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Biomedical subjects

R Occhipinti

Publications and source records attributed to R Occhipinti.

7 recordsLinked to original sources

[Modern surgical staging of lung cancer].

The estimation of the extension of a lung cancer is actually made according to the rules of TNM system. On the basis of the reports of 100 patients who underwent thoracotomy and were staged according to this system after hystological examination of resected specimen (pTNM), the authors consider some not yet clear aspects of this staging. In particular they underline the wide difference between clinical and post-histological staging; the high rate of nodal involvement, if the surgeon always perform a radical excision of the lymph nodes; the further need of accuracy for the data N2 and T3; the role of the anatomo-pathologist for the correct staging pTNM.

Adenocarcinoma↗

[True aneurysms late complications of revascularization operations in the femoropopliteal tract].

The Authors report three cases of true aneurysms following arterial reconstructive surgery in the femoropopliteal tract. One time it was an autologous venous graft and two times of an endarterectomized artery. At surgery the suture line was intact; so the differential diagnosis with false aneurysms was made. This complication is very rare (less than 1%). That natural history and the treatment are reviewed.

Aged↗

[Rare malignant tumors of the thyroid].

The incidence of rare malignant tumors of the thyroid is about 4 cases/100,000 people and represent only 1.8% of all the thyroid cancers. When we talk about "rare" tumors, obviously, we do not refer to the most frequent cancers (papillary, follicular), or less frequent tumors (medullary, anaplastic), but to some types of thyroid tumors that have been almost always sporadically observed. Mucoepidermoid carcinoma and squamous carcinoma have been described in the literature. They present occasional papillary formation so that, according to some authors, could be considered as variants of the papillary carcinoma. Teratoma is another rare tumor which in the paediatric age is benign, but its prognosis could be unfavourable because it causes an important respiratory distress, while in the adult it presents a very aggressive clinical course like the anaplastic carcinoma. Lymphoma is the most frequent of the "rare" tumors of the thyroid (1-5% of all the thyroid cancers). It arises often in a setting of a long history of goitre and Hashimoto thyroiditis. Fine-needle aspirate is important to make diagnosis and to start a correct treatment which allows a 5-year survival up to 85% in the favourable cases.

Carcinoma, Mucoepidermoid↗