Splenosis. A case report and some considerations on the function of splenotic tissue.
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Biomedical subjects
Publications and source records attributed to D F Miller.
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A collaborative educational program for Japanese nurses was developed, which merged the resources of the practice and education settings at the Massachusetts General Hospital (MGH) and the MGH Institute of Health Professions. Two concurrent programs were developed--Adult Health and Maternal-Child Health. These concurrent programs focused on content reflecting key areas in the realm of nursing practice and education in both Japan and the United States. Complementary clinical tours were an integral part of the program. This dyad of lecture and clinical experiences provided a forum to focus on issues relevant to nursing worldwide.
Over a five-year period, 201 patients were admitted to Hairmyres Hospital with a colorectal carcinoma. Eight (4%) patients had a synchronous carcinoma and one (0.5%) patient had an early metachronous carcinoma. Synchronous neoplasms were detected in only one (12.5%) patient pre-operatively, six per-operatively, and one was found in a panproctocolectomy specimen at pathological examination. Four (50%) synchronous neoplasms occurred in relative close proximity to the index neoplasm. We suggest that some 'missed' synchronous carcinomas may manifest themselves as apparent anastomotic recurrences rather than early metachronous lesions. We conclude that greater effort is required to detect synchronous tumors peri-operatively and endoscopic colonic follow-up is necessary to detect 'missed' synchronous lesions and recurrences.
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