[The advanced stomach cancer]. / Zaawansowany rak zoladka.

In the years 1993 to 1997, 106 patients with gastric carcinoma were treated. The age of patients ranged from 24 to 90 years. There were 73 males and 33 females. Variant advancement of gastric carcinoma was diagnosed in the patients: 29 had III grade and 77 IV grade according to TNM. The following resections of the stomach were performed: total in 38 (46%), subtotal or partial 45 (54%). While the remaining 23 patients had other operative procedures. The resection rate increased from 13% to 54%. Chemotherapy was also used. 53 patients died. The authors conclude that the increase in surgical radicalness and application of aggressive chemotherapy are the methods improving the results in gastric carcinoma.

[Minor blunt abdominal trauma can be dangerous]. / Niebezpieczenstwa pozornie blahych zamknietych urazów jamy brzusznej.

Four cases with apparently mild abdominal trauma were presented. Finally, all but one were operated. On laparotomy ruptured spleen was found in two patients, the third had hematoma of the ileal mesentery. The fourth patient with subcapsular kidney hematoma was treated conservatively. All patients had initially denied any abdominal trauma. Sonography seems to be the most reliable and non-invasive investigation in making the diagnosis.

Asymptotic parathyroid cyst--diagnostic difficulties (a case report).

The case of a 70-year-old female with asymptotic parathyroid cyst is presented. It was not possible to make a proper diagnosis preoperatively. The correct diagnosis was based on the result of the postoperative microscopic examination of the resected tissues. The diagnostic difficulties are discussed.