[Reccurrent desmoid tumor of the gluteal area]

Desmoids tumors are fibrous infiltrates recurrent proliferations but not metastasizing. It is about a 40-year-old patient who presented a tumor of the right gluteal area, operated twice for a tumor at the right gluteal area and its histopathologic examination confirmed the diagnosis of a desmoid tumor. A standard X-ray as well as a scanner of the pond objectivized a third recurrence of the desmoid tumor. Given that the clinical signs are not alarming, a surgical abstention was recommended with a regular follow-up of the patient. Desmoids tumors are a port of deep fibromatosis. These kinds of tumors rarely attack young adults with a net feminine predominance. Clinically, the tumor appears in the form of a mass badly limited, of a slow growth, little or not sensitive. The scanner and especially the resonance nuclear magnetic represent radiological examinations of choice. The confirmation diagnosis remains based on the histopathologic study of surgical specimen. The surgery treatment stays the base treatment, the indication of adjuvant treatment based on radiotherapy and medical treatment is limited and the results are uncertain. These tumor rare gluteral; their diagnosis is mostly histological, the treatment is especially based on surgery

[Giant cell tumor of the pelvis about a case]

Giant cell tumours are osteolytical lesions usually located on the epiphysis most frequently near the knee and far from the elbow. Their localisation on the ankle is rare: 5 a 7%. Authors report the case of a 32 year old man with a anklean localisation treated with a curettage and acrylic cementation was good evolution

interest of nailing of Kuntscher to neck anchorage for treatment of trochanteric fructures

This study deals with a new locking method used in treatment of trochanteric fructures. Materials and methods: The study concerned with 25 patients, average age was 54-64 years Classifiedas 6 simple tronchanteric fructures, 16 Compound fructures, and 3 pathological fructures. These cases were treated by nailing of Kuntscher to neck anchorage using a new method based on making of locking hole followed by bone treapaning in face of this hole. There were 7 mechanical complications: 2 cephalic screw migration, 2 sweeped screws, 1 nail incurvation and 2 nail fructures. Finally follow up for more than 6 months showed: Consolidation occurred in 20 cases, 1 non-union, 4 cases disappeared of vision. The nailing of Kuntscher to neck anchorage is a safe and effective method for treatment of trochanteric fractures, it needs an appropriate previous experience in they way of using intramedellary nails

[Acute poisonings by phosphorated insecticides. Measures of cholinesterase activity]

Acute poisonings caused by phosphorated insecticides, represent 8% of all cases of poisoning observed in the medical intensive care department of the Casablanca University Hospital during 1978. The authors report their clinical observations and their therapeutic results. After a review of the main techniques of evaluation of the cholinesterase activity and the choice of a method, they analyse the results of the dosage carried out in eight patients and discuss the evolution of the cholinesterase level according to the applied treatment