ABSTRACT
The aim of this paper is to debate, on the basis of medical literature review, the importance of detection the sentinel nodes in surgery of breast cancer. The beginning of the paper emphasized the problems of the sentinel nodes definition, and then we discuss the dates related to the history and the importance of the sentinel nodes knowledge that consist in the avoidance of axillary lymph nodes dissection in patients with breast cancer N-. Afterwards, we present the indications for detecting the sentinel nodes and the criterion to exclude from the detection of the sentinel nodes. As a part of the results of surgery sentinel nodes, we present dates about the techniques of detection the sentinel nodes, the place of injection of the radiopharmaceuticals, the size of the radiocolloid. Finally, we come up in the conclusion that the identification of the sentinel nodes is useful and possible for majority of the patients with breast cancer T1 or T2N0M0.
Subject(s)
Breast Neoplasms/pathology , Sentinel Lymph Node Biopsy , Axilla , Breast Neoplasms/surgery , Female , Humans , Lymph Nodes/diagnostic imaging , Neoplasm Staging , Predictive Value of Tests , Radionuclide Imaging , Radiopharmaceuticals , Rhenium , Technetium CompoundsABSTRACT
The abdominal pregnancy is an extremely rare variety of the ectopic pregnancy. The symptoms are atypical, which causes a delay in putting the diagnosis, which is established most of the times when complications appear, which are always severe, and endanger the patients lives. This paper presents a rare complication of the abdominal pregnancy, at about 6 months old, stopped in evolution, complicated by an abscess, generalised peritonitis and peritoneal fistula. The diagnosis and treatment of the abdominal ectopic pregnancy are discussed.
Subject(s)
Abdominal Abscess/microbiology , Fistula/microbiology , Peritoneum , Peritonitis/microbiology , Pregnancy, Abdominal/diagnosis , Abdominal Abscess/diagnosis , Abdominal Abscess/surgery , Adult , Female , Fistula/diagnosis , Fistula/surgery , Humans , Peritonitis/diagnosis , Peritonitis/surgery , Pregnancy , Pregnancy, Abdominal/surgery , Treatment OutcomeABSTRACT
This paper aim is to emphasize the severity of soft tissue nosocomial infections, determined by anaerobic bacteria associated with Gram-negative aerobic bacteria: 50% mortality, higher economic costs, disabling morphologic and functional sequels. We present the pathogenic, clinical and therapeutically problems which characterize this type of postoperative infections.
