RESUMO
Cystadenoma and cystadenocarcinoma comprise the majority of the true neoplastic cysts of the pancreas. Five cystadenomas and two cystadenocarcinomas of the pancreas were found in a review of the clinical records of the University of Minnesota Hospitals and the Minneapolis Veterans Administration Hospital. The report of these cases serves to review the clinical and pathological features of these neoplasms. These rare neoplastic cysts occur predominantly in women and are not associated with a history of trauma, alcoholism, or pancreatitis. They produce symptoms by compression of neighboring organs and are slow growing, often attaining large size. With complete excision the results of surgical treatment are usually good.
Assuntos
Cistadenocarcinoma/patologia , Cistadenoma/patologia , Neoplasias Pancreáticas/patologia , Adolescente , Adulto , Idoso , Cistadenocarcinoma/diagnóstico , Cistadenocarcinoma/epidemiologia , Cistadenocarcinoma/cirurgia , Cistadenoma/diagnóstico , Cistadenoma/epidemiologia , Cistadenoma/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/epidemiologia , Neoplasias Pancreáticas/cirurgia , Estados UnidosRESUMO
A study was performed to determine the value of peritoneal lavage in the acute abdomen not related to trauma. Lavage was performed in 33 patients in the evaluation of abdominal pain of sufficient degree to warrant consideration for surgical intervention. Peritoneal lavage was truly positive or truly negative in 64% of the cases. It showed false negative results in 28% and false positive results in 8%. The lavage was most accurate in the evaluation of appendicitis, colonic disease, and intra abdominal bleeding. It was highly inaccurate in the evaluation of cholecystitis and peptic ulcer disease. It was concluded that the peritoneal lavage can be a useful adjunct in the evaluation of patients with abdominal pain and should be considered in difficult diagnostic problems but not routinely employed.
Assuntos
Cavidade Peritoneal , Abdome Agudo/etiologia , Amilases/isolamento & purificação , Apendicite/diagnóstico , Líquido Ascítico/enzimologia , Doenças do Colo/diagnóstico , Humanos , Irrigação Terapêutica , Transaminases/isolamento & purificaçãoRESUMO
The diagnostic findings of history, physical examination, rectal examination, barium enema, and sigmoidoscopy in 684 patients with the initial complaint of inguinal hernia were examined. History and physical examination led to the diagnosis of four cancers of the colon and one villous adenoma. No significant new findings were made by sigmoidoscopy when symptoms elicited by history did not indicate some abnormality. A cost analysis of finding significant disease in these patients with inguinal hernias indicates that in-hospital evaluation by barium enema and sigmoidoscopy is probably not warranted.