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Biomedical subjects

M Lucev

Publications and source records attributed to M Lucev.

18 recordsLinked to original sources

[Papillary cystic tumor of the pancreas].

A case of papillary cystic tumour of the pancreas in a young woman is reported. The review of the literature permits to stress the rarity of this tumour with a good prognosis.

Adult↗

[Primary lymphoma of the spermatic cord].

A case of primary malignant lymphoma of the spermatic cord in an eighty-nine-year old man is described. The mass simulated a groin hernia and was misdiagnosed elsewhere. The biopsy stated the presence of high malignant centroblastic lymphoma of the spermatic cord. The patient died few weeks after the diagnosis. The review of the literature permits to stress the rarity of this observation: only seven cases of funicular lymphoma are reported up to now. In all cases there are problems in differential diagnosis with other more frequent inguinocrural pathologies. The tumour of the spermatic cord is therefore an intraoperatory diagnosis. The surgical approach is the treatment of choice but it must be supported by a proper chemotherapy. In any case the prognosis is poor and depends on tumour's staging, clinical behaviour and response to the therapy.

Aged↗

[Staging of acute pancreatitis: use of computed tomography].

Since CT permits non-invasive imaging of the peripancreatic anatomy, the relationship between early CT findings and objective prognostic signs was evaluated in fifty-five patients with acute pancreatitis. The tomographic severity of pancreatitis was graded in 5 degrees in accordance with classification reported by Hill. An association of CT findings with objective clinical prognostic signs results in more accurate early identification of patients with a high risk of complications. Therefore early CT evaluation of the pancreas is recommended in patients who, upon clinical evaluation, appear to have pancreatitis of moderate or severe degree.

Acute Disease↗

[Cancer of the male breast with atypical ductal hyperplasia and contralateral gynecomastia].

A case of right mammary invasive ductal carcinoma in young man with atypical ductal hyperplasia and gynecomastia of the second breast is described. The review of the existing literature stress the rarity of this observation. Nevertheless, in all cases of male mammary carcinoma the accurate examination must always include the contralateral breast to search the possible precancerous lesions or etiologic factors.

Adult↗

[Primary melanoma of the esophagus].

A case of primary malignant melanoma of the esophagus is described. Primary malignant melanoma of the esophagus is rare, reaching only 0.1% of all esophageal tumors. The differential diagnosis is often difficult: the clinical features are similar to those of squamous cell carcinoma and, because of its potentially widespread submucosal growth, the bioptic and/or cytologic examinations are frequently negative. The surgical approach with esophagectomy is actually the treatment of choice. However, the prognosis is poor with a 5-year survival of 4.2%.

Aged↗