ABSTRACT
The authors describe a mammaplasty reduction technique they believe is safe due to modern cutaneous resection and adequate areolar nourishment. It is made possible by maintaining a large pedicule which is also versatile since it can be used on all kinds of breasts. Good results can be reproduced by other surgeons.
Subject(s)
Lipectomy/methods , Mammaplasty , Adult , Female , HumansABSTRACT
Over a period of 12 years, the authors have seen that skin retracts after the judicious treatment of deep and superficial layers of fat tissue, laying to rest what has been one of the biggest fears of this treatment of lipoaspiration, namely cutaneous flaccidity. The adequate and judicious approach to these two layers, along with the increasing use and help of lipo-injection, permits the lessening of irregularities such as undulations and/or depressions.
Subject(s)
Adipose Tissue/surgery , Lipectomy , Abdomen/surgery , Adult , Female , Humans , Leg/surgery , Thigh/surgeryABSTRACT
Ten cases of epithelioid granulomas in the bone marrow of patients with various non-Hodgkin's lymphoproliferative malignancies have been encountered. These included six with non-Hodgkin's lymphoma (three histiocytic and three poorly differentiated lymphocytic types), three with multiple myeloma, and one with acute lymphoblastic leukemia. The bone marrow was not involved by the primary disease in two of the six patients with lymphoma, whereas three with lymphoma showed both granulomatous and lymphomatous lesions in the same marrow specimens, and in one, these lesions were seen in the marrow at different times. The three myeloma patients showed evidence of both myeloma and granulomas in their marrow. In the case of acute lymphoblastic leukemia, the bone marrow showed only granulomas, the leukemic process being in complete remission. Although small numbers of similar cases have been reported before, the authors were unable to find a previous report of acute lymphoblastic leukemia associated with bone marrow granulomas. Although the pathogenesis and the clinical significance of the granulomatous lesion of the bone marrow in non-Hodgkin's lymphoproliferative malignancies are unknown, this lesion should be differentiated from infectious or lipid granulomas as well as from involvement by the primary disease.
Subject(s)
Bone Marrow Diseases/pathology , Granuloma/pathology , Lymphoma/pathology , Adult , Aged , Bone Marrow/pathology , Child , Female , Humans , Leukemia, Lymphoid/pathology , Lymphoma, Non-Hodgkin/pathology , Male , Middle Aged , Multiple Myeloma/pathologyABSTRACT
The case of a patient with an endometrioid carcinoma arising in endometriosis of the rectum is presented. This lesion grossly appeared to be a carcinoma arising from the rectal mucosa until microscopic examination of the specimen was completed. The endometrial implant continued to grow and eventually degenerated into a carcinoma in spite of bilateral salpingoophorectomy. This was believed to be due to maintenance of the patient on diethylstilbestrol. This case is believed to be the ninth reported case of carcinoma arising in an endometrial implant in the colon or rectum.
Subject(s)
Adenocarcinoma/complications , Endometriosis/complications , Rectal Neoplasms/complications , Uterine Neoplasms/complications , Endometriosis/pathology , Female , Humans , Middle AgedABSTRACT
Soft tissue tumors with the characteristics of Ewing sarcoma of bone have thus far only been studied by light microscopy. A pelvic tumor of this type in a 13-year-old girl was examined by electron microscopy. Comparison of its ultrastructural features with those of reported cases of bony Ewing sarcoma reveal much similarity. It is believed that they are probably identical and that the tumor cells are of immature mesenchymal type. However, their site of origin and the direction of their potential differentiation remain obscure.
