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Biomedical subjects

T Marzano

Publications and source records attributed to T Marzano.

6 recordsLinked to original sources

[Spigelian hernia: 3 case reports].

Spigelian hernia is an uncommon hernia of the abdominal wall, often not easily diagnosed. Three cases of Spigelian hernia are reported. In the first patient it was an incidental discovery, in the second one hernia was complicated by strangulation of the small bowel, in the third patient hernia was symptomatic without complications. In all the patients, in their previous clinical history, an operation for hernia or other abdominal pathologies was observed. These patients were treated surgically, using direct reconstruction of the abdominal wall in two cases, while a non-absorbable mesh was positioned in the preperitoneal space in the third patient. The anatomopathological and clinical features of Spigelian hernia are described and the problems in diagnosis discussed; in addition, the importance of surgical cure in incidental hernia is underlined.

Aged↗

[Primary gastric lymphoma. Survey of 5-years surgical cases].

The incidence of gastric lymphoma, unlike that of carcinoma, is increased in these last years. In spite of all that, until today, there isn't codified therapeutic trend. There are many reasons: different patterns of histological classification, the importance of the different adjuvant therapies. Personal experience in ten case of primitive gastric lymphoma over a total of 63 operations of gastric neoplasms in five years (1989-1993) is presented. The analysis of personal results and a review of the literature suggest guideline (surgery, chemotherapy) according to the study of the disease, underlining that in every case the most important therapeutic approach.

Aged↗

[Fibrous hamartoma of the urachus. Report of a case complicated by strangulation of the stalk].

Of the anomalies affecting the urachus, fibrous hamartoma is an extremely rare pathology. In particular, in adults it is very unusual for this pathology to assume clinical relevance, producing symptoms typical of acute abdomen. Diagnosis is only confirmed by histological examination and it is impossible to diagnose prior to surgery; hamartoma of the urachus shows no peculiar characteristics during radiological and ultrasonographic imaging to allow its precise diagnosis and is usually interpreted as ovarian cysts or another mobile abdominal neoformation in the peritoneal cavity. The case reported here, which is documented by photographic images, contributes to the scarce bibliography on this topic.

Abdomen, Acute↗

[Hepatic incidentaloma. A case report of cholangiocarcinoma].

The finding of incidentalomas is becoming increasingly frequent during the course of routine diagnostic tests. At the hepatic level, the preclinical diagnosis of primary tumours has enabled a growing number of patients to undergo surgery with reduced operating trauma and greater oncological radicality. The authors report a case of cholangiocarcinoma whose pre-clinical diagnosis enabled its resection in spite of the patient's advanced age.

Aged↗

[Myxoid liposarcoma of the retroperitoneum. Presentation of a clinical case].

Of all the soft tissue sarcomas, those localised in the retroperitoneum represent a particular challenge to the surgeon. Diagnosis is often late, when the tumour has already reached considerable proportions, creating particular problems for its removal. Liposarcomas are the most common histological form of retroperitoneal tumour. The authors report the case of a patient with retroperitoneal myxoid liposarcoma and use their analysis as the starting point for a review of the literature focused on the diagnosis and treatment of retroperitoneal tumours. They underline that modern imaging techniques (Eco, CT, NMR) are essential during the preoperative stage for a complete and detailed study of the neoplasm, as well as during follow-up. With regard to treatment, surgery is still the most effective approach in cases where this is feasible. The current trend towards aggressive surgery is backed by the improved results in terms of survival. An improved prognosis for patients with retroperitoneal tumours is linked to an early diagnosis and the development of more efficacious complementary therapies.

Humans↗

[Mucinous cystadenocarcinoma (malignant mucocele) of the cecal appendix].

Mucinous cystadenocarcinoma of the cecal appendix is a very rare malignant neoplasia. The majority of these tumours are discovered during surgery performed for other pathologies or as a chance finding in the histological analysis of surgically removed inflamed appendix. There is no characteristic symptomatology of this neoplasia which requires oncologically correct surgery, such as right hemicolectomy. The authors report a case study o peritoneal recidivation of a mucinous cystadenocarcinoma of the appendix.

Aged↗