ABSTRACT
We report the case of a primary carcinoma of the fallopian tube in which the diagnosis was done through laparoscopy for pelvic peritonitis. The pathologic diagnosis was possible with tubal sampling at the same time. The treatment associated radical surgery and radiotherapy. This rare kind of tumor is exceptionally diagnosed this way.
Subject(s)
Adenocarcinoma, Papillary/diagnosis , Fallopian Tube Neoplasms/diagnosis , Laparoscopy/standards , Pelvic Inflammatory Disease/complications , Adenocarcinoma, Papillary/complications , Adenocarcinoma, Papillary/therapy , Adult , Combined Modality Therapy , Fallopian Tube Neoplasms/complications , Fallopian Tube Neoplasms/therapy , Female , Humans , Hysterectomy , Pelvic Inflammatory Disease/diagnosis , Pelvic Inflammatory Disease/drug therapy , RadiotherapyABSTRACT
Three hundred and ninety eight consecutive patients about to be operated upon for inguinal hernia (165), varicose veins (101) or thyroid gland hyperplasia (132) were offered short stay surgery. Patients who left the hospital at day 1 and those who left after day 1 for personal convenience were compared as regards age, sex, occupation, one-sided or two-sided pathology, assisted or non assisted convalescence, life style and drug consumption after discharge. Hernia patients showed no difference in all these parameters. Among varicose vein patients, the proportion of short stay refusals was significant only in women. As for patients undergoing thyroidectomy, only those who had simple lobectomy were in the short stay group. In all cases, short stay had no adverse effect. The main obstacle to short stay surgery might well be the patient himself, as he benefits from full social cover and has access to surgical treatment without being on a long waiting list.
Subject(s)
Hernia, Femoral/surgery , Hernia, Inguinal/surgery , Length of Stay , Thyroid Diseases/surgery , Varicose Veins/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
The authors describe 4 cases of tubal cancer reported in the gynaecology department of the University Hospital in Caen and review the international literature. If all authors are in agreement on the early symptoms (leukorrhea, haemorrhages, pelvic pain), the lack of diagnosis before the procedure, the lack of information regarding the staging and the grading, as well as the surgical and radiation treatment, there is, above all, controversy regarding the use of chemotherapy, since the low number of patients in the different series does not permit reaching a conclusion.
Subject(s)
Adenocarcinoma/pathology , Fallopian Tube Neoplasms/pathology , Adult , Female , Humans , Middle AgedSubject(s)
Embolization, Therapeutic , Gaucher Disease/complications , Splenectomy , Splenomegaly/therapy , Child , Female , HumansABSTRACT
Two cases of Gaucher's disease type I are reported Splenectomy was indicated because of hypersplenism and massive splenomegaly. In one case hypersplenism was treated with pre-operative selective embolization because of the volume of the spleen (20 kg). The embolization corrected the thrombopenia but not the size of the spleen. Four years after operation for case 1 and eight months for case two, there is an improvement in the clinical status.
