ABSTRACT
A type of mastopathy is unique to insulin-dependent diabetic patients. The characteristic change is a connective tissue overgrowth with vasculitis and some proliferation of duct epithelium. It is not the type of change typically associated with an increased risk of breast cancer. Clinically this change is indistinguishable by physical or radiographic findings from breast malignancy. Eleven biopsies showing these characteristics were performed on insulin-dependent patients who had diabetes mellitus from childhood. Every patient had some major complication of diabetes mellitus, usually diabetic retinopathy. In every instance the mastopathy continued to manifest itself as a part of the healing process. The probability is that this is an evidence in the breast of collagen cross-linking changes seen in patients with diabetes mellitus. This observation should help in the supervision of patients with a clinical background compatible with this study.
Subject(s)
Breast/pathology , Diabetes Mellitus, Type 1/pathology , Adult , Biopsy , Breast Diseases/etiology , Diabetes Mellitus, Type 1/complications , Diabetic Retinopathy/complications , Female , Fibrosis , Humans , Lymphocytes/pathology , Vasculitis/etiologyABSTRACT
A new method of surgical treatment is described for the Mallory-Weiss tear that is not controlled by conservative measures. This technique uses a team approach combining endoscopy with simultaneous laparotomy to plicate the Mallory-Weiss tear without opening the gastrointestinal tract. We believe this method offers equal or better vision of the lesion than gastrotomy and will significantly lower the morbidity and perhaps the mortality associated with violating the integrity of the gastrointestinal tract.
Subject(s)
Endoscopy , Mallory-Weiss Syndrome/surgery , Stomach/surgery , Suture Techniques , Humans , Male , Middle AgedABSTRACT
A patient with recurrent pancreatitis was treated by near-total pancreatectomy. The tail of the pancreas, together with the splenic artery and vein, was transplanted into the thigh, with anastomoses of the splenic vessels to the femoral vessels. Two months after operation simultaneously drawn blood samples from both femoral veins showed elevated insulin on the grafted side. Two years after operation the patient is free of symptoms and is not diabetic.
