ABSTRACT
Until 1971 13 cases of breast cancer in men were observed in our service. In the world literature it accounts for 1% of all cancer of the breast; in our series we have found 4% of all breast cancer. Men present themselves for treatment later and with more advanced local signs than women. In our series, the greatest number of cases occurs near the seventies in men, which is about twenty years later than in women. The etiology is remained unknown, but Klinefelter's disease seems to be a risk for breast cancer. If there are no metastasis, we prefer in our service the surgical treatment as unique treatment. If possible the operation of Patey is realised, but sometimes we have to do a simple mastectomy only as a safe alternative for poor risk patient. In case of metastatic breast cancer the adjuvant treatment was X-ray therapy, chemotherapy and in some of our cases hormonotherapy. We do not have any experience with suppressive hormonal therapy such as orchiectomy or adrenalectomy. Most of the authors think that prognosis of breast cancer in males is worse than in women; the constant central localization of the tumour may be an explanation for that. The fate of women with central lesions is as poor as in males.
Subject(s)
Breast Neoplasms , Aged , Breast Neoplasms/diagnosis , Breast Neoplasms/etiology , Breast Neoplasms/therapy , Humans , Klinefelter Syndrome/complications , Male , Middle Aged , Prognosis , Sex FactorsABSTRACT
A new case of portal hypertension associated with hepatic sarcoïdosis is reported. The authors reviewed 23 other cases in the literature, they underline diagnostic difficulties of which the etiology remains unclear. Surgical treatment seems to be the best in comparison with corticotherapy. Postoperative encephalopathy may appear till 8 years postoperatively. Hepatic atrophy rather than sarcoïdosis must be responsible for it.
Subject(s)
Hypertension, Portal/etiology , Liver Diseases/complications , Sarcoidosis/complications , Aged , Hepatomegaly/complications , Humans , Male , Prednisone/therapeutic use , Sarcoidosis/drug therapy , Splenomegaly/complicationsSubject(s)
Carcinoma, Squamous Cell/therapy , Esophageal Neoplasms/therapy , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/surgery , Esophageal Neoplasms/mortality , Esophageal Neoplasms/radiotherapy , Esophageal Neoplasms/surgery , Humans , Preoperative Care , Radiotherapy DosageSubject(s)
Adrenal Gland Diseases , Adrenal Gland Neoplasms , 17-Ketosteroids/urine , Adrenal Cortex Diseases/diagnosis , Adrenal Cortex Diseases/surgery , Adrenal Cortex Hormones/urine , Adrenal Gland Diseases/diagnosis , Adrenal Gland Diseases/surgery , Adrenal Gland Neoplasms/diagnosis , Adrenal Gland Neoplasms/surgery , Adrenal Medulla/surgery , Adult , Cushing Syndrome/diagnosis , Cushing Syndrome/surgery , Dexamethasone , Epinephrine/metabolism , Female , Humans , Middle Aged , Norepinephrine/metabolism , Pheochromocytoma/diagnosis , Pheochromocytoma/surgerySubject(s)
Thoracoplasty , Tuberculosis, Pulmonary/surgery , Adolescent , Adult , Humans , Methods , Middle AgedSubject(s)
Adenoma , Bronchial Neoplasms , Carcinoid Tumor , Carcinoma, Adenoid Cystic , Hamartoma , Histiocytoma, Benign Fibrous , Adult , Female , Humans , Male , Middle AgedSubject(s)
Emergencies , Thoracic Injuries/therapy , Wounds, Nonpenetrating/therapy , Adult , Humans , Male , MethodsABSTRACT
A survey of 54 patients who had received one or two renal homografts revealed that 15 presented 18 types of serious digestive complications. A relation between immunosuppressive treatment and subsequent appearance of a complication is frequently encountered. Gastrointestinal bleeding constitutes a real danger for the transplant recipient. The importance of early detection of peptic ulcer and treatment by major surgery are stressed. Out of the 12 deaths registered among the total number of patients, 2 were caused by one of the digestive complications.
