Combined Modality Therapy for Locally Advanced Non-Small Cell Lung Cancer / Journal of the Korean Cancer Association, 대한암학회지

The majority of non-small cell lung cancer patients present with locally advanced disease that may not be resectable. A single modality treatment such as thoracic radiotherapy often results in an inferior outcome when compared to combined modality treatment. Various combinations of radiotherapy, chemotherapy, and surgery have been tested in patients with locally advanced non-small-celllung cancer with promising results. The favorable results of the combined modality treatment are accompanied by a corresponding increase in treatment related morbidity. In this article, the results of the application of combined modality treatments in the management of locally advanced non-small cell lung cancer are reviewed.

Some opinions of the spinal anesthesia by dolargan in abdominal delivery

105 pregnant women received the spinal anesthesia by dolargan for the abdominal delivery in Son Tay Hospital during 1-12/2000. The duration of action of the drug, duration of analgesia, efficacy of anesthesia, situation of fetus, influences of the spinal anesthesia on some functions, postoperative time were monitored. The results have shown that the spinal anesthesia is a good method of anesthesia in the abdominal delivery. The care of mother is more convenient than other methods of anesthesia, the cost is lower and the safety for mother and baby is high.

Gastroesophageal reflux

This retrospective study was undertaken to characterize the endoscopic and histopathologic pattern of patients with gastro-esophageal reflux with esophagistis. We investigated 58 patients (24 women, 34 men: mean age 44.33 years). The histopathologic pattern was classified in 3 grades: Grade 1: 19 patients, grade 2: 18 patients, grade 3: 21 patients. The sex ratio, age, endoscopic and particular histopathologic pattern was discussed. We conclude that the gastro-esophageal reflux disease is a common complaint in adult population. Despite it is not a severe damage, it can complicate to Barret’s oesophagus, a premalignant lesion of esophageal adenocarcinoma.

A confrontation between clinical and pathological aspects of thymomas operated at Viet Duc Hospital

The authors presented 37 cases of thymomas operated at Viet Duc Hospital during 1998-2002. The results: 31 males and 6 females with medium age 46.8. The microscopic features were: medullary thymoma: 1, mixt type: 6, predominantly cortical thymomas: 4, cortical thymomas: 4, squamous cell carcinomas: 11 (4 keratinazing and 7 nonkeratinazing, basaloid carcinomas: 2, clear cell carcinoma: 1, small cell carcinoma: 6, sarcomatous carcinoma: 1 and anaplastic carcinoma: 1. Eleven cases developed the superior vena caval syndrome and most of these indicated the malignancy in the microscopic features. The relations between clinical and pathological aspects were discussed.

Some remarks on 44 cases of acute pancreatitis treated in the Department of Surgery, Son Tay Hospital during the period from Jan 1999 to Oct 2001

The most vulnerable age group is 31-50 years old (52.3% of patients) with a sex ratio of male/female was 1/1, and the main causes of the great majority of cases are undetermined. The treatment is mainly preservative at a surgical institution and the severe complications must be promptly interventional surgical.