[Presacrococcygeal congenital cyst in the adult]. / Cisti congenite pre sacro-coccigee nell'adulto.

Two cases of congenital cyst of the presacral space in the adult are presented. The unusualness of the lesion is stressed, and reference is made to the usefulness of a classification covering all retrorectal neoformations, including congenital forms. Attention is given to the manner of diagnosis. Variations in the surgical technique employed depend on the clinical and anatomical picture, and the potential inflammatory and degenerative aspects of the lesion. Emphasis is placed on the absolute need to section the sacrococcyx to prevent recurrences.

[Actinic lesions of the ileum]. / Le lesioni attiniche dell'intestino ileale.

After an examination of the literature regarding the causes of lesions from rays, their most frequent sites, the diagnostic difficulties and the various types of treatment, the paper draws attention to the increase in such lesions in relation to the use of megavoltages, and the advisability of exploratory laparotomy in previously irradiated subjects even in cases apparently labelled as neoplastic relapses.

[A case of primary echinococcosis of the breast]. / Un caso di echinococcosi primitiva della mammella.

A case of hydatid cyst of the breast is reported. Stress is laid on its extreme rarity, the aspecificity of its symptomatology and the importance of considering this type of pathology in the differential diagnosis of cystic conditions of the breast.

[Gardner's syndrome in familial popyposis: clinical contribution and etiopathogenetic, therapeutic and prognostic considerations]. / La sindrome di Gardner nella poliposi familiare: contributo clinico, considerazioni etio-patogenetiche, terapeutiche e prognostiche.

Starting from one case of Gardner's syndrome of their own observation, and in light of Watne's results, the authors argue that in the syndrome just named--and in familial polyposis in a broader sense--genetic factors do not play a predominant role; rather, polyps seem to result from the prolonged action of noxious agents. At any rate, said action can be neutralized, and possibly prevented either with a surgical modification of the distal gut or by treatment with a chemical substance identified as ascorbic acid. In view of these considerations, the authors recommend preventive medical therapy.