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1.
G Chir ; 12(8-9): 453-5, 1991.
Article in Italian | MEDLINE | ID: mdl-1751341

ABSTRACT

The authors report a case of Kimura's disease recently observed. Diagnostic problems related to this rare pathologic condition as well as current and most reliable etiopathogenetic hypothesis are emphasized. Histopathological and clinical features are described in detail.


Subject(s)
Angiolymphoid Hyperplasia with Eosinophilia/diagnosis , Adult , Angiolymphoid Hyperplasia with Eosinophilia/pathology , Biopsy , Humans , Lymph Nodes/pathology , Male , Skin/pathology
2.
Int Surg ; 75(4): 208-14, 1990.
Article in English | MEDLINE | ID: mdl-2292477

ABSTRACT

The possibility of constructing very low anastomoses using stapling devices led many surgeons to reduce the length of the distal clearance to 1-2 cm. This made it possible to perform a low anterior resection instead of an abdominoperineal resection of the rectum in a greater number of cases. Furthermore, the enthusiasm in preserving sphincteric function induced some Authors to perform a local excision for tumors of the distal portion of the rectum. On the other hand, in order to improve patients' survival after curative operations for cancer, either of the rectum or rectosigmoid junction, other surgeons have adopted a more aggressive approach, extending exeresis to the peri-aortocaval and pelvic nodes, and to the possible liver metastases as well. On the basis of our experience (374 cases from 1972 to March 1989) and a critical review of the literature, indications, techniques, and results of curative operations for both rectal and recto-sigmoid junction cancer are examined. The role of extended abdomino-pelvic lymphadenectomy is also discussed. The Authors believe that in the absence of a reliable evaluation of the potential of these tumors, an aggressive approach is required. Local excision is reserved to very selected cases, which should undergo an intensive follow-up in order to detect recurrences at a very early stage.


Subject(s)
Rectal Neoplasms/surgery , Anastomosis, Surgical , Follow-Up Studies , Humans , Lymph Node Excision , Neoplasm Recurrence, Local/mortality , Neoplasm Recurrence, Local/surgery , Rectal Neoplasms/mortality , Rectum/surgery , Sigmoid Neoplasms/mortality , Sigmoid Neoplasms/surgery
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