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1.
J R Coll Surg Edinb ; 42(5): 355-8, 1997 Oct.
Article in English | MEDLINE | ID: mdl-9354075

ABSTRACT

We report a new case of primary malignant fibrous histiocytoma of the jejunum. Malignant fibrous histiocytoma (MFH) occurs most commonly in the extremities and trunk, but rarely in visceral organs. However, only eight cases of primary tumours involving the small intestine, including the present, have been described. This case report documents the appearance of malignant fibrous histiocytoma as a primary lesion of the intestinal wall in a patient with a 2-month history of dyspepsia, weight loss and unspecific abdominal pain. The final diagnosis was based on the pathological report of the surgical specimen. Emphasis is placed on the clinical signs, radiological studies and pathological findings. The literature on MFH of the jejunum is also reviewed. Malignant fibrous histiocytoma is considered an aggressive tumour, and the treatment of choice is complete surgical excision. Adjuvant chemotherapy or radiation is recommended mainly in those patients in whom there is vascular or lymphatic infiltration.


Subject(s)
Histiocytoma, Benign Fibrous , Jejunal Neoplasms , Combined Modality Therapy , Fatal Outcome , Histiocytoma, Benign Fibrous/pathology , Histiocytoma, Benign Fibrous/therapy , Humans , Jejunal Neoplasms/pathology , Jejunal Neoplasms/therapy , Male , Middle Aged , Neoplasm Metastasis
2.
Gastroenterol Hepatol ; 19(3): 140-5, 1996 Mar.
Article in Spanish | MEDLINE | ID: mdl-8991656

ABSTRACT

A retrospective study of 677 patients who underwent surgery for hepatic hidatidosis in the Department of Surgery A and B of the Hospital Miguel Servet in Zaragoza, Spain, over the last 21 years is presented. The frequency was analyzed in regards to sex, age, symptomatology, cyst data, surgical techniques performed and postoperative morbidity. The mean age of the patients was 39 years with the incidence being practically equal in both sexes. Dyspeptic symptoms (60%), hepatomegaly and/or palpable mass in the right hypochondria (58%) and pain (46%) were the most frequent clinical signs and symptoms observed. Radical surgery was performed in 21% of all the surgical treatments, while conservative surgery was undergone in 79%. Solitary cysts were most frequent (65.7%) with localization in the right hepatic lobe (65.4%). The most frequent postoperative complication was biliary fistula (72 cases). The rate of reintervention was 18% and operative mortality 1.6% with a mean hospitalization period of 25 days.


Subject(s)
Echinococcosis, Hepatic/surgery , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Child , Drainage , Echinococcosis, Hepatic/diagnosis , Female , Hepatectomy , Humans , Male , Middle Aged , Postoperative Complications , Reoperation
3.
Environ Monit Assess ; 27(2): 107-34, 1993 Sep.
Article in English | MEDLINE | ID: mdl-24220983

ABSTRACT

A method is presented for the design of multi-pollutant air quality monitoring networks (AQMN). This technique leads to an optimal network, i.e. a network providing a maximum of information with a minimum of measurement devices. The spatial correlation analysis technique is used to compare the information given by the potential sites that may form the network. The concept of potential of violation is defined to take into account the number of times that the maximum emission values tolerated by law are exceeded. Both objectives are weighted automatically through an adjustable parameter, b, for which an estimation procedure has been developed in this study, depending on the purpose of the network. Several methods are described, allowing simultaneous consideration of different pollutants. As an illustration of these methods, a number of air quality monitoring networks is designed to perform an analysis of the environmental impact due to a hypothetical potash processing plant and two thermal power stations.

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