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Biomedical subjects

G Macellari

Publications and source records attributed to G Macellari.

18 recordsLinked to original sources
PubMed2005

[The senologist surgeon].

Senology is going to be an independent branch, but resistances to the acknowledgement of the senologist as a devoted professional are still under way. Nevertheless, in the last 20 years an irreversible educational training was traced out. The senologist is not only the surgeon who operates on the breast: he is also a clinician, a researcher and a philosopher. Restricting the senologist's role to that of a knife-user is by far reductive, as this does not put in its true light his huge knowledge: senology is first of all a cultural item. Europe is going to set up independent Breast Units because this is the only way to offer excellent services, whose final result will be the reduction of mortality and the improvement of quality of life.

Breast Neoplasms↗
PubMed1989

[Cancer of the breast. I. Epidemiology and risk factors (our experience)].

Data concerning different risk factors for breast cancer based upon the results obtained in a study of 461 women are reported. Comparing this experience with other Italian and international series, it is concluded that the most reliable risk-index for breast cancer is the age of the woman, while less incisive, though prominent, are family history, immunodeficiency, hormonal metabolism and other environmental factors.

Adult↗
PubMed1989

[Cancer of the breast. II. Prognostic factors (our experience)].

Data concerning different prognostic factors based upon results observed in a group of 212 women operated fro breast carcinoma and submitted to follow-up for 5 consecutive years from diagnosis are reported. Comparing this experience with other Italian and international series, it is concluded that the most reliable prognostic factors are the tumour's size and lymph-node status, while less incisive, though relevant, are the site of the tumour, invasiveness, the grade, the labeling index, hormonal receptor status, the levels of Ca 15.3 and of CEA and the age of the woman at diagnosis.

Breast Neoplasms↗
PubMed1981

[Current considerations on papillosphincterotomy].

A clinical review of 11 years of surgery of the sphincter of Oddi is presented. 106 patients underwent operations on the papilla because of cholodocholithiasis, stone impacted in the papilla, papillitis. The authors show the most meaningful statistical data and express their own preference for papillosphincteroplasty rather than other types of operations. They finally stress the importance of a careful evaluation of the actual indications for this type of surgery.

Adult↗
PubMed1980

[2 cases of juvenile metachronous cancer of the colon].

Two cases of cancer of the colon developed in young people and successively reproduced in another part of the large bowel are reported. The authors describe the two cases in the aim of remembering, besides the originality of this pathology, the importance, for the physician, to take in mind this opportunity and the possibility that these tumors develop as occupational diseases depending on environmental factors.

Adenocarcinoma, Mucinous↗
PubMed1980

[3 cases of diverticulum of the 4th duodenal segment].

Three cases of diverticulum of the IV duodenal portion are presented. The Authors, after having summarized the general features of the duodenal diverticula, remembered the rareness of the ones of its fourth portion, describe the clinical cases and conclude synthetizing the main indications to this type of surgery: complicated diverticula, certainly symptomatic diverticula, of great size diverticula.

Aged↗
PubMed1980

[Simple cholecystectomy without drainage. A dilemma?].

A retrospective study was carried out to show the uselessness of the routine employment of the drainage after simple cholecystectomy. 1425 patients underwent cholecystectomy because for cholelithiasis; of these 164 (13%) were drained because of adhesions, concomitant pancreatitis, inadvertent damage, empiema, gangrena and perforation of the gallbladder. In no case of the 1261 patients without drainage it has been possible to demonstrate the presence of one of those complications for which the use of a drainage after simple cholecystectomy is commonly advised.

Cholecystectomy↗
PubMed1980

[Primary cancer of the gallbladder. Presentation of 54 cases].

The Authors shortly describe some of the main aspects of the primitive cancer of the gallbladder and then expose their 54 cases referred to the last 16 years. Upon it they discuss two points concerning the actual position of surgery of these tumors and the meaning of the cancer-cholelithiasis relation. They finally conclude that notwithstanding the introduction of sofisticated radiological techniques, diagnosis has not recorded improvements in precocity and remember the usefulness of every laparotomy in individuals 50 years over.

Adult↗
PubMed1980

Cholecystectomy without drainage: a dilemma?

A retrospective study was carried out to show the uselessness of routine drainage after simple cholecystectomy. Cholecystectomy was performed in 1,425 patients with cholelithiasis; 164 (13 percent) were drained because of adhesions, concomitant pancreatitis, inadvertent injury, gangrene, empyema and perforation of the gallbladder. None of the complications for which the use of drainage after simple cholecystectomy is commonly advised were observed in any of the 1,261 patients without drainage.

Cholecystectomy↗