[Bilateral carcinoma of the breast].
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Biomedical subjects
Publications and source records attributed to M Arcidiaco.
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The AA. suggest to rationalise the criterion of choice in the operation of rectum tumour. According to the AA., the choice is between abdomino-perineal and anterior resection operation. In accordance with that acknowledgement and the respect of the precise oncological and anatomical presuppositions, they define the heart of the tumour and regulated their surgical conduct. In practice they perform the anterior resection for the tumours situated between the superior and inferior haemorrhoidal arteries which, after dissection, can be found at least 8-9 cm. from the anus, while they always deal with the abdomino-perineal the neoplasms which develop in the area of inferior and middle haemorrhoidal arteries.
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The authors refer to an enormous lipoma relapsing from the thigh and the retro-peritoneum space which they have observed. Underlying the rarity of the case, they reveal their reasons whereby one must consider the origin of this lipoma the medial region of the thigh, and the foramen obturatorium the passage-way of the same lipoma from the thigh to the retroperitoneum. Furthermore considering the frequent impossibility of complete removal of these extremely developed lipomas rendering a reserved quod vitam prognosis.
On the basis of a case of rectal Schwannoma and a review of the literature on this rare condition, stress is laid on the clinical features, diagnostic difficulties and indicated surgical therapy approaches. The need for radical operation, because of the tendency of the form to recur locally and because of the real possibility of malignant degeneration in this event, is stressed. Emphasis is also laid on the problem of making a certainly benign diagnosis even histologically.
The Authors hold that for the onset of the clinical manifestations of the Wilchie's syndrome the contemporary appearance of 2 causes is necessary: the first is an anatomical variance of the organs comprising that particular anatomical location and the second being a pathological alteration taking place in one or more of these set organs. Moreover they suggest appropriate surgical procedure art at removing both causes that produced the disease.
The Authors after having paid considerable attention on the contemporary existence of numerous carcinoid tumours of the intestine and of other abdominal organs, as well as on the frequent multicentricity exhibited by the very same at the level of the last tract of the ileum, explain this by considering the recent research performed on the APUD cells and on the cells of the diffuse endocrine system (DES) of the intestine. They present a carcinoid case, where it is understood that the product of secretion of the same, still not completely identified in its structure and mode of action, produces an arterial vascular alteration even at considerable distance from the tumour, hence bringing about an intestinal ischemic symptomatology which they hypothesize is the case for all the cells of the intestinal diffuse endocrine system, a type of self-regulatory feed-back hormonal system.
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Variceal bleeding from enterostomy in an unusual complication of portal hypertension. The hemorrhage can be managed in most patients with local measures, but if these manouvres fail, surgical procedures may be required. Treatment options include pressure dressings, stomal revision or disconnection, suture or ligation of stomal varices, bowel resection, and porto-systemic shunting. Recently sclerotherapy and percutaneous transhepatic embolization have been reported. A case of ectopic varices in the site of colostomy complicated by recurrent hemorrhage is described and the therapeutic option utilized is discussed with review of Literature to assess the efficacy of the various treatment options.
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To study the effect of sclerotherapy of varices on esophageal function, the motility of the tubular esophagus and L5S was recorded in 12 cirrhotic patients. The following results were obtained: abnormal wave patterns in the lower esophagus were frequently present after sclerotherapy; no impact on L5I pressure and function was found; the motility changes induced by the treatment have a tendency to decrease as time goes by except for the amplitude of the wave whose decrease persist long.
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