[Incidence of duodenal ulcer in the city of Reims 1988]. / Incidence de l'ulcère duodénal dans la ville de Reims en 1988.

No epidemiological data on the incidence of duodenal ulcer are available for a well-defined population in France. We therefore conducted a prospective study in the urban population of Reims. All radiologists, gastroenterologists and surgeons of this town were asked to report all new cases of duodenal ulcer seen during one year. During 1988, 114 new cases were identified. Age standardized incidence using world population standards were 83.6/100,000 for males and 29.5/100,000 for females. The male/female ratio was 2.8. Mean age at the time of diagnosis was 51.9 years, higher for females (63.4 years) than for males (48.0 years). Nearly one third (32.5%) of duodenal ulcers presented with complications (haemorrhage or perforation) at the time of initial diagnosis.

[Ultrasound-guided fine-needle punctures of abdominal masses: cytology or histology? Comparative prospective study]. / Ponctions échoguidées de masses abdominales à l'aiguille fine: cytologie ou histologie? Etude comparative prospective.

The aim of this study has been for one part to assess the obtaining of cytological and histological material from the same patients with the minimum amount of injections using a fine needle (diameter less than 1 mm) and also to evaluate the histological and cytological supply, individually and jointly in the diagnosis of abdominal tumors. Seventy lesions of which 58 hepatic have been punctured with fine needles of 20 (0.9 mm) to 22 G (0.7 mm). Material has been obtained in 98.6 per cent of cases for cytology and 54 per cent of cases for histology. Their respective sensitivity in the diagnosis of malignant tumors was 96.8 per cent and 86.8 per cent and was not improved by adjoint analysis. The specificity was 1 for cytology. The differential diagnosis in malignant hepatic tumors between hepatocarcinoma and metastasis was existent in 94.3 per cent of cases for cytology and 90 per cent for histology with no benefit coming from the association of two. In the group having hepatic metastasis without known primary cancer having found histological confirmation of the primary lesion, the cellular type has been revealed in exactitude in 94.4 per cent of cases with cytology and in 63.6 per cent with histology. No complications have been observed. The fine needle cytological aspiration ponction gives very satisfying results, comparable with regard to the diagnosis contribution to results of published studies, obtained with the use of coarse needle biopies. We suggest that fine needle ponction should be used preferentially and that coarse needle biopsy should be restricted to the few cases in which the former does not yield sufficient information.

[Cancer of the esophagus after mediastinal radiotherapy for Hodgkin's disease. Apropos of a case]. / Cancer de l'oesophage après radiothérapie médiastinale pour maladie de Hodgkin. A propos d'un cas.

Malignant solid tumors induced by radiotherapy for Hodgkin's disease are uncommon. We report one case of thoracic esophageal squamous carcinoma diagnosed 19 years after mediastinal irradiation. The criteria usually accepted for the diagnosis of radiation cancer were all present in this case. An oesophagectomy was performed and the patient made a good recovery from the operation.