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1.
Minerva Chir ; 54(11): 809-12, 1999 Nov.
Article in Italian | MEDLINE | ID: mdl-10638155

ABSTRACT

Sclerosing peritonitis (abdominal cocoon syndrome) is a rare chronic affection of the peritoneum; its etiology is multifactorial and it affects all ages. Capsulating membranes seem to grow from a poorly cellular connective deposition in many layers on the intestinal peritoneum and are casually detected by surgery or autopsy. The placement of the peritoneovenous shunt can favour the deposition of fibrin on the visceral peritoneum, determining the formation of sclerosing membranes. When mechanical occlusion occurs, surgery is the choice therapy in order to remove the obstacle and, if possible, the membranes as well.


Subject(s)
Peritoneovenous Shunt/adverse effects , Peritoneum/pathology , Peritonitis/etiology , Humans , Male , Middle Aged , Sclerosis , Syndrome
2.
Minerva Chir ; 53(9): 769-74, 1998 Sep.
Article in Italian | MEDLINE | ID: mdl-9866948

ABSTRACT

Renal oncocytoma is an epithelial tumour of the kidney, originally considered benign neoplasm, but now it is thought have a limited but real malignant or metastatic potential. Usually monolateral, in 6% of cases it is bilateral in a synchronous or metachronous way. A case of bilateral renal oncocytoma in a 56-year-old woman, observed by chance during a follow-up carried out after breast cancer is described. The etiopathogenic and clinical-therapeutic aspects of this neoplasm are examined, and the conclusion is drawn that the most correct therapeutic approach must aim at both the protection of kidney function and complete removal of the tumour.


Subject(s)
Adenoma, Oxyphilic/diagnosis , Kidney Neoplasms/diagnosis , Neoplasms, Multiple Primary/diagnosis , Adenoma, Oxyphilic/pathology , Adenoma, Oxyphilic/surgery , Adrenalectomy , Breast Neoplasms/pathology , Female , Humans , Kidney/pathology , Kidney Neoplasms/pathology , Kidney Neoplasms/surgery , Lymph Node Excision , Middle Aged , Neoplasms, Multiple Primary/pathology , Neoplasms, Multiple Primary/surgery , Nephrectomy
3.
Chir Ital ; 48(4): 33-8, 1996.
Article in Italian | MEDLINE | ID: mdl-9522097

ABSTRACT

Cholangiojejunostomy of the duct of the III segment in the palliative treatment of mechanical jaundice from neoplastic obstruction of the hepatic hilus. The neoplastic obstruction of the liver hilus has an almost total absence of forewarning clinical signs and therefore results in surgery at a late stage when the patient is not susceptible to radical treatment. It is therefore necessary to use palliative treatment in order to resolve the serious jaundice, the main cause of a quick death. Among the palliative treatment the Authors report their experience of intrahepatic cholangiojejunostomy of the duct of the III segment that they consider the most suitable technique for its ease of execution, its constant anatomical situation and the peripheral position of the anastomoses in relation to the neoplastic lesion. This allows a lasting biliary decompression with a good residual life.


Subject(s)
Anastomosis, Surgical , Bile Ducts, Intrahepatic/surgery , Cholestasis/surgery , Jejunum/surgery , Klatskin Tumor/complications , Liver Neoplasms/complications , Cholangiography , Cholangiopancreatography, Endoscopic Retrograde , Cholestasis/diagnosis , Cholestasis/etiology , Humans , Liver Neoplasms/diagnosis , Palliative Care , Postoperative Period , Tomography, X-Ray Computed
4.
Arch Ital Urol Androl ; 66(1): 57-60, 1994 Feb.
Article in Italian | MEDLINE | ID: mdl-8012427

ABSTRACT

Small-cell carcinoma (also known as oat-cell carcinoma) is a rare tumor that previously concerns the lung; small-cell carcinoma of the bladder is extremely rare (0.5% of all bladder malignancies). The Authors report here the case of a 78th years old man. Fourteen months before our observation he was submitted to a partial cystectomy for a small-cell carcinoma of the bladder cupola. There was no evidence of extra-vesical location at that moment and the patient was not submitted to any adjuvant therapy. At the moment of our observation the disease was very advanced and the patient died in a few time. The Authors discuss about the therapy of bladder small-cell carcinoma in the few cases described by the literature and about the survival of those patients. A radical surgical treatment in association with an adjuvant chemo- or radiotherapy appears as a better way to treat these patients. On account of this case the Authors agree with this choice and conclude that only a combined treatment can allow a better survival.


Subject(s)
Carcinoma, Small Cell , Urinary Bladder Neoplasms , Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Small Cell/drug therapy , Carcinoma, Small Cell/pathology , Carcinoma, Small Cell/surgery , Chemotherapy, Adjuvant , Combined Modality Therapy , Cystectomy , Humans , Male , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/pathology , Urinary Bladder Neoplasms/surgery
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