[Tumours of the colon after ureterosignoidostomy. Report on two cases (author's transl)].
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Biomedical subjects
Publications and source records attributed to M Fievez.
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The clinical and pathological features of the fifteen balloon cell melanomas found in the literature are reviewed. Conclusions are that despite early nodal metastases, the median survival time (6,3 years), is rather long, and this diagnosis can be very difficult on the lymph nodes metastases.
The authors present a case of secondary melanoma of the gallbladder, surgically discovered during a laparotomy for assumed biliary tract pathology. The primary tumor was a cutaneous melanoma at the right leg treated by surgery, four years before. At the laparotomy, the pancreas and the omentum contained also metastases. After cholecystectomy the cancerous evolution quickened and led to death after one year. The exceptional character of this observation lead the authors to review the literature.
The authors are reporting their surgical experience of the early gastric carcinoma (EGC). In the last twenty-one years, 48 patients with 54 EGC were operated on: 30 men and 18 women. The proportion of early gastric carcinoma (EGC) among treated gastric carcinoma which was 8% during the first period has risen to 12.5% during the last six years and to 30% during the last year. The average age was 59 years. Symptoms and means of diagnose are analysed. Gastroscopy with multiple biopsies is the most important method of diagnose. The EGC were limited to the mucosa in 27 cases, in another 27 lesions the submucosa was invaded. Most lesions were type II c and III. There were five associations with another cancer. Distal gastric resection (subtotal) was employed in all cases except in one case of total resection. The over all operative mortality rate (30 days) was 6%. The five years survival rate (excluding operative mortality) is 85% (corrected 93%). The ten years survival rate is 75% (corrected 92%).
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This is a report on the pathology of the liver in two patients under continuous and prolonged oral contraceptives (11 and 8 years): the first had peliose, the other had focal nodular hyperplasia. Present etiopathogenetic theories are reminded: anabolic steroids in peliose and contraceptives in focal nodular hyperplasia. These lesions should be searched systematically in such patients at any laparotomy.