[ Tissue and blood CEA levels in stomach cancer]. / I dosaggi del CEA tissutale e sierico nel carcinoma dello stomaco.

The assays of serum CEA is a useful prognostic marker in patients with stomach cancer. In this study pre-operative serum CEA and tissue CEA in tumour or biopsy were assayed in a group of patients with gastric carcinoma in order to assess their prognostic roles. Based on an analysis of the results the authors affirm that high serum CEA levels in patients with advanced stages of stomach cancer indicate a fatal prognosis, and likewise the finding of tissue CEA in loco-regional lymph nodes at the same concentration as that in the primary tumour is also the sign of a severe prognosis.

[Anatomo-clinical considerations on early gastric cancer]. / Considerazioni anatomo-cliniche sull'early gastric cancer.

After having asserted the still rising interest for an as early as possible diagnosis of gastric cancer, authors refer on a group of patients who are carriers of Early gastric cancer. After having touched upon localization and histological characteristics of neoplasms, linger on the rules that leaded their therapeutic choice and they report the results of a follow-up dragged ten years long. They terminate affirming only a timeliness diagnosis can consent a really decisive therapeutic approach.

[Study of the APUD cells of the gastric mucosa]. / Contributo allo studio delle cellule APUD della mucosa gastrica.

The results of an histochemical and microscopic study of the APUD cells carried on gastric biopsies are reported. Endocrine cell hyperplasia, microscopically detected, was particularly evident in atrophic gastritis (type A chronic gastritis) and adenomas. The presence of the APUD cells confirmed by electronmicroscopy, which revealed granules of 200 NM with a central nucleus and a membrane-separating electron-lucent ring, gives a further contribution to the hypothesis of a possible association between endocrine cell hyperplasia and intestinal metaplasia.

[Minimal breast carcinoma (the authors' experience)]. / Il carcinoma minimo della mammella (nostra esperienza).

The authors relate their experience about twenty-one cases of impalpable lesions of the breast come to their observation during the years 84-88. After expanding therapeutical tactics carried out by them, the promoters infer asserting that a wide diffusion of screening programmes allowed a more verifications of the minute lesions of the breast, addressing the surgeon towards operations more and more conservatives.

[Role of screening as an index of predictability in the early diagnosis of nonpalpable lesions of the breast]. / Il ruolo dello screening in senologia quale indice di predittività nella diagnostica precoce delle lesioni non palpabili della mammella.

The Authors, on the basis of their personal experience and supported by more significative data from the international literature, underline the validity of the screening in detecting non palpable lesions of the breast. They conclude by asserting that mortality for breast cancer may be further reduced if more and more women undergo screening programmes.

[Unilateral polycystic renal dysplasia]. / La displasia renale multicistica unilaterale.

The Authors report two cases of unilateral multicystic kidney dysplasia comparing the etiopathogenetic and clinical characteristics with those of polycystic kidney disease. They conclude with some considerations on the current therapeutic trend in these cases.

[Tumors of the testicle]. / I tumori del testicolo.

The authors describe, in the light of the current literature, the clinical, diagnostic, and therapeutic characteristic of testicular cancer. They remark the good results of adjuvant therapy in this type of tumor.

[Autologous dermal graft in the treatment of hernia of the abdominal wall. A clinical contribution]. / L'innesto di derma autologo nel trattamento delle ernie della parete addominale. Contributo clinico.

The A.A. after reporting the different methods of treatment of the abdomen wall herniation relate about the advantages of autologous dermis graft. Pointing out their experience they conclude that dermis for its perfect tolerability and absence of complications gives considerable probabilities of success.

[Wilms' tumor in adults]. / Il tumore di Wilms nell'adulto.

The Authors report a case of Wilms' tumor in a 38-year-old woman. Through a review of such neoplastic condition some etiopathogenetic and clinical considerations are made. It is concluded that postsurgical adjuvant therapy in adulthood must not differ from that of childhood.

[Clinico-therapeutic considerations on primary gastric lymphoma]. / Considerazioni clinico-terapeutiche sul linfoma gastrico primitivo.

The Authors report four cases of primary gastric lymphomas. They stress the anatomopathological, clinical and therapeutic problems related to this disease because, at present, they are still discussed.

[Liver scintigraphy using 99mTc-HIDA in the study of biliary-digestive anastomosis]. / La scintigrafia epato-funzionale con 99mTc-HIDA nello studio delle anastomosi bilio-digestive.

Surgical operations characterised by the creation of a bilio-intestinal anastomosis are becoming an increasingly frequent procedure in bile tract surgery. Just as frequent and well known are the immediate and longer-term postoperative sequelae. Thus, one of the problems which has always interested surgeons and investigators is how best to monitor the functional efficiency of the anastomosis. Traditional x-ray methods, including highly invasive examinations such as PTC and ERCP, as well as the harmless ultrasound procedures do not provide an adequate picture of the functional efficiency of such anastomoses, the only wholly valid and efficacious method being sequential scintigraphy with 99mTc-Hida. On the basis of these principles, the authors describe their experience in this field, stressing the validity of the method, which enables surgeons to study the morphology and, above all, the functional efficiency of bilio-intestinal anastomoses.