[Carcinoma of the gastric stump. Considerations on 26 observed cases]. / Il carcinoma del moncone gastrico. Considerazioni su 26 casi osservati.

The authors report their experience concerning 26 cases of gastric stump carcinoma after gastric resection for benign pathology, observed in about 12 years. The incidence of such disease is 9,2% as regards the gastric neoplastic pathology and 5,2% as regards the benign ulcerous pathology, observed in the same period of time. The removal of the tumour was performed in 18 cases (69,2%), in spite of the stage, in most cases advanced, of the disease. In 7 cases (38,8%) the operation was extended to other organs. In 5 cases (27,7%) the removal was performed in spite of the presence of liver metastases. The survival amounts to 3 (16,6%) patients after 2, 4,5 and 5 years, one of whom suffers from liver metastases. In spite of the better knowledge of the histologic modifications and the phenomena caused by the biliopancreatic rebux and gastric hypochlorhydria, the etiopathogenesis of that disease is still unknown; the prognosis remains still unfavourable, due to the diagnostical delay and the particular aggressiveness of the neoplasm. Therefore, the Authors confirm the necessity for a precocious diagnosis, which only is suitable to improve the immediate and remote results.

[Therapy and follow-up of breast cancer. Experiences in 11 years of observation]. / Terapia e follow-up del carcinoma mammario. Esperienze di 11 anni di osservazioni.

Out of 1260 biopsies performed on neoplasias of the breast in 11 years' surgical practice, 463 (36,7%) malignant tumours were encountered. The surgical strategy in the latter cases was based on two basic parameters: a) the histological report on the intraoperative biopsy; b) the clinical stage (TNM). After surgery oncological treatment followed the now universal standard practice: --T1, T2, T3, N+, M0 and T4 independent of N or M: multiple chemotherapy for 6-12 months then periodic check ups as in N- cases. --M1: multiple chemotherapy, hormone and radiation treatment combined in various ways. The results obtained in terms of trouble free periods and survival are in line with reports in the literature including those describing a larger number of cases.

[Our clinico-therapeutic attitude to fibrocystic mastopathy]. / Il nostro orientamento clinico-terapeutico di fronte alla mastopatia fibroso cistica.

The authors relate their experience about Chronic Cystic Disease. They emphasize the frequency of relapses and the risks that such a pathology involves. They finally suggest a surgical treatment plan that, in their opinion, should be applied whenever the patient is a peri-menopausal aged woman who has undergone, at least twice, an operation for a Chronic Mastopathy with a histologically proved epiteliosis. The operation suggests is a total glandulectomy with simultaneous breast reconstruction by means of a prosthesis.

[Surgical therapy of rectal prolapse. Our clinical experience of 12 years of observations]. / La terapia chirurgica del prolasso rettale. Nostra esperienza clinica di 12 anni di osservazioni.

AA. are reporting their experience on the subject of the surgical treatment of the rectal prolapse in all his clinical forms, during 12 years of activity that has taken place in the clinical surgery of the University of Ferrara. From their casuistry it is shown that usually this pathology is joined with other morbid forms of the small pelvis which vary according to the degree of the prolapse. They emphasize the excellent results obtained and support the surgical way of laparotomy adopted in the treatment of prolapse of II type (incomplete) and III type (complete).

[Aneurysm of the abdominal aorta (our experience)]. / Aneurismi dell'aorta addominale (nostra esperienza).

The AA. report their experience on 22 cases of aneurysm involving under renal abdominal aorta as mortality rate in elective surgery is about 16% and in emergency operation it rises up to 60%. The AA. remark the opportunity of early surgical treatment. Ti decrease mortality rate.