[Negative pressure wound therapy in the treatment of diabetic foot syndrome - a case report]. / Zastosowanie terapii podcisnieniowej w leczeniu zespolu stopy cukrzycowej ­ opis przypadku.

Diabetic foot syndrome is in the variety of diabetes complications. It is one of the most severe and common, is usually observed in the elderly mainly in poorly controlled diabetes. The proper treatment requires involvement of doctors of various specialities and, although numerous newest, supportive therapies and rehabilitation are used, the diabetic foot syndrom may lead to limb amputation and, consequently, serious disability. A CASE REPORT: A patient was hospitalized in the Department of Oncological Surgery UCK in July and August 2020. He was admitted to the Department from the Emergency Department due to the phlegmon of the left foot and toes necrosis in progress of the diabetic foot syndrome. The patient was treated with type II insulin-dependent diabetes for many years. In the last months before admission to the hospital, the controls in the Diabetic and Diabetic Foot Syndrom Outpatient Departments were not exact due to the ongoing pandemic of COVID- 19. Thanks to the use of modern techniques of local wound healing, including negative pressure wound therapy and supportive therapies it was possible to preserve the limb, despite being qualified for amputation on admission to the hospital. We achieved a fairly good cosmetic effect and in the consequence - a chance for an independent life in an acceptable condition. CONCLUSIONS: The involvement of medical personnel, the use of negative pressure therapy and hyperbaric oxygen in the treatment of wounds and supportive therapies allowed for limb preservation and improvement of the patient's quality of life.

[Primary squamous cell carcinoma of the breast - a case report]. / Pierwotny rak plaskonablonkowy gruczolu piersiowego - opis przypadku.

UNLABELLED: Breast cancer is the most common malignant tumor among women in Poland. According to the Center of Oncology (The National Cancer Registry) in 2010 in our country 15,784 new cases have been noted. Since 1970s worldwide growth of new cases of breast cancer have been reported. Among the well-known histological types of breast tumors, small percentage - only 0.1% - include squamous cell component. CASE REPORT: A 69-year-old female met her doctor because of the right breast tumor. After two months of observation, in the last two weeks before the visit, the tumor started to grow very rapidly. As the diagnosis from fine needle aspiration biopsy (squamous cell carcinoma) was very rare for this location, and considering the other clinical symptoms the woman reported, it was suspected to be metastatic. Finally, as the other origins of the primary tumor have been declined and as the patient's condition begun to worsen very rapidly, the urgent treatment: mastectomy (toilet mastectomy) and adjuvant chemotherapy afterward, according to the pathological report were performed. CONCLUSIONS: Rare histological types of the breast cancer use to suggest a metastatic origin or behave as tumors with highly malignant histological grade.

[Pseudomyxoma peritonei spread into the right inguinal hernia sac--a case report]. / Sluzak rzekomy otrzewnej ze wszczepem do worka przepukliny pachwinoweJ prawel--opis przypadku.

Pseudomyxoma peritonei (PMP) is a rare, progressive disease of unknown origin. The incidence is estimated at about 1-2/100,000,000 per year. The primary tumor site is usually discovered in the appendix or- in case of women--in ovaries, appearing as tumors of low malignancy. Making an accurate diagnosis causes difficulties--symptoms tend to be misleading, suggesting more frequent pathologies of the abdominal cavity. It is also not rare that the patient is for a long time asymptomatic. We present a case of a 68-year-old patient of the Surgical Oncology Department treated for pseudomyxoma peritonei, diagnosed incidentally at the time of clinical examination for the reasons of chronic hypertension. The symptoms reported by the patient did not suggest any neoplastic process of the peritoneal cavity. Systemic chemotherapy of two paths (a total number of 10 cycles) did not result and at the time of post-treatment control, due to no response to standard chemotherapy, it was decided to administer chemotherapy intraperitoneally in hyperthermia (HIPEC). During the operation, peritoneal cytoreduction prior to the scheduled HIPEC was performed; the right-sided inguinal hernia was repaired. Within the hernia sac the implanted myxoid cells were found, their presence inside was probably the main reason of clinical manifestation of the disease.