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At least 883 records · Page 49Linked to original sources
PubMed1981

[Cases of devascularization of the liver in hepatic metastases of carcinoid tumors. Two cases (author's transl)].

The authors report two cases of hepatic artery's ligature in patients suffering from pan-hepatic metastases in carcinoid tumor of the bowels. They have come to believe that the hepatic devascularization (by removing the carcinoid syndrome and associated hepatalgia) offers a more comfortable chance of survival to the patient, giving him often the illusion that he is cured.

Carcinoid Tumor↗
PubMed1980

[Diagnostic importance of colonoscopy in patients operated on previously for cancer of the large intestine].

Polyps, new malignant tumors and recurrent tumors along the line of anastomosis were frequently revealed in patients who had been previously operated upon for colon carcinoma. The authors examined 93 patients subjected to radical operations for carcinoma of te colon 6 months - 10 years before. In 37 of them there were polyps, 3 patients had metachronous tumors and 6 patients had recurrent carcinomas along the anastomosis line. A conclusion was made that the patients previously operated for carcinoma of the colon should be referred to a group of patients previously operated for carcinoma of the colon should be referred to a group of patients with the increased oncological risk. They must be dynamically observed.

Adult↗
PubMed1994

[Malignant tumors of the small intestine].

In a retrospective analysis, we studied 24 cases of malignant small bowel tumors. Apart from 9 cases of a carcinoid tumor, there occurred 6 cases of leiomyosarcoma and another 7 cases of adenocarcinoma. One case of malignant schwannoma and another case of lymphoma were also seen. Sonography and contrast-study of the GI-tract were the decisive diagnostic tools. Nevertheless, months and even years elapsed before diagnosis was established. Only in 13 patients curative resection could be accomplished. In the remainder of patients, hepatic metastases were found or the tumor could not be resected any more owing to its size. In 6 patients with synchronous and in 7 patients with metachronous liver metastases we carried out palliative regional intraarterial chemotherapy of the liver. The mean survival time of the whole patient group was 19 months. Patients, having submitted themselves to a complete resection of the tumor, had a significantly longer period of survival (mean survival time 25 months) in contrast to patients, having undergone a mere palliative operative procedure (mean survival time 14 months). Mean survival time for leiomyosarcoma was 38 months, for adenocarcinoma 14 months, and for carcinoid tumors 22 months. Owing to difficulties in establishing diagnosis, a tumor of the small intestine should be considered in any patient complaining of abdominal pain.

Adenocarcinoma↗
PubMed1995

Midgut carcinoid tumours. CT appearance.

CT was performed on 80 patients referred for staging and treatment of histologically verified midgut carcinoid tumours. In 17 cases (21%) CT was normal in spite of biochemical signs of tumour (increased U-5-HIAA). The most common finding was liver metastases in 54/80 (68%) of patients. Mesenteric metastases, usually as a soft tissue mass at the mesenteric root, were found in 17/80 (21%). Retroperitoneal adenopathy was found in 19/80 (24%). During a follow-up time of 3 months to 10 years (median 3 years) 445 additional CT examinations were performed on 77 patients. In 39 of these, progressive disease (new lesions) was found after a median time of 15 months (range 3 months-6.5 years). CT is poor in detecting primary carcinoid tumours but helpful in evaluating the extent of tumour spread before surgical exploration and during follow-up once the diagnosis has been established.

Adult↗
PubMed1993

[Bowel resections in cancers of the ovary ].

The authors report a retrospective series of 32 patients who were operated on by resection of bowel at various stages during the progress of epithelial pathology of malignant ovaries. These operations were carried out in one group during the initial operation, in a second group during a "second-look" operation and in a third group when late recurrences had occurred. Removal of bowel was possible to remove completely or to optimum effect malignant cell bearing areas in 22 cases (59%) and less than optimal reductions in 15 cases (41%). Forty-five different segments of bowel were resected consisting of 18 of the rectum and sigmoid, 11 of the right side of the colon, 9 transverse or left colon, and 5 of the small intestine and 2 of the stomach. One patient died from cardio-respiratory failure immediately after the operation. Seven cases had septic abdominal complications but they settled quickly without further surgery. It was not possible on studying the follow-up of these patients to find any statistically significant improvement in those who had complete or optimum resection as compared with those who were less completely operated on, and those who were operated on in a late stage of the illness. All the same even if it is not possible to show that there is a significant improvement in survival in the populations that have been compared in this study, it does seem advisable to practice bowel resection in order to reduce as much as possible cancer bearing cells so that chemotherapy can be applied more effectively and thus improve the prognosis.(ABSTRACT TRUNCATED AT 250 WORDS)

Actuarial Analysis↗
PubMed1993

Angiosarcoma of the small intestine after radiation therapy: report of a case.

A case of angiosarcoma of the small intestine is reported. The patient had a past history of cervical cancer, for which she had received radiotherapy eight years previously. She presented with an acute abdomen, and a distal jejunal perforation was found during emergency surgery. The patient expired due to reperforation of the bowel with peritonitis two months after discharge. The pathology of the resected bowel segment showed evidence of previous radiotherapy and infiltration by angiosarcoma involving all layers of the bowel, which had perforated. Submucosal fibrosis and angioectasia indicative of radiation therapy were also evident. The findings suggest that angiosarcoma of the small intestine may occur at sites of previous radiation therapy and may be causally related.

Female↗
PubMed1977

[Blue rubber bleb nevus (author's transl)].

A case of Blue Rubber Bleb Nevus in a 11 year-old boy is reported. The patient exhibited characteristic hemangiomas of the skin and gastrointestinal tract with an iron deficiency anemia. Historical, clinical, pathological, and surgical features of the condition are discussed. Value of fibroscopic examination in delineation of the cause of persistent gastrointestinal bleeding is pointed out.

Child↗
PubMed1997

[Multifocal epithelioid angiosarcoma of the small intestine. Apropos of a case].

A case of angiosarcoma in the small bowel is reported. There were multifocal lesions in the duodeno-jejunum with peritoneal metastasis, revealed by an hemorrhagic syndrome. This tumor rare in the gastro-intestinal tract was epithelioïd. The authors present an histochemical and immunohistochemical study with a review of the literature.

Aged↗
PubMed1997

[Acute low digestive hemorrhage in testicular choriocarcinoma].

We report a case in which acute intestinal hemorrhage was the initial manifestation in the evolution of choriocarcinoma of the testis. The diagnosis of bleeding was difficult and required laparotomy. Metastatic lesion of the small bowel should be considered a possible cause of intestinal bleeding in patients with testicular choriocarcinoma.

Acute Disease↗
PubMedDate not supplied

[The differential diagnosis of a tumor of the large intestine and ovaries].

Symptomatic of the affection of the large intestine are gastrointestinal discomfort presenting with disturbances in the intestinal passage, tendency toward persistent constipation, anemia of obscure genesis of longstanding, local pain, habitual or spasmodic, severe tenderness on the tumour. The main complaints in the affection of the ovaries include abrupt enlargement of abdomen in size, with the pain symptom being mild; in case it occurs, it has no clear-cut position; no complaints of the intestinal discomfort, the tumour is not tender, no anemia.

Adult↗