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A S Llorens

Publications and source records attributed to A S Llorens.

9 recordsLinked to original sources

Metastatic basal cell carcinoma of the vulva.

Basal cell carcinoma of the vulva is rare and was initially thought to be nonmetastasizing; however, there are four reports in the literature of metastasis to regional lymph nodes. We present the case report of a fifth patient with well-documented metastasizing basal cell carcinoma of the vulva with a brief discussion on clinical presentation, treatment, and positive response to preoperative radiation which could make radical surgery unnecessary.

Aged

Cesarean hysterectomy: a procedure for modern obstetrics?

The indications for emergency and elective cesarean hysterectomy have remained controversial throughout modern obstetric history. In an attempt to clarify the role of cesarean hysterectomy in today's practice, we retrospectively studied 216 peripartum hysterectomies done at our institution from 1956 to 1988. We analyzed indications, surgical procedures, and intraoperative and postoperative complications in an attempt to illustrate evolving obstetric trends.

Cellulitis

Results of radiotherapy in carcinoma of cervix stages I and II: the impact of involvement of endocervix.

The results of radiotherapy in carcinoma of the cervix stages I and II at the University of Missouri-Columbia (UMC) in the period between 1975 and 1980 were analyzed. The failure rate was 13/58 (22.4%). While the failure was 8% (3/36) in ectocervical cancer it was 45% (10/22) in endocervical cancer. The difference was statistically significant to a p value of 0.001. Ten of 13 failure cases (77%) had involvement of the endocervix. In endocervical carcinoma 7 of 10 (70%) of the failure cases had recurrence in para-aortic or supraclavicular nodes. The impact of age, differentiation and hemoglobin level was examined.

Adult

Squamous cell carcinoma of the uterine cervix subsequent to amebiasis.

We studied the development of a well-differentiated squamous cell carcinoma of the uterine cervix five years after cervical infection with Entamoeba histolytica by documenting the findings of specimens obtained by repeated biopsies in a 69-year-old woman. To our knowledge, this is the first report of a malignant neoplasm of the uterine cervix subsequent to amebiasis. Amebiasis superimposed on malignant neoplasms of the female genital tract has been reported before. We raise the question of a possible causal relationship between amebiasis and subsequent squamous cell carcinomas of the cervix.

Aged

Management of Postoperative Abscess Following Gynecologic Surgery.

Forty-nine postoperative abscesses were encountered following 1600 major pelvic procedures. Abdominal and vaginal procedures were complicated by abscess formation in 0.7% and 4% of cases, respectively. The average time between surgery and recognition of the pelvic abscess was 18 days. A positive correlation between surgery performed during the luteal phase and abscess formation was noted. Fifty-five percent of pelvic abscesses treated by primary vaginal drainage required eventful laparotomy for final eradiction of disease. An aggressive approach to abscess management is felt to be justified in this disease entity.

Abscess