[Clinical and therapeutic considerations on a case of benign phyllodes tumor]. / Consideratii clinice si terapeutice asupra unui caz de tumora phyllodes benigna.

Mamary phillodes tumours represent a fairly rare pathology. They can be benign, with a high risk of getting malignant (border line) or already malignant. More than 50% of phillodes tumours are benign and usually appear with women around 45 years old. We present this case for some particular features, with both elements, of either benign or malignant. The course is totally different in the two cases, which raised the issue of the treatment options. This is the case of a 57 years old female patient, who had been admitted with a right mammary tumour, of approximatly 40/50 mm that occupied the lower breast quadrants, with irregular outline, and with necrosis and hemorrhaging zones, mobile on the thorax wall, with right axillary adenopathy, in the latero-thorax group, of 1/2 cm wide, mobile and with a non-tumour aspect. The tumour appeared 1-2 years before and developped very much in the last 2 months when necrosis zones appeared; 3-4 days before presentation to the doctor and bleeding occurred. Intraoperatively, the tumour was fix compared with the back plan, with axillary ganglions being conglomerated, being almost invasive, thus suggesting neoplastic infiltration. The postoperatory histopathological exam with parafine preparation, highlighted the presence of an adenomixofibrom, with parcelled necrosis zones, with inflamatory infiltrate. The harvested biopsies from the axillary ganglions have highlighted a companion adenopathy with inflamatory character.

[Malignant peritoneal mesothelioma]. / Mezoteliom malign peritoneal.

This work presents the case of a hemorrhagic, necrotized peritoneal malignant mesothelioma in a 46-year old man, discovered during the emergency surgery, performed for an acute surgical abdomen/hemoperitoneum. Mesotheliomas are rare neoplasms of the pleura, peritoneum or pericardium, which are frequently associated with exposure to asbestos. The paraclinical investigations (echography) were not able to specify the diagnosis before the operation. The surgical intervention--tumorectomy, electrocoagulation, hemostasis with Gelaspon sponges-- had favourable results.

[The Krukenberg tumor caused by an adenocarcinoma of the gallbladder]. / Tumora Krukenberg secundara unui adenocarcinom al veziculei biliare.

This work presents the case of a 62 year-old woman's Krukenberg tumor caused by an adenocarcinoma of the gallbladder. This was the presumptive diagnosis that was confirmed during the operation. The characteristic feature of this case consists of the rarity of the Krukenberg tumors caused by a cancer of the gallbladder, the paraneoplastic pleurisy and the presence of the cells with "a ring with a seal" in the pleural liquid and in the ascites liquid. The paraclinical investigations (echography, computerised tomography) were not able to specify the diagnosis before the operation. The surgical intervention (cholecystectomy and total hysterectomy with bilateral adnexectomy) has had favourable consequences. Nevertheless, the woman died 5 months after the operation.