D F Huber | PubMed Health

PubMed1985

Metastatic carcinoma of the distal ulna from an occult pancreatic carcinoma.

A case of pancreatic carcinoma presenting as a pathologic fracture of the distal ulna is reported. To the best of our knowledge, metastatic pancreatic carcinoma distal to the elbow has never been reported. An attempt to stabilize the fracture with intramedullary fixation and methacrylate augmentation was unsuccessful. Because of the dismal prognosis of pancreatic carcinoma, therapy should be directed toward pain control and maintenance of function in these patients.

Adenocarcinoma↗

PubMed1983

Cholecystectomy in elderly patients.

Cholecystectomy was performed in 93 patients over the age of 70 years with an overall mortality of 7.5 percent. Complications occurred in 28 percent. Patients who underwent elective operations fared far better than those who required emergency surgery. Of the 50 patients who underwent elective cholecystectomy, there was 1 death (2 percent), and 10 patients (20 percent) experienced complications. In contrast, of the 43 patients who required emergency operation, 6 died (14 percent). Complications occurred in 14 (33 percent). Elective cholecystectomy in the elderly patient with symptomatic biliary tract disease is advocated before acute complications that necessitate emergency operation develop.

Age Factors↗