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Biomedical subjects

A Martínez Isla

Publications and source records attributed to A Martínez Isla.

8 recordsLinked to original sources

Fibrolamellar hepatocellular carcinoma: results of partial liver resection.

AIM: To assess the results of partial hepatic resection in the treatment of fibrolamellar hepatocellular carcinoma. PATIENTS AND RESULTS: We present six cases of Fibrolamellar hepatocellular carcinoma treated by partial hepatic resection. There were five females and one male with a mean age of 20 (2.6) yr. Five patients were stage IVA and 1 IVB based on the Union International Against Cancer Classification. Two patients, due to recurrent disease, needed further pulmonary resection and a hilar lymphadenectomy. All six cases underwent major resection, three with vascular reconstruction. No operative mortality was recorded; half of the patients displayed some degree of morbidity. One patient died six months after the operation and the rest are alive at 78, 41, 24, 12 and 9 months. We believe that even in advanced cases, an aggressive surgical policy even with vascular reconstruction is justified in patients with fibrolamellar hepatocellular carcinoma.

Adolescent↗

[Biliary cystadenoma].

We report a case of biliary cystadenoma in a 40 years female who presented with an epigastric abdominal mass. The preoperative diagnosis was made by means of US, CT and MRI. Lack of calcifications and the serological tests ruled out hydatid disease. Total excision by shelling out the lesion from the liver parenchyma was performed. We recommend complete surgical removal as the treatment of choice due to the malignant potential and the high recurrence rate after partial resections.

Adenoma, Bile Duct↗

[Emphysematous cholecystitis: percutaneous treatment].

We present two patients with emphysematous cholecystitis treated successfully by means of percutaneous cholecystostomy. We emphasize the high mortality rate of the disease, and the good response achieved with the percutaneous technique, as well as the low complication rate of the procedure.

Acute Disease↗

[Peritoneal pseudomyxoma secondary to mucinous cystadenocarcinoma of the appendix].

A new case is presented of peritoneal pseudomyxoma secondary to a mucinous cystadenocarcinoma of the appendix discovered in the course of repair of a strangulated umbilical hernia. This is an uncommon entity which is only exceptionally diagnosed before operation and has a controversial treatment. The evolution and prognosis are unpredictable and are directly related to the degree of cellular differentiation.

Adult↗