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1.
G Chir ; 33(3): 86-8, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22525553

ABSTRACT

The authors present a case of giant papillary adenoma of the breast and discuss their therapeutic strategy. The patient subsequently returned due to a local recurrence, which was treated with oncoplastic surgery, with satisfactory aesthetic results. The authors conclude by stressing the considerable rarity of this disease and the need for effective cooperation between surgeons and pathologists.


Subject(s)
Adenoma/pathology , Breast Neoplasms/pathology , Mastectomy, Subcutaneous , Neoplasm Recurrence, Local/pathology , Adenoma/surgery , Adult , Breast Neoplasms/surgery , Female , Follow-Up Studies , Humans , Mastectomy, Subcutaneous/methods , Neoplasm Recurrence, Local/surgery , Rare Diseases , Reoperation , Treatment Outcome
2.
G Chir ; 31(8-9): 409-12, 2010.
Article in Italian | MEDLINE | ID: mdl-20843449

ABSTRACT

The adrenal incidentaloma is a disease that, thanks to the progress of the modern diagnostic, means for the longer and more high quality of life, has given a progressive increase in its impact, which has become more apparent in the elderly population. The authors after a review of literature on the impact and diagnostic, troubleshooting data endocrinology and imaging, these adrenal gland silent tumor clinically poses, envisage a therapeutic for use in older patient protocol.


Subject(s)
Adrenal Gland Neoplasms/diagnosis , Frail Elderly , Incidental Findings , Adrenal Gland Neoplasms/surgery , Adrenalectomy , Aged , Diagnosis, Differential , Humans , Laparoscopy , Treatment Outcome
3.
G Chir ; 31(3): 103-7, 2010 Mar.
Article in Italian | MEDLINE | ID: mdl-20426922

ABSTRACT

The Authors report a case of hemoperitoneum after breaking of luteal cyst of corpus luteum and stress the main characteristics of this pathology. Ovarian cysts are frequently observed in the annexa; they are distinguished in folliculis cysts, luteal cysts, luteal cysts of corpus luteum. Their evolution, influenzed so both by endocrine factors so many from plogistic stimulation, pass through three essential moments: - obliteration for quick cicatrization of the stigma Graafian follicle; - hematic pouring and central softening; - increase of intracavitary fluid that stops with constitution of the fibrous tissue. In the second phase of the menstrual cycle, functional-anatomic changes occur that cause the formation of gravidic corpus luteum or menstrual corpus luteum. The luteal cysts of corpus luteum represent the result of the cystic evolution of the corpus luteum. These cysts are characterized by an intense endocrine activity and can frequently produce a surplus of steroids, particulary of progesterone. They can cause bleeding, often of slight entity but also severe that; these represent a frequent and dangerous complication, especially in women subjected to anticoagulant treatment with warfarin. This drug can determine a raise of intracystic pressure with consequent breaking of the capsule and hemoperitoneum for which is necessary emergency operation like in the case here described.


Subject(s)
Hemoperitoneum/etiology , Hemoperitoneum/surgery , Ovarian Cysts/complications , Ovarian Cysts/surgery , Ovariectomy/methods , Adult , Female , Hemoperitoneum/diagnosis , Humans , Ovarian Cysts/diagnosis , Ovarian Cysts/etiology , Treatment Outcome
4.
G Chir ; 30(4): 144-7, 2009 Apr.
Article in Italian | MEDLINE | ID: mdl-19419614

ABSTRACT

Chemodectomas are uncommon neoplasms, born by glomic cell of extra-adrenegic system. Usually, these neoplasms are benign and non functioning, but when they are more than 4 cm can induce a neuro-vascular compressive syndrome. In this study the Authors propose the guidelines for diagnostic, clinical and therapeutic management, of these tumors according to their experience.


Subject(s)
Carotid Body Tumor/diagnosis , Head and Neck Neoplasms/diagnosis , Paraganglioma, Extra-Adrenal/diagnosis , Aged , Angiography , Carotid Body Tumor/classification , Carotid Body Tumor/diagnostic imaging , Carotid Body Tumor/surgery , Female , Follow-Up Studies , Head and Neck Neoplasms/diagnostic imaging , Head and Neck Neoplasms/surgery , Humans , Magnetic Resonance Angiography , Male , Middle Aged , Paraganglioma, Extra-Adrenal/diagnostic imaging , Paraganglioma, Extra-Adrenal/surgery , Practice Guidelines as Topic , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Ultrasonography, Doppler
5.
G Chir ; 30(4): 169-72, 2009 Apr.
Article in Italian | MEDLINE | ID: mdl-19419620

ABSTRACT

Reporting their personal experience, the authors focus on characteristics and causes of recurrence, either after traditional surgery or with tension-free technique. They describe difficulties and advantages in open interventions and laparoscopic ones. Facing a relapse it's convenient to assume an "eclectic" behaviour, thinking both of general and specific single patient anatomo-pathologic features.


Subject(s)
Hernia, Inguinal/surgery , Follow-Up Studies , Humans , Laparoscopy , Recurrence , Reoperation , Time Factors , Treatment Outcome
6.
G Chir ; 30(1-2): 26-9, 2009.
Article in Italian | MEDLINE | ID: mdl-19272228

ABSTRACT

The Authors, after a review of the topic of thyroid cancer, focus on the epidemiology, aetiology and diagnosis of well-differentiated thyroid cancers. They then describe their own case series and their many years' experience in treating the patients affected by this pathology, which is generally regarded as having low malignancy. Nowadays the Authors consider the treatment of choice the total thyroidectomy with central compartment lymphectomy, eventually associated with metabolic radiotherapy.


Subject(s)
Adenocarcinoma, Follicular/epidemiology , Carcinoma, Papillary/epidemiology , Thyroid Neoplasms/epidemiology , Adenocarcinoma, Follicular/radiotherapy , Adenocarcinoma, Follicular/secondary , Adenocarcinoma, Follicular/surgery , Adenoma, Oxyphilic/epidemiology , Adenoma, Oxyphilic/radiotherapy , Adenoma, Oxyphilic/secondary , Adenoma, Oxyphilic/surgery , Carcinoma, Papillary/radiotherapy , Carcinoma, Papillary/secondary , Carcinoma, Papillary/surgery , Cell Differentiation , Combined Modality Therapy , Follow-Up Studies , Humans , Iodine Radioisotopes/therapeutic use , Italy/epidemiology , Lymph Node Excision , Lymphatic Metastasis , Prognosis , Retrospective Studies , Thyroid Neoplasms/pathology , Thyroid Neoplasms/radiotherapy , Thyroid Neoplasms/surgery , Thyroidectomy , Thyroxine/therapeutic use
7.
G Chir ; 30(11-12): 510-3, 2009.
Article in Italian | MEDLINE | ID: mdl-20109383

ABSTRACT

The Authors, after a careful review of literature about the instrumental diagnostic techniques (with particular attention to the nuclear-medical ones) and the surgical therapy of parathyroid diseases, report their experience on the use of the radio-guided mininvasive surgery with MIBI and gamma-probe for intraoperative localization of pathological glands. Once exposed their experience, the Authors conclude asserting that this technique is fast, slightly invasive and expensive, and certainly useful for the detection of pathological or ectopic glands. It can be widely employed because, in comparison to its numerous advantages, such as the reduction of the operating time and of the hospital-stay, the greater radicality and the possibility to use mininvasive techniques, it does not present significant technical limitations and/or radio-protectionistic problems.


Subject(s)
Parathyroid Glands/diagnostic imaging , Parathyroidectomy/methods , Radiology, Interventional/methods , Adenoma/diagnostic imaging , Adenoma/surgery , Adult , Aged , Carcinoma/diagnostic imaging , Carcinoma/surgery , Choristoma/diagnostic imaging , Choristoma/surgery , Female , Humans , Male , Middle Aged , Parathyroid Glands/surgery , Parathyroid Neoplasms/diagnostic imaging , Parathyroid Neoplasms/surgery , Radionuclide Imaging , Radiopharmaceuticals/pharmacokinetics , Retrospective Studies , Technetium Tc 99m Sestamibi/pharmacokinetics
8.
G Chir ; 29(6-7): 295-8, 2008.
Article in Italian | MEDLINE | ID: mdl-18544269

ABSTRACT

The authors, after reviewing parathyroid gland diseases, their location, and the modern strategies that can be used for their pre-operative detection, describe a case of primary hyperparathyroidism which recently came to their attention. The use of a combination of instrumental techniques (US, scintigraphy and SPEcT) enabled them to establish, prior to surgery, the mediastinal ectopic site of the parathyroid adenoma. Mini-invasive surgery proved to be the optimal technique to performing a targeted surgical excision that reduced the operative time and the hospitalisation.


Subject(s)
Adenoma/complications , Choristoma/complications , Hyperparathyroidism, Primary/etiology , Mediastinal Neoplasms/complications , Parathyroid Neoplasms/complications , Adenoma/diagnosis , Adenoma/diagnostic imaging , Adenoma/surgery , Adult , Choristoma/diagnosis , Choristoma/diagnostic imaging , Choristoma/surgery , Female , Humans , Hyperparathyroidism, Primary/diagnosis , Hyperparathyroidism, Primary/diagnostic imaging , Hyperparathyroidism, Primary/surgery , Mediastinal Neoplasms/diagnosis , Mediastinal Neoplasms/diagnostic imaging , Mediastinal Neoplasms/surgery , Parathyroid Glands/diagnostic imaging , Parathyroid Neoplasms/diagnosis , Parathyroid Neoplasms/diagnostic imaging , Parathyroid Neoplasms/surgery , Parathyroidectomy , Tomography, Emission-Computed, Single-Photon , Treatment Outcome
9.
G Chir ; 29(1-2): 42-4, 2008.
Article in English | MEDLINE | ID: mdl-18252148

ABSTRACT

The Authors describe the clinical case of a seventeen-year-old girl who presented with abdominalgia, fever, nausea and vomiting. During surgery it proved necessary to remove not only the appendix but also a voluminous mucinous cystadenoma of the ovary. The authors take this observation as a starting point for a description of the pathophysiological and clinical findings of these neoplasms.


Subject(s)
Cystadenoma, Mucinous , Ovarian Neoplasms , Abdominal Pain/etiology , Adolescent , Cystadenoma, Mucinous/complications , Cystadenoma, Mucinous/diagnosis , Cystadenoma, Mucinous/physiopathology , Cystadenoma, Mucinous/surgery , Diagnosis, Differential , Female , Fever/etiology , Humans , Nausea/etiology , Ovarian Neoplasms/complications , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/physiopathology , Ovarian Neoplasms/surgery , Vomiting/etiology
10.
G Chir ; 28(6-7): 286-91, 2007.
Article in Italian | MEDLINE | ID: mdl-17626775

ABSTRACT

The authors, reporting on their experience, confirm as the incidence of the hepatic hydatidosis and the complications related to this pathology today are very meaningful. They specify that the objectives to be pursued are: elimination of the parasite, prevention or treatment of the complications, prevention of the development of a new infestation. They dwell therefore upon the various techniques, both conservative and radical, that marked the history of the hepatic hydatidosis surgery, and they conclude affirming that the procedures of eradication of the parasite and the pericystectomy, in particular in laparotomic way, also represents the ideal treatment in consideration of the a little encouraging results of the medical therapy.


Subject(s)
Echinococcosis, Hepatic/surgery , Humans
11.
G Chir ; 28(5): 217-21, 2007 May.
Article in Italian | MEDLINE | ID: mdl-17547789

ABSTRACT

The Authors mention the historical evolution that led to consider the splenectomy as the ideal operation in patients with post-traumatic lesions of the spleen. They linger then on the actual knowledges about the physiopathology of this organ that determined a substantial change of mind to a conservative treatment, when possible. By reporting their experience of the last decade, they weigh up how every therapeutic choice must be consequent to an accurate clinical evaluation that suggests the surgical abdomen exploration in urgency or, on the contrary, the monitoring of the patient. They linger particularly on the validity of the investigation and quantization of organ lesions and of the subsequent hemoperitoneum. The Authors end affirming that an accurate diagnostic evaluation and the subsequent therapy must take place in a specialized Trauma Center that ensures intensive monitoring and, if necessary, a timely operation in these patients.


Subject(s)
Spleen/injuries , Spleen/surgery , Wounds, Nonpenetrating/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged
12.
G Chir ; 26(3): 95-9, 2005 Mar.
Article in Italian | MEDLINE | ID: mdl-15934629

ABSTRACT

The Authors report a case of spontaneous splenic rupture in a patient with Cytomegalovirus infection, stress the main characteristics of this infection and describe the mechanism that, during the viral infection, causes morphological and functional alterations of the spleen. The hypersplenism secondary to hyperfunctioning, the formation of immunocomplexes with secondary infarction, mainly of the white pulp, and the disseminated intravascular coagulation are responsible, as in the observed case, of the rupture of splenic capsula. The Authors conclude that the wide diffusion of Cytomegalovirus infection needs the knowledge of all the pathologic signs of this infection to make a timely diagnosis and treatment.


Subject(s)
Cytomegalovirus Infections/complications , Splenic Rupture/virology , Adult , Cytomegalovirus Infections/surgery , Humans , Male , Rupture, Spontaneous , Splenectomy , Splenic Rupture/surgery , Treatment Outcome
13.
Suppl Tumori ; 4(3): S99-101, 2005.
Article in Italian | MEDLINE | ID: mdl-16437932

ABSTRACT

Gastric stromal tumors give diagnostic and therapeutic problems, especially with regard to histopathologic identification and biological behavior. These tumors are very rare in all case reports. These ones are the most frequent of all alimentary tract. They are often incidentally found; because of their potential transformation, they have to be treated by respecting oncologic eradication standards and observing prognostic criteria based on a correct histopathologic evaluation (neoplasm localization and dimension, its structure, presence of cytological atypisms, mitotic index, ploidia, surgical resection). Then there has to be a good follow-up program.


Subject(s)
Gastrointestinal Stromal Tumors/surgery , Stomach Neoplasms/surgery , Adult , Aged , Female , Humans , Male , Middle Aged
14.
Acta Biomed ; 76 Suppl 1: 16-20, 2005.
Article in English | MEDLINE | ID: mdl-16450501

ABSTRACT

Every surgical act, especially in geriatric age, can be a relevant moment in the onset of nosocomial infections. This has a peculiar aspect in patient who undergo colo-rectal surgery, both in election and especially in emergency, in which the simple opening of intestines always involves a minimal contamination. In order to reduce the incidence of infections, and therefore the septic complications of this surgery, it is necessary to pay attention to the preparation of the surgical equipe, of the operating room, of the surgical instruments and, in election, to the careful preparation of the patient through a careful evaluation of the possible bio-umoral alterations, in order to correct them. The results of our experience allow us to say that the prevention of post-operatory sepsis find its main moment in the careful evaluation and eventual correction of the nutritional status, in the stimulation of the immune system, in the antibiotic prophylaxis both parenteral and topical, and, last but not least, in a correct surgical technique. All this is particularly important for patients affected by colo-rectal neoplastic and inflammatory diseases, for which the intestinal bacteria, more virulent in weak and fragile patients, often represent the source of contamination that can start a sepsis and then assume an important part in determining the final result of surgery.


Subject(s)
Colorectal Surgery/adverse effects , Cross Infection/epidemiology , Aged , Humans
15.
G Chir ; 25(6-7): 251-8, 2004.
Article in Italian | MEDLINE | ID: mdl-15558990

ABSTRACT

The Authors discuss on anatomical and functional characteristics of ileum-colon junction, physiological narrowing in alimentary tract and often involved in benign obstruction. They report their series and analyze all inflammatory or not inflammatory diseases potentially involved, by describing them shortly and giving some information about their clinical features and imaging. The treatment of this obstruction will be done as soon as possible, before wall lesions force to make a larger resection.


Subject(s)
Colonic Diseases/surgery , Ileal Diseases/surgery , Intestinal Obstruction/surgery , Adult , Aged , Colectomy , Colonic Diseases/diagnosis , Colonic Diseases/etiology , Diagnosis, Differential , Emergencies , Follow-Up Studies , Humans , Ileal Diseases/diagnosis , Ileal Diseases/etiology , Ileum/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/etiology , Middle Aged , Time Factors
16.
G Chir ; 25(8-9): 306-12, 2004.
Article in Italian | MEDLINE | ID: mdl-15560309

ABSTRACT

The Authors enumerate main steps of acute pancreatitis natural history. Then they discuss their last five years case-report. After having stated that clinical presentation depends on anatomo-pathological conditions, they consider aetiological causes and morphopathogenetic moments involved in the onset and development of this disease. They conclude stating how only proper diagnosis and treatment can prevent its potential evolution in multiorgan failure.


Subject(s)
Pancreatitis , Acute Disease , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Cholecystectomy, Laparoscopic , Cholelithiasis/surgery , Drainage , Endoscopy , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Multiple Organ Failure/etiology , Pancreatitis/complications , Pancreatitis/diagnosis , Pancreatitis/diagnostic imaging , Pancreatitis/drug therapy , Pancreatitis/etiology , Pancreatitis/surgery , Pancreatitis, Alcoholic/diagnosis , Pancreatitis, Alcoholic/drug therapy , Prognosis , Protease Inhibitors/therapeutic use , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Ultrasonography
17.
G Chir ; 24(6-7): 239-42, 2003.
Article in Italian | MEDLINE | ID: mdl-14569921

ABSTRACT

The Authors reporting two cases with ileus by phytobezoar in distal jejunum and ileum, respectively, and discuss the pathophysiologic mechanism responsible for the formation of bezoars. They expose the etiological and clinical factors of this uncommon cause of small bowel obstruction and also discuss the surgical technique that consists in the removal of the phytobezoar through enterotomy.


Subject(s)
Bezoars/complications , Ileal Diseases/etiology , Ileum , Intestinal Obstruction/etiology , Jejunal Diseases/etiology , Jejunum , Adult , Bezoars/physiopathology , Bezoars/surgery , Humans , Ileal Diseases/surgery , Ileum/surgery , Intestinal Obstruction/surgery , Jejunal Diseases/surgery , Jejunum/surgery , Male , Middle Aged , Vegetables
18.
Ann Ital Chir ; 74(2): 149-53; discussion 153-4, 2003.
Article in Italian | MEDLINE | ID: mdl-14577109

ABSTRACT

The authors, after having examined three recent cases, explain some basic concepts about diagnostics and therapy in cystadenolymphoma of salivary glands. As a matter of fact this neoplasia, in spite of its low frequency, is very important because of its still controversial etiopathology and recent tendency in increasing its incidence in females. Today the diagnostic protocol, undertaken after clinical examination, which is necessary, consists of ultrasonography or computerized tomography. But only postoperative histological examination gives a sure diagnosis and can point out main histomorphological characteristics of tumour. Therapeutic approach can be limited to conservative treatment, which is able to respect the parotid gland, its vascularization and innervation.


Subject(s)
Adenolymphoma/pathology , Salivary Gland Neoplasms/pathology , Adenolymphoma/diagnosis , Adenolymphoma/surgery , Aged , Female , Humans , Male , Middle Aged , Retrospective Studies , Salivary Gland Neoplasms/diagnosis , Salivary Gland Neoplasms/surgery
19.
Tumori ; 89(4 Suppl): 11-5, 2003.
Article in Italian | MEDLINE | ID: mdl-12903533

ABSTRACT

Jejunum-ileum stromal tumors give diagnostic and therapeutical problems, especially with regard to histopathological identification and biological behavior. These tumors are very rare in all case report. After gastric stromal tumors these ones are the most frequent of all alimentary tract. They are often incidentally found; because of their potential transformation, they have to be treated by respecting oncologic eradication standards and observing prognostic criteria based on a correct histopathological evaluation (neoplasm localization and dimension, its structure, presence of cytological atypisms, mitotic index, ploidia, surgical resection). Then there has to be a good follow-up program.


Subject(s)
Ileal Neoplasms , Jejunal Neoplasms , Sarcoma , Female , Humans , Ileal Neoplasms/diagnosis , Ileal Neoplasms/pathology , Ileal Neoplasms/surgery , Jejunal Neoplasms/diagnosis , Jejunal Neoplasms/pathology , Jejunal Neoplasms/surgery , Male , Middle Aged , Retrospective Studies , Sarcoma/diagnosis , Sarcoma/pathology , Sarcoma/surgery
20.
G Chir ; 24(5): 193-7, 2003 May.
Article in Italian | MEDLINE | ID: mdl-12945172

ABSTRACT

The Authors, after having reviewed substernal goitre natural history, report their five-year experience with this disease, underlining clinical features, therapeutic management, positive results. They examine the several proposed classifications and stress haemodynamic and respiratory complications. At last they shortly discuss about diagnostics and, mainly, about correct therapeutic approach which has two aims to resolve the symptomatology and to prevent relapses.


Subject(s)
Goiter, Substernal/surgery , Female , Goiter, Substernal/diagnosis , Humans , Male , Middle Aged
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