Stapled bypass for nonresectable carcinoma located in the upper part of the stomach.
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Biomedical subjects
Publications and source records attributed to Y T Chan.
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A rare case of presacral myelolipoma in an otherwise healthy 53 year old man is described. His only complaint was lower abdominal discomfort. Full investigation including computed tomography and angiography revealed a well-delineated, heavily calcified, avascular retrorectal mass adhering to the presacral fascia. Histologically the mass showed a mixture of haemopoietic tissue and mature fat cells. Clinically the absence of symptoms and bone involvement served to distinguish this condition from other more sinister presacral lesions, particularly a chordoma.
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We report three cases of choledochal cyst. The calibre of the common bile duct in each of them was demonstrated by ultrasonogram, CT scan, radiography and laparotomy to be almost normal before recurrent attacks of pancreatitis, following which the common bile duct was shown to become grossly dilated. This observation leads us to surmise that recurrent pancreatitis contributes to the formation of choledochal cysts.
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The renal capsule long has been suggested to be the origin of leiomyosarcoma of the kidney but this speculation has never been proved. We describe a case of leiomyosarcoma lying with the renal capsule. The radiographic, as well as the macroscopic and microscopic appearances provide convincing evidence of capsular origin.
The study is based on a prospective survey of 200 necropsies, to determine the prevalence of colonic polyps and diverticula in Hong Kong. Adenomatous polyps were found in 34% of men and 19% of women. The corresponding figures for hyperplastic polyps were 22% and 15%. When compared with European countries having similar rates for colorectal cancer, the polyp pattern by type, prevalence, and distribution is very similar. For diverticula the prevalence rate in this study was only 5%; most of these were situated in the caecum. This is at marked variance to the European pattern.
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Intrarenal scarring with stricture formation is common in late cases of renal tuberculosis and has caused more loss of renal function than direct involvement by tuberculosis. The classical treatment of this condition is heminephrectomy for early cases and total nephrectomy for late cases. However, these destructive procedures are far from satisfactory. We describe a new operation, pan-caliceal ileoneocystostomy, that aims at draining the entire caliceal system into an ileal ureter, which thereby relieves the obstruction. Good results were obtained in 2 cases. This procedure also is applicable to cases of intrarenal scarring with stricture formation owing to other causes.
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A 15 year old male patient was diagnosed as being infected with the nematode Lagochilascaris minor, presenting as abscesses over the left mastoid region, and invading the temporal bone, mastoid sinuses and possibly the CNS. Surgical drainage and administration of cambendazole and levamisole led to improvement, followed by an early relapse and poor tolerance to the antihelminthic drugs. Repeated doses of ivermectin (an animal preparation) were used for the first time to treat this condition and resulted in complete remission of signs of infection, maintained for 15 months after the end of drug therapy, indicating cure of the disease.