Biomedical subjects

D Pietrangeli

Publications and source records attributed to D Pietrangeli.

5 recordsLinked to original sources

PubMed1991

Cervical stump carcinoma therapy.

59 patients with cervical stump cancer were reviewed. A distinction was made between true and coincident cancer. Histological features, therapeutic plan and survival rates are reported. In stage I treatment was mainly surgical, while in more advanced stages radiation therapy was applied. In 22.2% of cases combined surgical-radiation therapy was performed. The absolute 5-year survival for various clinical stages is as follows: stage I, 88.2%; stage II, 53.8%; stage III, 42.8%; stage IV, 0.0%. The overall absolute 5-year survival rate for all stages combined is 60.9%. Individualization of therapy can offer to the patient with cervical stump carcinoma a survival similar to the patient with cervical neoplasm with intact uterus.

Adenocarcinoma↗

PubMed1986

Prevention by hypothermic cap of antiblastic induced-alopecia.

Adriamycin, one of most effective antitumor drugs, is characterized by high toxicity. The adriamycin-induced alopecia is frequent (80-97% of patients) and rapidly shows itself (already after first treatment). Such toxic effect, so unpleasant particularly to female patients, was largely prevented in our experience (Gynecological Oncology Service) with the utilization of hypothermic caps. These caps, reducing the drug absorption above the scalp, allows limiting the hair loss. The result obtained (reduction of severe alopecia in 34% of patients) encourage the use of such a method to improve the life quality of patients.

Alopecia↗

PubMed1986

Todays' stage in differential diagnosis between cervical condyloma and CIN.

Seven colposcopic signs (acetic acid staining--borders--thickness--surface contour--colour--vascular atypias--iodine staining) are examined in differential diagnosis between condyloma and CIN. For a better prognostic and therapeutic approach, we think it is useful to follow a diagnostic path whose main steps are: colposcopy, cytology, microcervicoscopy, histology. With the introduction of sophisticated diagnostic techniques (molecular hybridization--morphology cells study--chromosomes map study) it is possible to determine morphologically the observed lesion and predict, as much as possible, the following evolution.

Colposcopy↗

PubMed1986

Role of diet in endometrial cancer patients.

The hypothesis of a correlation between diet and cancer is widely supported by several epidemiological and experimental studies. Certainly the exact mechanism of this intervention is still unknown; nevertheless in the tests of a carcinogenesis the direct action of some food is recognised, whereas the indirect action of others should occur through modifications of immune and endocrine systems. Many studies conclude that a high intake of fats and animal proteins appeared to be associated with the etiology of some endocrine related neoplasms, such as the cancer of prostate breast endometrium and ovary. We studied the dietary practices and some constitutional parameters of women affected by endometrial cancer and control women. We did not find a significant difference between the two groups related to height. Conversely the daily intake of lipids and particularly of proteins, glucides and calories turned out much higher in the group of patients. Moreover we found a significant difference related to weight; obese women were more numerous in the group of patient. The above results confirm the importance of a right diet in the prevention of this neoplasm.

Body Weight↗

PubMed1986

Skin necrosis due to antiblastics (procedures of prevention and therapy).

Among the toxic effects of antitumor drugs the injury for extravasation occurs too. The kinds of damage which result can achieve dramatic features with serious consequences on the psychophysic activity of patients who once tried other kinds of toxicity following chemotherapy. As the extravasation is caused by way of use and by drug-giving methods, we present this accident: it is necessary to observe rigorous rules of procedure during infusion and, if extravasation occurs, to make use of efficient drugs and physical methods. A recent case of extravasation occurred, at our Gynecological Oncology Service, in a patient who carried out chemotherapy without hospitalization. This case is here proposed and discussed; we think that the rarity of this accident is in our experience, due to the several precautions we observe during the infusion of drug.

Antineoplastic Combined Chemotherapy Protocols↗