[Retrospective study of a series of 240 cases of lithiasis of the main bile duct].
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Biomedical subjects
Publications and source records attributed to P Malvy.
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The authors report two new cases of functional parathyroid carcinoma, the course of which varied between 5 and 7 years. The main fact was their familial character, as the disease affected two siblings. No similar case was found in the world literature. These two cases were characterised by symptoms in the bones or pancreatic symptoms which dominated the whole clinical course. Finally, the second case was studied by angiography which permitted the authors to localise a lymphnode metastasis on the opposite side. As far as treatment was concerned, the frequency and severity of local and regional spread justifies wide removal at an early stage. This attitude is necessary in any case of parathyroid tumor with an infiltrating character.
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Papillary carcinoma is rare as it represents only 5 p. cent of carcinomas of the common bile duct. The authors report 4 cases and emphasize the special characteristics of this carcinoma. The long prodromal phase, dominated by attacks of cholangitis and the incomplete appearance of the jaundice when fully constituted. It affects mainly the common bile duct and has, on microscopy, a villous appearance. Its papillary structure consists of fine coalescent fringes producing a typical glandular appearance. Finally, it evolves very little, therefore there is a good hope of survival even after palliative treatment.
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