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Biomedical subjects

J Jamski

Publications and source records attributed to J Jamski.

At least 19 recordsLinked to original sources
PubMed2001

[Small intestine obstruction caused by primary malignant neoplasms].

The authors presented 4 cases of primary malignant neoplasm of the intestine caused by small intestine obstruction. These patients underwent emergency surgery. In all cases, a segmental resection of the intestine was performed. There were two cases of adenocarcinoma and two cases of carcinoid. Three patients were complementarily treated using chemotherapeutics. One of them died two years post operation. The last three patients survived 0.5-5 years post operation.

Adenocarcinoma↗
PubMed2001

[Medullary thyroid carcinoma--personal observations].

The paper presents the rules of surgical treatment in medullary carcinoma of the thyroid gland based on own experience and survey of literature. Changing trends in diagnostic and therapeutic approach were described. The results achieved encouraged authors to find some conclusions. Long term results of therapy depend mostly on stage of disease in time of initial surgery, radicality of primary operation and further supportive treatment. Systematic follow-up after surgery makes it possible to early detect the recurrence and has an influence on survival rate. In cases of poorly differentiated medullary thyroid cancer even radical surgical procedure followed by the appropriate supportive treatment results in a not satisfactory survival.

Adolescent↗
PubMed2000

[Diagnosis, treatment and prognosis in cases of renal clear cell carcinoma metastases into the thyroid gland].

The most common metastatic tumour of the thyroid gland which is clinically revealed is renal clear cell carcinoma (RCCC). Our clinical experience in cases of RCCC metastases into thyroid gland is reviewed in terms of the history of the disease, obligatory diagnostic procedures, surgical management and outcome prognosis. We believe that all the patients with even a remote RCCC history require systematic follow-up including thyroid gland as metachronic metastatic disease can occur many years after primary surgery. Clinical diagnosis and ultrasound of the thyroid gland is essential in selection for surgical treatment. Confirmation of malignancy in FNA (fine needle aspiration) in often difficult regarding concomitant multinodular goitre. Enlargement of a single thyroid nodule except L-thyroxin therapy for 3-6 months is a sufficient indication for surgical treatment, not depending on FNA result, particularly when a suspected nodule becomes bigger than 30 mm in diameter.

Adenocarcinoma, Clear Cell↗
PubMed1999

[Primary malignant neoplasms of intestine].

The authors presented 6 cases of malignant neoplasms of intestine. Five of them were undergone emergency surgery, while one elective, due to complaints notified previously for a longer time. In all cases a segmental resection of intestine was done. Two patients were complementarily treated using chemiotherapeutics. Three patients survived 2-5 years after the operation. The last three patients are under the further follow up.

Adult↗
PubMed1999

[Diagnosis and treatment approach in anaplastic thyroid carcinoma].

The paper presents diagnosis and treatment of anaplastic thyroid cancer based on the own experience and literature review. There were presented up to date diagnosis and treatment which included radical thyroidectomy and radio-, chemio-, and hormonotherapy. The results of radical thyroidectomy and teleradiotherapy in anaplastic thyroid carcinoma are not satisfactory.

Aged↗
PubMed1999

[Gallstone ileus].

Since 1986 till 1996 in the Third Department of Surgery of the Collegium Medicum of the Jagiellonian University in Cracow, nine patients with biliary ileus were operated. Initial diagnosis, additional tests results, concomitant diseases, kinds of operative procedures and complications were analysed. Biliary ileus is still generally recognized during operation. Endoscopy, X-ray examination with contrast, ultrasound, and computed tomography are worth recommendation in preoperative diagnosis. Early decision about operative treatment and application of antibiotic prophylaxis may have an influence on improvement of treatment results.

Aged↗
PubMed1999

[Primary gastrointestinal lymphomas].

The paper presents clinical signs, diagnosis, treatment and therapeutic results in the group of patients with a primary gastrointestinal lymphomas. All of the patients had a surgical procedure: 5 of them were operated on according to a fixed plan and 3 had an emergency operation. 6 patients were subjected to chemotherapy and radiotherapy. The patients were analyzed along with the obtained therapeutic results.

Adult↗
PubMed1999

[H"urthle cell thyroid neoplasms].

The paper presents up to date knowledge about oncocytic neoplasms (Hürtle cell tumor). The following paper is based on the biggest study group in Poland. Most of these tumors were benign. The histopathological diagnosis was usually very difficult. The authors pointed out that the most important problem in the treatment process was the histopathological examination. Even intraoperative pathological diagnosis is not discriminative for the diagnosis. All diagnoses were based on paraffin-embedded samples examination. In the authors' opinion treatment process should be individualised according to all clinical and histopathological results.

Adenocarcinoma↗
PubMed1998

[Neurilemmoma in the thyroid region].

In the paper we present the group of 3 patients with neurilemmoma. Patients were operated on because of simple nodular goiter transformed into the thyroid carcinoma. In all cases final diagnosis was based on postoperative paraffin-embedded tissues. In the authors' opinion modern imaging technics strictly allows to formulate the preoperative diagnosis. Total resection with special attention paid to the postoperative examination including ultrasound diagnostics improve survival.

Adult↗
PubMed1998

[Hodgkin's disease in the thyroid gland].

The paper presents one case with diagnosed the primary extra-nodular Hodgkin's disease in the thyroid gland. Patient was operated on. Hodgkin's disease was diagnosed postoperatively in the paraffin-embedded tissues. In authors' opinion progress in the imaging technics with fine-needle aspiration biopsy allows to formulate diagnosis, and treatment which includes chemo- and radiotherapy, improves survival.

Adult↗
PubMed1997

[Metastasis of clear cell carcinoma of the kidney to the thyroid gland].

We preset three patients operated on at our hospital with diagnosed metastasis clear cell carcinoma of the kidney to the thyroid gland 5, 6, and 9 years after nefrectomy. Patients were operated on because of nodular goiter and metastases were diagnosed intraoperatively (frozen section) at two cases and postoperatively in the remaining care (diagnosis made by pathologist-microscopic examination). A radical thyroidectomy was employed without chemio- or radiotherapy which is now recommended as a method of treatment of clear cell carcinoma metastasis.

Adenocarcinoma, Clear Cell↗
PubMed1997

[Primary malignant lymphoma of the thyroid gland--diagnosis and treatment tactics].

The paper presents clinical signs, diagnosis, treatment and therapeutic results in the group of 10 patients with at primary malignant lymphoma of the thyroid gland. There were presented up to date methods of diagnosis and treatment with includes chemio- and radiotherapy. In authors opinion progress in imaging technics cyto- and histopathology, and potentiality of complex treatment allows us to avoid from surgery in most cases of malignant lymphoma of the thyroid.

Adult↗
PubMed1994

[Modern possibilities of preventing postoperative goiter recurrence].

The authors present an analysis of the material of 84 patients operated on in the years 1979-1992 for non-malignant recurrent goitre. The method of management and treatment results are presented. The schema of management is also described in prevention of goitre recurrences, involving correctly performed operation, periodical control examination, and routine postoperative administration of thyroid preparations. The use of hormonal prophylaxis (L-Thyroxin) in suppressive doses, under TSH control seems to have a significant influence on the reduction of the number of recurrences.

Aged↗
PubMed1989

[Surgical treatment of goiter in older people].

Experiences are reported connected with surgical treatment of goitre in 84 patients aged over 65 years. Deaths occurred exclusively in patients with thyroid malignant tumours, and the most frequent postoperative complication was paresis of the recurrent laryngeal nerve. Owing to adequate preparation of patients for operation and correct postoperative management the old age of the patient, is not increasing significantly the surgical risk.

Aged↗
PubMed1989

[Difficulties in diagnosing acute appendicitis in women].

Among acute diseases of the abdominal organs acute appendicitis is the most frequent cause of emergency laparotomies. In women the most frequent cause of preoperative diagnostic errors are diseases of the reproductive system. The material analysed by the authors was a group of 865 patients operated on with the diagnosis of acute appendicitis in the I Department of Surgery in the period 1964-1973 and in the III Department of Surgery, Medical Academy in Cracow in the years 1974-1986. In this material from two teaching hospital departments and from two different time periods similar proportions of diagnostic errors (12.7% and 13.4%) were found, and during the operation similar types of pathological changes were noted in the reproductive system. The authors stress the analysed diagnostic difficulties and point out that exploratory laparotomy is safest for the patient.

Acute Disease↗