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1.
Acta Chir Belg ; 104(4): 393-5, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15469149

RESUMO

Specific rehabilitation of patients with amputated lower limbs is first of all rehabilitation to walk with a prosthesis (artificial limb). After 20 years of practice of prosthetic early fitting for lower limbs amputees using practice prosthesis, the authors suggest that this technique is still up-to-date. The taking charge of amputated patients by a specialised team is an important element if one wants to achieve a good functional result. A rehabilitation milieu, where the new amputee is with a large number of patients with the same pathology, also constitutes a framework that is reassuring as well as stimulating and allows the patient to imagine the situation in which he/she can find himself/ herself a few weeks later.


Assuntos
Amputação Cirúrgica/reabilitação , Membros Artificiais , Perna (Membro)/cirurgia , Humanos , Desenho de Prótese
2.
Rev Stomatol Chir Maxillofac ; 100(1): 34-7, 1999 Apr.
Artigo em Francês | MEDLINE | ID: mdl-10444768

RESUMO

Ewing's sarcoma is the second most common malignant bone tumor of childhood, yet it is a rare tumor. Primary maxillary localization is unusual and occur in only 1-2% of cases, mostly in the mandible. The prognosis of Ewing's sarcoma has been improving considerably since the introduction of combined modality treatment. The estimated overall survival at 4 years is 75%. It is widely accepted that prompt chemotherapy is necessary to treat occult micrometastasis, present in over 80% of cases at time of diagnosis, and to reduce the tumor size. Prognostic factors correlated with a poor overall survival are large tumor size and poor histologic response to initial chemotherapy. Adequate local control of Ewing's sarcoma can be achieved after chemotherapy, with radical or conservative surgery and radiotherapy. Surgery was recommended whenever possible. Radiation dosage and fields are based upon the quality of surgery and histological response to chemotherapy. Concern has been raised, however, regarding deleterious late effects of radiation in this young population. Conservative surgery and reconstruction are often used to improve functional outcome. We report four cases of Ewing's sarcoma localized to jaw bone and mandible, successfully treated by combined modality treatment.


Assuntos
Neoplasias Mandibulares/terapia , Neoplasias Maxilares/terapia , Sarcoma de Ewing/terapia , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Criança , Pré-Escolar , Terapia Combinada , Feminino , Humanos , Masculino , Neoplasias Mandibulares/tratamento farmacológico , Neoplasias Mandibulares/patologia , Neoplasias Mandibulares/radioterapia , Neoplasias Mandibulares/cirurgia , Neoplasias Maxilares/tratamento farmacológico , Neoplasias Maxilares/patologia , Neoplasias Maxilares/radioterapia , Neoplasias Maxilares/cirurgia , Terapia Neoadjuvante , Invasividade Neoplásica , Recidiva Local de Neoplasia/prevenção & controle , Equipe de Assistência ao Paciente , Prognóstico , Doses de Radiação , Sarcoma de Ewing/tratamento farmacológico , Sarcoma de Ewing/patologia , Sarcoma de Ewing/radioterapia , Sarcoma de Ewing/secundário , Sarcoma de Ewing/cirurgia , Taxa de Sobrevida
4.
Arch Anat Cytol Pathol ; 45(1): 47-53, 1997.
Artigo em Francês | MEDLINE | ID: mdl-9339004

RESUMO

A case of immature teratoma involving mandible in a 56 year old woman is reported. This teratoma is composed of ameloblastoma structures mixed with some usual components of teratoma: osseous and cartilaginous foetal tissue, indifferenciated blastema, neuroblastic structures, acinous glands and melanotic cells. A lymph node is involved by metastatic mature glial tissue. This patient is treated by pelvimandibulectomy and irradiation. Histogenesis of this teratoma unusual by this ameloblastic component and this mandibular localization is reviewed.


Assuntos
Ameloblastoma/patologia , Neoplasias Mandibulares/patologia , Teratoma/patologia , Ameloblastoma/terapia , Feminino , Humanos , Neoplasias Mandibulares/terapia , Pessoa de Meia-Idade , Teratoma/terapia
5.
Rev Stomatol Chir Maxillofac ; 98(5): 303-5, 1997 Dec.
Artigo em Francês | MEDLINE | ID: mdl-9471675

RESUMO

We report a case of metastasis in the masseter muscle secondary to stomach carcinoma. Second neoplastic invasion in skeletal muscle is an exceptional phenomenon. And this frequency is paradoxical against corporeal muscular mass. Immune hypothesis is conjure up for explain this fact. Symptoms are not specific and the diagnosis is not often recognized. However, systematic postmortem investigation is positive in one per cent of the cases. Consequently, every painful and nodular induration involved in carcinoma supervision must do perform a systematic biopsy.


Assuntos
Adenocarcinoma/secundário , Músculo Masseter/patologia , Neoplasias Musculares/secundário , Neoplasias Gástricas/patologia , Adenocarcinoma/imunologia , Adenocarcinoma/patologia , Biópsia , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Musculares/imunologia , Neoplasias Musculares/patologia , Invasividade Neoplásica
6.
Rev Stomatol Chir Maxillofac ; 98 Suppl 1: 116-8, 1997 Nov.
Artigo em Francês | MEDLINE | ID: mdl-9471684

RESUMO

The persistence of a residual communication between mouth and nose, is an important sequela a after primary closing of cleft palate. This retrospective study reports twenty-one cases of a new technique (retro-incisive flap) used for closing this residual communication. This flap is an easy and reliable method with an 85% success rate, so we recommend it as the first choice in this indication.


Assuntos
Fissura Palatina/complicações , Doenças da Boca/cirurgia , Doenças Nasais/cirurgia , Fístula Bucal/cirurgia , Fístula do Sistema Respiratório/cirurgia , Retalhos Cirúrgicos , Criança , Fissura Palatina/cirurgia , Febre/etiologia , Seguimentos , Sobrevivência de Enxerto , Humanos , Doenças da Boca/etiologia , Mucosa Bucal/transplante , Doenças Nasais/etiologia , Fístula Bucal/etiologia , Hemorragia Pós-Operatória/etiologia , Fístula do Sistema Respiratório/etiologia , Estudos Retrospectivos , Resultado do Tratamento , Cicatrização
7.
Arch Anat Cytol Pathol ; 44(5-6): 259-62, 1996.
Artigo em Francês | MEDLINE | ID: mdl-9339014

RESUMO

A case of metastasizing pleomorphic adenoma of the parotid in which both the primary tumor and metastasis were composed of benign pleomorphic structures is reported in a 55 year-old white woman. The pulmonary metastasis developed nine years after excision of the primary tumor without local recurrence. No mitotic activity or infiltrative growth pattern were present in the primary tumor. By flow cytometry, DNA content was diploid in both the parotid tumor and the pulmonary metastasis. Previously reported cases are reviewed.


Assuntos
Adenoma Pleomorfo/patologia , Neoplasias Pulmonares/secundário , Neoplasias Parotídeas/patologia , Adenoma Pleomorfo/diagnóstico , Feminino , Humanos , Imuno-Histoquímica , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/patologia , Pessoa de Meia-Idade , Neoplasias Parotídeas/diagnóstico
8.
Hum Reprod ; 10(4): 927-31, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7544363

RESUMO

A major problem with endometriosis is the detection of microscopic and atypical lesions. An incomplete surgical eradication may lead to recurrence of the disease. This study aimed to investigate the diagnostic improvement of endometriosis by the use of tamoxifen-eosin induced fluorescence. The experimental study was performed on surgically induced endometriosis in the rabbit. Endometriosis was induced by grafting endometrium onto the broad ligament in 10 rabbits. After 5 weeks, the fluorescence of excised endometriosis was studied after systemic injection of tamoxifen and local application of eosin. Healthy peritoneal samples served as controls. The fluorescence of endometriotic foci was also compared with (n = 5) or without (n = 5) tamoxifen. Fluorescence excitation was carried out using a 150 W filtered lamp connected to an optical fibre. Fluorescence emission was measured using an optical fibre connected to a spectrofluorometer. Spectral analysis showed a specific fluorescence of endometriosis 72 h after systemic injection of tamoxifen and eosin application. This result is explained by binding to oestrogen receptors of tamoxifen which was protonized to form an ionic pair with eosin. Histological study of samples from the graft of endometrial tissue showed that experimental endometriosis had developed in eight out of the 10 rabbits. However, the fluorescence was not significantly different among the 10 rabbits. This observation was in accordance with previous studies in which endometriosis was confirmed by routine histological techniques or electron microscopy in 70-80% of cases. Consequently, the fluorescence of the two samples which did not present histological evidence of endometriosis indicates the presence of microscopic endometriotic foci.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Endometriose/diagnóstico , Amarelo de Eosina-(YS) , Tamoxifeno , Animais , Líquido Ascítico/patologia , Endometriose/patologia , Feminino , Fluorescência , Coelhos , Análise Espectral
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