[Presence of intra- and peri-lymph node color Doppler signals in a case of suppurative granulomatous axillary adenitis]. / Présence de signaux doppler couleur intra- et périganglionnaires dans un cas d'adénite axillaire granulomateuse suppurative.

Recent reports have emphasized that colour Doppler signals in axillary lymph nodes denote their metastatic nature. We report a case of axillary adenitis due to cat scratch disease in which there were both intra and peri-lymph node signals. Doppler colour signals can thus distinguish other pathologies of the axillary lymph nodes since metastatic nodes do not produce perifocal signals.

Endometrial metastases from gastric adenocarcinoma: a case report.

Embolic metastases to the endometrium are unusual, especially from extragenital cancers. Metastases in the uterine corpus are generally detected at autopsy. We describe a patient with abnormal vaginal bleeding in whom endometrial metastases from an inoperable gastric tumor were discovered in hysteroscopic biopsy specimens.

[Multiple benign lung leiomyomatosis]. / Leiomiomatosi polmonare multipla benigna.

The Authors report a case of multiple benign pulmonary leiomyomatosis, recently observed. They offer a short description of the clinical, anatomo-pathological and therapeutical features of this extremely rare condition.

[The modification of lipids in a secondary prevention program by general practice physicians]. / Studio delle modificazioni dell'assetto lipidico in un programma di prevenzione secondaria effettuato da medici di medicina generale.

This study follows a cognitive investigation about risk factor for ischemic heart disease performed in 1990 by a group of general practitioners in Pistoia, Italy. From this investigation we selected subjects with hypercholesterolemia; we also considered the association with other risk factors for ischemic heart disease. According to the frequency of risk factors subjects received a low-fat diet or diet plus cholesterol-lowering drug therapy (simvastatin). We describe changes on total cholesterol and its fractions by these therapeutic regimens.

Invasive candidiasis does not complicate short-term cimetidine treatment of duodenal ulcer.

The purpose of this study was to record the frequency of invasive candidiasis of duodenal ulcer and to determine whether or not it is enhanced by cimetidine treatment. Our multicenter prospective trial involved 99 patients with endoscopically proven duodenal ulcer who were undergoing a 4- or 8-week cimetidine (800 mg/day) treatment program. At the endoscopic examination, performed before and after the 4- or 8-week treatment, three biopsy samples were taken from the ulcer edge or from the healed tissue. Ulcer infiltration by Candida was presumed by the presence of mycetes in stained tissue samples. Healing rate was 76% at 4 weeks and 89.9% at 8 weeks. Candida infiltration was not seen in any biopsy specimen. Short-term treatment with cimetidine does not promote invasion of mycetes into the duodenal ulcer lesion.

A prospective study of relationships between benign gastric ulcer, Candida, and medical treatment.

Results of a multicenter prospective study on the relationships between benign gastric ulcer, Candida, and medical treatment is reported. In a group of 66 patients, mycetes were seen in six cases (9.1%). Candida-contaminated ulcers were diagnosed solely by histological examination, with periodic acid-Schiff staining being more effective than hematoxylin and eosin staining. All contaminated ulcers were healed by treatment either with cimetidine alone, or combined cimetidine-carbenoxolone, without antimycotics. No cases of Candida-contaminated ulcers were seen after 6 wk of treatment. The finding of contamination was more common in older patients. Under the conditions of our study, Candida-contamination of benign gastric ulcers does not affect the rate of healing, does not need specific treatment, and has no particular endoscopic features. Cimetidine or carbenoxolone treatment was not associated with persistence of the fungus.