Biomedical subjects
Publications and source records attributed to P Patrone.
The Authors reported experiences from 26 traumas of popliteal artery; 2 are related to continuous microtrauma from exotosis; 2 vasospasms implied vascular intervention. Tibial artery bypasses with vein grafts have been advocated to obviate any exploration of popliteal hematoma. A multidisciplinary approach consisting of orthopedist, plastic and vascular surgeons should be employed.
Neoplastic degeneration of plasma cells can show different clinical features, including multiple myeloma and plasma cell leukemia. Skin involvement is not rare in patients with multiple myeloma, and represents a poor prognosis. Appearance of a cutaneous plasmacytoma without the involvement of bone marrow is very rare. We describe a patient who had cutaneous plasmacytoma, with two solitary lesions of the oral cavity. The patient also showed a cerebral involvement, but no evidence of multiple myeloma, with normal-appearing bone marrow.
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This case illustrates the difficulties that sometimes occur in the evaluation of patients with a nonfunctioning kidney. Because of the clinical presentation, suggestive of renal cell carcinoma, no urinary cytology study was obtained from the affected kidney. This study certainly would have led to the correct diagnosis. Despite this fact, the operative management would not have changed except for complete removal of the ureter. In our case we elected to follow the distal ureter by ureteral washings and ureteroscopy during follow-up cystoscopy studies to preclude a further operation. Although no data are available on the role of adjuvant therapy in these patients, because of the poor prognosis associated with such extensive disease we gave our patient 2 courses of M-VAC in an attempt to prevent progression of the disease.
Personal experience in the management of 70 ruptured abdominal aortic aneurysm over the past 5 years is reported dividing patients into 2 groups, before and after establishment of intensive care unit: survival was 30.76% on the first, 66.66% in the second. Factors that allowed that result are discussed.
The authors describe eight patients with Lichen Striatus: history, clinical description and pathologic findings are discussed. Particularly, the histologic picture of Lichen Striatus is not uniform and changes, as it seems, with the "oldness" of the lesion.
Personal experience in the treatment of 70 ruptures of the subrenal abdominal aorta over the past 15 years is reported. The various factors determining prognosis are analysed with particular reference to the time between onset of symptoms and admission to hospital, clinical condition (state of shock, kidney function) and rupture location (anterior or posterior). Preoperative investigations and types of surgical treatment are described together with results. Despite the high mortality rate it is concluded that time and rupture location are the decisive factors in the prognosis for these patients, since all other factors are more easy to monitor and modify using modern techniques of intensive postoperative care.
The treatment of atheromatous carotid lesions combined with occlusion of the contralateral carotid artery remains a problem and one that is much debated. With this in mind the present paper reports personal experience of 25 cases, 16 treated surgically and 9 medically. The criteria for the selection of either type of treatment on the basis of the clinical situations, angiographic findings and Doppler ultrasound studies of the carotid plaque, are analysed. The surgical technique and the methods used in monitoring and protecting the brain during the operation are reported as are the short and long-term results. Finally, it is claimed that an "aggressive" approach is appropriate in such cases, thought there are situations in which careful monitoring of the lesion may be the first logical reaction to the treatment of these patients.
Two personally observed cases of ischaemia of the lower extremities due to thrombosis caused by a popliteal aneurysm are presented. While surgery is known to be treatment of choice, in these cases locoregional fibrinolysis was preferred. It seems useful to detail the advantages of this approach that has never appeared in the literature as a treatment for aneurysmatic pathologies.
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Three cases of essential melanotic pigmentation of Laugier's oral mucosa are presented and personal clinical and histological aspect discussed. The results have been compared with those of other Authors. To verify the low incidence of this disease, the oral cavities of 1000 patients have been examined. In no case were the symptoms of Laugier's disease observed.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.