Management of locally recurrent breast cancer adjacent to prosthetic implants.
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Biomedical subjects
Publications and source records attributed to R E Zaworski.
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A prospective study to evaluate the possible relationship between augmentation mammaplasty, a chronic irritant to the breast, and serum prolactin levels was carried out. Eleven healthy female subjects were studied. Serum prolactin levels were determined twice prior to surgery and at 1 and 3 weeks after surgery. No significant change was detected in the postoperative prolactin values. In four subjects evaluated 3 months following surgery, the prolactin levels also remained unchanged. In addition, none of the women developed galactorrhea during their observation period. These results suggest that the placement of a Silastic implant for augmentation mammaplasty may not be a chronic stimulus leading to either galactorrhea or elevation of prolactin levels.
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The incidence of locally recurrent carcinoma after mastectomy is low--between 6 and 20%. Recent case histories of 4 patients who were clinically free of breast carcinoma and who developed local recurrence after reconstruction are reviewed. Possible relationships of breast reconstruction to local recurrence are discussed. The development of capsule formation in the reconstructed breast may denote recurrent disease.
Stab wounds of the palm may cause laceration of the ulnar deep motor nerve. The acute diagnosis can be very difficult, since had sensation and major tendon function are uninvolved. Three cases are presented with ulnar deep motor paralysis secondary to stab wounds of the palm undiagnosed at the time of injury. The early diagnosis with nerve repair should yield excellent results and prevent permanent paralytic deformity.
We report a case of bilateral Dupuytren's contracture occurring in a black patient, apparently the sixth reported occurrence.
We present a case of massive facial edema secondary to an uncomplicated face-lift procedure, and we discuss the mechanisms of histamine release.
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