[Hospitals facing financing].
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Biomedical subjects
Publications and source records attributed to M Perelli-Ercolini.
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The AA. consider the problem of mammary cancer in the woman more than 70 years old. The incidence of this tumor is about 30% and therefore it is necessary an exact start of therapy. For the AA. the therapy must base itself essentially on a good locoregional treatment, that comes from the constant association of simple mastectomy, if possible with axillary curage, with radiant therapy with small dosages and for a long time, in case with alternate ranges. The systemic treatment must base itself fundamentally and only on an aspecific immunotherapy that can be begun very early and on an hormonal therapy. This hormonal therapy should be suggested, where is possible, by the results of hormonal dosage on plasma and urine.
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The Authors discuss the incidence of mammary carcinoma in the course of pregnancy and its treatment. On the strength of their own experience as well as in the light of published data, they advocate prompt and complete local and regional treatment by surgery and irradiation whenever possible. In their opinion, the concomitant pregnancy does not constitute a contraindication.
The Authors value risk factors as well as they are supplied by the epidemiologic studies about breast cancer; they value the importance of its prevention and try a connection with the cyclic endocrine balance in the correlation hypothalamus, hypophysis, and ovary.
The Authors consider the surgical and sclerosant therapy as treatment of essential varices of lower limbs. On the ground of their experience, they codify the indication to these two treatments that must be considered complementary. The results are always good when indications are right.
Four cases of so-called primary tumour of the spleen are discussed, stress being laid on their rarity and clinical course. The importance of splenectomy for precise histological diagnosis and assessment of the stage of the disease, factors which are indispensable for the oncologist when planning therapy, is also emphasized.
Vascularization of the first 60 cm of the jejunum is considered on the basis of a necroptic study of 100 cases. Attention is called to the possibility that surgical failure in ansa transposition techniques may be due to anatomical variations in the first jejunal branches of the superior mesenteric.