for most of the childhood leukemias. (texaschildrens.org)

Acute leukemia can occur over a short period of days to weeks. (texaschildrens.org)
Types of leukemia are categorized based on the speed at which they progress and the type of blood cell they occur in. (healthprep.com)
Methotrexate-induced lung disease, including acute or chronic interstitial pneumonitis, is a potentially dangerous lesion, which may occur acutely at any time during therapy and has been reported at low doses. (nih.gov)

Children who get chemotherapy to treat some types of cancer have an increased risk of developing leukemia later on. (texaschildrens.org)
People who are exposed to high levels of radiation and the chemical benzene are more likely to get certain types of leukemia, as are smokers, people who have had chemotherapy and people with certain inherited diseases and blood disorders. (cancersupportcommunity.org)
Chemotherapy is injected straight into the spinal fluid of your child. (yashfiin.com)
Intrathecal chemotherapy can be used to treat cancer found in the cerebral spinal fluid or to prevent leukemia from spreading there. (yashfiin.com)
Chemotherapy may be given to your child for several months, and this may include intrathecal chemo (usually for acute lymphocytic leukemia/ALL). (yashfiin.com)
For adult patients, many acute lymphocytic leukemia treatment plans include an aggressive and long-term regimen of chemotherapy (chemo) to destroy cancer cells in the blood. (moffitt.org)
Immunotherapy is used in Israel in addition to chemotherapy and radiation therapy for leukemia treatment. (resultmed.com)
People who have experienced previous chemotherapy or exposure to radiation or smoking, or who have certain genetic disorders or a close family member with Acute Leukemia have a higher risk of developing this cancer. (ospring.net)

HTLV-II participants had significantly increased incidences immunodeficiency does not appear to develop in most per- of acute bronchitis (incidence ratio [IR] = 1.68), bladder or sons with chronic HTLV-I or -II infection. (cdc.gov)

Acute leukemia - is characterized by a rapid increase in the number of immature blood cells. (rxharun.com)

They can spread to the layers of tissue covering the brain and spinal cord (leukemic meningitis) and cause anemia, liver failure, kidney failure, and other organ damage. (msdmanuals.com)
An A to Z listing of words and phrased commonly associated with spinal cord injury and disorders. (unitedspinal.org)
The scan showed stenosis, a narrowing of the blood vessels and spinal cord. (everyone.org)

Most lymphocytic leukemias involve a specific subtype of lymphocyte, the B cell. (rxharun.com)

According to the American Cancer Society, acute lymphocytic leukemia (ALL) is the type of leukemia that most commonly affects children, most often between the ages of 2 and 4 years. (texaschildrens.org)
1. Based on the information provided, the initial findings are consistent with acute lymphocytic leukemia (ALL), which is a type of cancer that affects the white blood cells. (pronursinghelp.com)
Chronic lymphocytic leukemia (CLL) - most often affects adults over the age of 55. (rxharun.com)
Causes Pneumonia is an inflammation, usually acute, of the lung tissue: it affects both the pulmonary alveoli (small cavities in which gas exchanges between the breathed air and the blood take place ) and the interstitial tissue. (healthrug.com)

Maffucci syndrome carries a significantly higher risk of malignant transformations like chondrosarcomas but also much more aggressive tumors such as acute lymphocytic leukemia and gastrointestinal and ovarian malignancies. (wikipedia.org)
How the cancer spreads can depend on the type of leukemia and how aggressive it is. (healthline.com)
One subtype is B-cell prolymphocytic leukemia, a more aggressive disease. (rxharun.com)

The majority of childhood leukemias are acquired diseases. (texaschildrens.org)
The Genetics Clinic at Nationwide Children's Hospital provides diagnostic evaluations for patients with known or suspected genetic diseases, genetic and prenatal counseling for families and treatment of genetic disorders, especially inborn errors of metabolism. (nationwidechildrens.org)
It is a great addition to the diagnostic centre and birth defects and diseases. (lyfboat.com)

Acute myelomonocytic leukemia. (oncolink.org)

Chronic lymphocytic leukemia was retained in 3 patients (3.5%) and Castleman disease in 1 patient. (scirp.org)
With the advancement of medical technology in India, better experience, and superior skills of doctors, the survival rate of leukemia patients in India has been on a steady upward trajectory for a couple of decades now. (yashfiin.com)
The implementation of an enhanced clinical model to improve the diagnostic yield of exome sequencing for patients with a rare genetic disease: A Canadian experience. (cdc.gov)
Study protocol of the GLOW study: maximising treatment options for recurrent glioblastoma patients by whole genome sequencing-based diagnostics-a prospective multicenter cohort study. (cdc.gov)
Immunotherapy is a new approach to treatment for patients with leukemia in Israel. (resultmed.com)
An international expert group established diagnostic criteria in 2004 that divided patients with a suspected paraneoplastic neurological syndrome into "definite" and "probable" categories. (medscape.com)
As with previous editions, this edition of Diagnostic Standards has been prepared as a basic guide and statement of principles for all persons involved in the care of patients with tuberculosis. (cdc.gov)
Il s'agit d'une étude transversale, monocentrique et descriptive, durant 12 mois, incluant les patients âgés d'au moins 18 ans admis en réanimation polyvalente pour un sepsis ou choc septique. (bvsalud.org)

Factors such as exposure to certain viruses, environmental factors, chemical exposures, and various infections have been associated with damage to the immune system, although it's not clear if they increase the risk of leukemia. (texaschildrens.org)
Infections tend to give rise to an acute disease, while idiopathic forms tend to become chronic. (healthrug.com)

The ATS-CDC recommendations are contained, for the most part, in three official joint statements: 'Diagnostic Standards and Classification of Tuberculosis,' 'Treatment of Tuberculosis and Tuberculosis Infection in Adults and Children,' and 'Control of Tuberculosis. (cdc.gov)

Hairy cell leukemia is a very rare subtype of CLL. (healthline.com)

It is classified as acute leukemia if it progresses quickly without treatment. (healthline.com)

Foundations of the severe acute respiratory syndrome preparedness and response plan for healthcare facilities. (cdc.gov)
Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. (cdc.gov)

Radiation is sometimes used for certain specific situations, such as to shrink a tumor when leukemia has spread to an organ. (ospring.net)

citation needed] A related and even rarer disorder named Maffucci syndrome is a very similar condition that is characterized by the presence of multiple enchondromas with hemangiomas and occasionally lymphangiomas usually near the hands and feet but not limited to the skull, ribs, and spinal bones. (wikipedia.org)
Children with certain genetic conditions, such as Down syndrome or Li-Fraumeni syndrome, are at increased risk of developing leukemia. (texaschildrens.org)

An alteration or defect in the immune system may increase the risk for developing leukemia. (texaschildrens.org)
Children with inherited immune system problems and those who have had organ transplants (and take immune-suppressing drugs) are at increased risk for leukemia. (texaschildrens.org)

If a physician suspects that a patient has leukemia, he or she may order one of several tests to examine the number and appearance of the patient's red blood cells, white blood cells and platelets underneath a microscope. (moffitt.org)

Diagnostic Laparoscopy treatment in gurgaon can be availed at highly affordable cost, as compared to the rest of the medically advanced countries and cities in the world. (lyfboat.com)
The cost of Diagnostic Laparoscopy in gurgaon is just a fraction of what it costs in other medically-advanced countries and cities. (lyfboat.com)

There are different types of leukemia. (texaschildrens.org)
What are the different types of leukemia? (texaschildrens.org)
The types of leukemia are grouped based on how quickly the disease develops. (cancersupportcommunity.org)
APL is one of the many types of leukemia. (healthline.com)
Human T-lymphotropic virus types I and II (HTLV-I and leukemia and HTLV-associated myelopathy. (cdc.gov)
The most common types of leukemia originate in white blood cells, but leukemia can form in other blood cells types as well. (healthprep.com)
Antibody-drug Gemtuzumab Ozogamicin (Mylotarg) and a combination of Rituximab and Hyaluronidase (Rituxan Hycela) are used to treat certain types of leukemia. (resultmed.com)
There are many types of blood cancer, but leukemia is common. (vshospitals.com)

Leukemia is also classified according to the type of cell that's affected. (healthline.com)
This means our team of leukemia specialists will consider many factors-including each patient's age, type of leukemia and whether it has metastasized (spread to other areas of the body) and overall health-when tailoring a treatment plan to meet the patient's needs. (moffitt.org)
This is a rare type of leukemia where most of the blasts are megakaryoblastic. (lab-ally.com)
The treatment method of leukemia depends on certain factors, such as age, type and severity of the disease. (resultmed.com)
Leukemia is a type of cancer that first attacks the white blood cells. (vshospitals.com)

Leukemia is a cancer of the blood cells. (healthline.com)
The first step in diagnosing acute lymphocytic leukemia is usually a blood test. (moffitt.org)
Immunological treatment of leukemia (blood cancer). (resultmed.com)
But when anyone has this leukemia, these white cells multiply rapidly jumbling with the healthy blood cells. (vshospitals.com)
When we come into a broader sense, leukemia is only a part of blood cancer. (vshospitals.com)

Disturbed kidney functions and fluid and electrolytes balance, hypertension, acute, and chronic renal failure. (edu.et)
A lumbar puncture (spinal tap) to see if there are any leukemia cells in your spinal fluid. (oncolink.org)

With leukemia, these cells do not respond to the signals to stop and reproduce, regardless of space available. (texaschildrens.org)
In acute leukemia, cancer cells multiply quickly. (healthline.com)
The leukemia cells also are carried in the bloodstream to the liver, spleen, lymph nodes, brain, and testes, where they may continue to grow and divide. (msdmanuals.com)
A sense of fullness in the abdomen and sometimes pain can result when leukemia cells cause enlargement of the liver and spleen. (msdmanuals.com)
The treatment is designed to wipe out the abnormally functioning leukemia cells. (oncolink.org)
Immediate treatment is required in acute leukemia because of the rapid progression and accumulation of the malignant cells, which then spill over into the bloodstream and spread to other organs of the body. (rxharun.com)

Leukemia is the most common form of cancer in childhood. (texaschildrens.org)
Nearly 1.24 million people are diagnosed with leukemia globally, and account for nearly 6% of total cancer cases. (yashfiin.com)

Each case study requires an understanding of the disease process, further assessment and diagnostics, treatment options, nursing care priorities, and education for the families involved. (pronursinghelp.com)
In addition, leukemia treatment in India is significantly cheaper as compared to several other developed countries, while providing the same world-class facilities and treatment modules. (yashfiin.com)
What is included in the cost of Leukemia Treatment? (yashfiin.com)
Diagnostic Laparoscopy cost in gurgaon is one of the biggest reasons why thousands of medical tourists decide to seek medical treatment in top hospitals in gurgaon. (lyfboat.com)
Whereas acute leukemia must be treated immediately, chronic forms are sometimes monitored for some time before treatment to ensure maximum effectiveness of therapy. (rxharun.com)
CAR-T therapy , a new immunotherapy, has been approved by the Health Ministry of Israel for the leukemia treatment after clinical trials in the United States, Europe and United Kingdom. (resultmed.com)
In addition, new immunotherapy drugs are currently being tested in clinical trials for the treatment of leukemia. (resultmed.com)
Prompt coordination of doctor consultations, doctor second opinion, diagnostics and medical treatment in Israel. (resultmed.com)
What is the treatment for Acute Leukemia? (ospring.net)

Management of CSF Leak Following Incidental Durotomy during Lumbar Spinal Surgery: Is Flat Bed Necessary? (openventio.org)

Anatomy34

Organisms6

Diseases71

Chemicals and Drugs62

Analytical, Diagnostic and Therapeutic Techniques and Equipment57

Phenomena and Processes41

Disciplines and Occupations2

Information Science5

Health Care16

Lymphoblastic leukemia8

Myeloid12

Myelogenous5

Promyelocytic leukemia5

Chronic leukemia4

Febrile neutrophilic dermatosis8

Lymphoma6

Bone22

Myelocytic1

Cancers5

Diagnosis3

Megakaryoblastic leukemia1

Symptoms7

Form of leukemia2

Lymphocytes2

Lymphoid1

Occur3

Chemotherapy8

Bladder1

Immature blood cells1

Cord3

Lymphocyte1

Affects4

Aggressive3

Diseases3

Myelomonocytic1

Patients8

Infections2

Adults1

Subtype1

Progresses quickly1

Respiratory2

Tumor1

Syndrome2

Immune2

Platelets1

Medically2

Types8

Type5

Blood5

Fluid2

Cells6

Cancer2

Treatment9

Surgery1