[Radical peritonectomy in 37 patients with stage II and III ovarian cancer]. / Peritonectomia radicale in 37 pazienti affette da neoplasia ovarica II e III stadio.

AIM: Radical peritonectomy followed by intraperitoneal early chemotherapy and systemic chemotherapy is the treatment of choice of stage II C and III ovarian cancer, due to the low 5-years survival rate (20%) of stage III and IV. METHODS: The authors present a 5-years experience in 37 patients affected by stage II C and III ovarian cancer treated by Sugarbaker's radical peritonectomy with some surgical technical differences. Intraperitoneal chemotherapy with adriamycin and cisplatin is started and followed after 25 days by a systemic chemotherapy with taxol and carboplatin. A 6-months second-look is performed. RESULTS: All the patients have been treated with radical peritonectomy with tumoral residual lesser than 2.5 mm; we performed 4 minor hepatectomies, 5 radical cystectomies, 35 resections of rectum and sigmoid colon with hysterectomies, bilateral salpingo-oophorectomies and pelviperitonectomies, 14 right hemicolectomies. We had no postoperative mortality, but we recorded a 40% minor morbidity rate. During the second look we found 7 recurrences (18%), 6 lesser than 6 mm, often located on the mesentery and treated with radical resections. The follow-up range is 2-60 months, 27 patients are still alive. Actually, 22 patients (80% of live patients) are in good health and disease free. CONCLUSION: Radical surgery associated with early postoperative chemotherapy followed by systemic chemotherapy in the treatment of ovarian cancer makes it possible to achieve the best survival results and long periods of disease free.

Osteomyelitis of the pubic symphysis, abscess and late disjunction after delivery. A case report.

Infection of the pubic symphysis after delivery is rare, and probably occurs through a small vaginal laceration and is usually silent in the early phase: as the disease progresses, bone infection, sequestra formation and septicemia man occur. This report presents one case of staphylococcal osteomyelitis of the symphysis in a twenty five years old woman, with onset of symptoms 2 months after delivery. Staphylococcus Aureus was collected from pus and blood. Bone sequestra and a large abscess extending in the rectus abdominis fascia were present. Drainage and curettage resolved infection, but sourapubic pain persisted because of symphysis disjunction, and was treated by external pelvic fixation.

[A case of teratoma of the urachus]. / Su un caso di teratoma dell'uraco.

The paper reports a case of teratoma of the urachus in a 53-year-old patient. The difficulties of diagnosing this pathology are underlined, in particular in relation to the rarity of the site of which no other examples have been reported in the literature.