Assuntos
Hemorroidectomia/métodos , Hemorroidas/cirurgia , Dor Pós-Operatória/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hemorroidectomia/efeitos adversos , Humanos , Masculino , Ilustração Médica , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico , Estudos Prospectivos , Resultado do TratamentoRESUMO
In a series of 161 consecutive breast cancer operations, intradermal injection of Patent Blue was used to localize the sentinel node (SN). The surgical localization rate was 60%. Including the blue lymph nodes found by the pathologist, localization rate was 70%. After the first 103 operations, the surgical procedure was changed, resulting in a localization rate of 83%. Ten surgeons participated, but only one had previous experience with SN dissection. The others experienced a steep learning curve. Metastasis was found in 42 of 97 SNs (43%). In 15 cases (36%) metastasis was recognized only after step-sectioning and immunohistochemical staining for cytokeratin. In one case a benign epithelial inclusion was found. The sentinel node was false negative in 9.1% of cases. The consensus from the literature is that the best results are achieved using a combination of dye and isotopic techniques.
Assuntos
Neoplasias da Mama/patologia , Corantes , Linfonodos/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Axila , Biópsia , Reações Falso-Negativas , Feminino , Humanos , Imuno-Histoquímica , Injeções Intradérmicas , Queratinas/análise , Metástase Linfática , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Competência ProfissionalRESUMO
A case is reported of a 25-year-old woman stricken with prolonged and life-threatening menorrhagia from abnormal uterine vessels resembling hemangioma cavernosum. The condition was suspected at ultrasonic investigation. Hysterectomy was performed as an emergency operation.
