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Biomedical subjects

A Miecznikowski

Publications and source records attributed to A Miecznikowski.

At least 19 recordsLinked to original sources

Surgical treatment of vulvar cancer.

Two hundred and seventy two women with vulvar cancer were submitted to standard surgical treatment. In 127 women (46.7%) regional lymph nodes were involved. Out of 181 women (66.5%) who survived 5 years, 132/145 women (91%) were with negative nodes and 49/127 women (38.6%) were with positive nodes. Surgical management of vulvar cancer is discussed, especially inguinal lymphadenectomy.

Adult↗

[Operative treatment of vulvar cancer].

The study reported in this paper was concerned with the problems and results of surgical treatment of invasive vulval carcinoma. Surgery was performed on 228 patients, 101 of them (44.2%) with Stage III and Stage IV carcinoma. In 156 women radical vulvectomy was combined with pelvic and inguinal lymphadenectomy. Lymph node metastases were found postoperatively in 110 patients (48%). Thirty-six patients (32.7%) had lymph node metastases in the small pelvis. The operation coefficient was 82%; postoperative morbidity was 21.4%, postoperative mortality 0.4%. Among the 228 patients operated on the 5-year survival rate was 59.2% (135 patients), and the three-year survival rate 71% (163 patients).

Adult↗

Supracystic urine diversion in patients with bladder carcinoma treated by cystectomy preceded by "short radiotherapy" (2000 R).

The authors assessed the results of supracystic urine diversion in 50 patients treated by cystectomy for bladder carcinoma who had "short radiotherapy" (2000 R) before the operation. It was found that preoperative radiotherapy caused no difficulties during subsequent cystectomy and the observed postoperative complications should be related rather to the surgical technique. It seems that indications to urine diversion by the method of Goodwin or Coffey should be considered with greater caution. In patients past the age of 65 years and those with more advanced neoplasms (T-3, T-4) bilateral ureterocutaneostomy should be performed more frequently for suprapubic urine diversion.

Age Factors↗