[Kawasaki adult disease: case report]. / Maladie de Kawasaki de l'adulte: à propos d'un cas.

INTRODUCTION: Kawasaki disease is a systemic necrotizing vasculitides concerning medium arteries and affecting predominantly young children. CASE RECORD: We describe here an incomplete Kawasaki disease occurring in an adult with an unusual manifestation presenting as aseptic purulent meningitis. DISCUSSION: Diagnosis and treatment management of incomplete Kawasaki disease.

[Prognostic factors of cancer of the endometrium and therapeutic implications]. / Facteurs pronostiques du cancer de l'endomètre et déductions thérapeutiques.

Tumor differentiation, myometrial invasion and lymph node metastasis are the most important prognostic factors in endometrial carcinoma. Tumor stage, positive peritoneal cytology, obesity and race seems to be also prognostic factors. The surgical treatment of stage I and II endometrial carcinoma is hysterectomy with bilateral adnexectomy and pelvic lymphadenectomy (obturator group). This procedure can be performed by laparotomy or laparoscopy.

[Surgical strategy for peritoneal carcinosis of ovarian origin]. / Stratégie chirurgicale devant une carcinose péritonéale d'origine ovarienne.

Cancer of the ovary is usually discovered in an advanced stage after development of peritoneal carcinosis. Surgery is a fundamental element for diagnosis and treatment. Therapeutic strategy for cancer of the ovary discovered in an advanced stage includes first-line surgery and systematic postoperative chemotherapy. The essential prognostic factor is the quality of the initial surgical resection and the size of the residual tumoral tissue. Hysterectomy with adnexectomy, omentectomy, lumbo-ovarian and pelvic node dissection and extensive excision of visible carcinosis nodules, with if need digestive resection, are required for optimal tumor reduction. This aggressive surgery should be performed by well trained surgical teams.