ABSTRACT
The history of medicine can never be complete without referral to ancient Egyptian medicine. Imhotep has been identified as the god of medicine. There are 13 faculties of medicine in Egypt; the oldest is the Kasr El Aini Faculty, which started in 1925. We review undergraduate and postgraduate education in Egypt. The Egyptian Society of Surgeons organizes the scientific surgical activities. Schistosomiasis is a national health problem. Health care is provided by many types of hospitals, including university, teaching, Ministry of Public Health, military, and private hospitals.
Subject(s)
Education, Medical , General Surgery/history , Education, Medical/history , Egypt , General Surgery/education , History, 19th Century , History, 20th Century , Humans , Schools, Medical/history , Societies, Medical/historyABSTRACT
This report describes three cases from one surgical unit of the Mansoura Teaching Hospital of Cairo, Egypt, with generalized neurofibromatosis and associated breast lesions. Two patients had carcinoma of the breast and the third had cystosarcoma phylloides.
Subject(s)
Breast Neoplasms/pathology , Neurofibromatosis 1/pathology , Phyllodes Tumor/pathology , Adolescent , Adult , Aged , Breast Neoplasms/therapy , Female , Humans , Neoplasm Invasiveness , Phyllodes Tumor/therapyABSTRACT
The thoracic duct was dissected in 30 fresh cadavers, and the anatomy and histology of the duct, at various levels, described. The lymph flow mechanism is correlated with the anatomical findings. The abdominal and lower two-thirds of the thoracic part are more muscular and probably have active peristalsis. The cervical part is less muscular and functions like a vein, passively conveying the lymph it receives. The ostial valve at the lympho-venous junction is bicuspid and has special characteristics and functions. The flow of lymph through the lympho-venous junction, although continuous, mainly occurs during expiration. The ostial valve functions when there is a sudden rise in venous tension causing stretching of the venous wall and the ostial cusps.
Subject(s)
Brachiocephalic Veins/anatomy & histology , Jugular Veins/anatomy & histology , Subclavian Vein/anatomy & histology , Thoracic Duct/anatomy & histology , HumansABSTRACT
The proteins in the thoracic duct lymph were studied in 46 patients with bilharzial hepatic disease in various stages. The thoracic duct proteins were compared to those of serum and ascitic fluid. Total protein and albumin in thoracic duct lymph were 66 and 69% of the concentration of those in the serum of nonascitic patients. The proteins in the thoracic duct lymph were 29% of the serum level in patients with tense ascites. The lymph to serum and ascitic fluid to serum ratios of the total protein and albumin were similar to each other in moderate and severe ascites, reflecting a low protein content in both the ascitic fluid and thoracic duct lymph. The gamma-globulin concentration was raised in the serum of all patients as well as in the ascitic fluid of those with tense ascites. A contrasting pattern of the proteins is present in the thoracic duct lymph in bilharzial hepatic fibrosis. In the early stages the lymph has a relatively high concentration of protein, which decreases as the disease advances.
Subject(s)
Liver Cirrhosis/metabolism , Lymph/metabolism , Proteins/metabolism , Schistosomiasis/metabolism , Thoracic Duct , Adult , Ascitic Fluid/metabolism , Blood Proteins/metabolism , Humans , Liver/pathology , Liver Cirrhosis/etiology , Liver Cirrhosis/parasitology , Middle Aged , Schistosomiasis/complications , Schistosomiasis/pathologyABSTRACT
Eight cases of primary hyperplasia of the parathyroid are reported among 322 cases of primary hyperparathyroidism. Preoperatively, all had high serum calcium. Six cases were water-clear, one chief cell, and one mixed hyperplasia. The case of chief cell hyperplasia was misdiagnosed primarily as adenoma. Its exact nature was recognised retrospectively. Identification and biopsy with frozen section of all the parathyroid glands is stressed. This is essential to rule out the presence of multiple adenoma or adenomatous formation in hyperplasia. When hyperplasia was proved, total parathyroidectomy and autotransplantation of parathyroid tissue equivalent to 1/2 or one normal-sized parathyroid gland was done in 7 cases. Although one patient had hyperplastic tissue in situ, the results of this management are considered to be satisfactory. On to six years postoperatively, all surviving patients are without symptoms of hyperparathyroidism and have normal serum calcium. Two patients required a small dose of Vit D-2 to sustain a normal calcium level. Total parathyroidectomy and autotransplantation of parathyroid tissue (PTA) is preferred to subtotal parathyroidectomy in cases of primary hyperplasia. There is a good primary result and reoperation can be easily done if there is recurrence of hyperparathyroidism.