[Rectal linitis as the first manifestation of a prostatic cancer].
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We present the case of a woman of 48 years old, with a gastric metastases from breast lobular carcinoma that was operated eight years ago, being free of illness until today. The symptoms who presented her were totally inespecific and the diagnostic techniques of image realized were compatible with the diagnostic of plastic linitis. The histological findings of biopsy and hormonals receptors study confirmed the diagnostic of gastric metastases of primary breast carcinoma after a comparative study with the initial surgical piece. After starting hormonal and cistostatic treatment, the patient presented a partial improvement of her symptomatology with a survival that exceeds ten months. The gastric metastases of lobular carcinoma are not so infrequent as it was believed, and its diagnostic require a high index of suspicion, given the inespecifity of symptomatology that it used to present.
Two cases of primary signet-ring cell carcinoma involving the urinary bladder, with invasion of the rectum, are presented. Pelvic exenterations were performed, followed by a rapidly fatal outcome (6 and 7.5 months). These cases of signet-ring cell carcinoma of the bladder were reviewed with 33 previously reported cases in the literature. The clinical characteristics, histologic findings, pathogenesis, and effectiveness of aggressive treatment of this rare bladder malignancy are discussed.
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Three types of esophago-enteric reconstruction are currently employed following total gastrectomy: end-to-end anastomosis, esophagus to duodenum; Roux-en-Y esophagojejunostomy; and interposition of jejunal or colonic segment between the esophagues and duodenum. For reasons not entirely clear, esophagoduodenostomy enjoys less popularity than the two alternative methods. A study of cases reviewed at the Jewish Hospital reveals equality of results in terms of mortality and morbidity. The procedure was found to have definite advantages over the others. Esophagoduodenostomy is recommended as the procedure of choice following total gastrectomy.