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3.
Chir Ital ; 32(5): 1197-209, 1980 Oct.
Artículo en Italiano | MEDLINE | ID: mdl-6265108

RESUMEN

In the field of malignant primitive hepatic tumours, the use of ultrasonic methods and C.A.T. has made a considerable contribution to diagnosis and topographical localisation of such tumours. In addition, hepatic biopsy supplies the histological diagnosis. However it is only by angiography that it is possible to evaluate the involvement of the lobes and segments, supplying the character of invasiveness or otherwise of the lesion through demonstration of the arterial peduncle, and thus giving the surgeon the essential elements for a therapeutic approach. Furthermore, in the case of a monofocal lesion, it is only angiography that can establish the usefulness or otherwise of surgical therapy (William M. - Richard P. J. - Philip C. G. - Robert C. Lim, 1979). The purpose of the work is to examine the angiographic readings, which allow: 1) a diagnosis of hepatic expansive formation to be made, with definition of its nature (bening or malignant); 2) the growth character of the lesion to be characterised through evaluation of the involvement of the vascular structures.


Asunto(s)
Carcinoma/diagnóstico por imagen , Neoplasias Hepáticas/diagnóstico por imagen , Carcinoma/irrigación sanguínea , Carcinoma Hepatocelular/irrigación sanguínea , Carcinoma Hepatocelular/diagnóstico por imagen , Arteria Celíaca/diagnóstico por imagen , Humanos , Neoplasias Hepáticas/irrigación sanguínea , Radiografía
6.
Chir Ital ; 32(5): 1248-53, 1980 Oct.
Artículo en Italiano | MEDLINE | ID: mdl-7249184

RESUMEN

The clinical case of a sixty-two year old woman suffering for about six years from rare episodes of cramplike pains in the right hypochondriac region, radiated to the homolateral scapula, is described. After diagnosis of biliary calculosis, the patient was admitted to hospital and her gallbladder removed. During the operation a number of venous ectasias of the portal system were evidenced at the hepatic hilus, and their biopsy led to a diagnosis of portal cavernoma. The possible part played by the cavernoma in producing the patient's clinical picture is discussed, with reference also to other cases of cavernoma of varying location. This is followed by a review of the literature, in which stress is placed on the different aetiopathogenetic interpretations of angiomas and in particular of portal cavernomas. The possible evolution of angiomas and present treatment trends are also mentioned.


Asunto(s)
Hemangioma Cavernoso/patología , Vena Porta/patología , Biopsia , Femenino , Hemangioma Cavernoso/diagnóstico , Hemangioma Cavernoso/cirugía , Humanos , Persona de Mediana Edad , Vena Porta/cirugía
7.
Chir Ital ; 32(5): 1274-85, 1980 Oct.
Artículo en Italiano | MEDLINE | ID: mdl-7249187

RESUMEN

Cerebrovascular diseases are among the most widespread. In the USA alone there is at any time a population of 1.6 million people with current stroke syndrome or the sequelae thereof. The most effective weapon to combat this disease is prevention, and here reference is made in particular to surgical prevention, especially through endoarterectomy of the extracranial internal carotid, and to vertebrobasilar circulatory failure.


Asunto(s)
Revascularización Cerebral , Trastornos Cerebrovasculares/cirugía , Encéfalo/irrigación sanguínea , Trastornos Cerebrovasculares/prevención & control , Endarterectomía , Humanos , Flujo Sanguíneo Regional , Riesgo , Síndrome , Insuficiencia Vertebrobasilar/cirugía
10.
Chir Ital ; 32(2): 404-12, 1980 Apr.
Artículo en Italiano | MEDLINE | ID: mdl-7237658

RESUMEN

The AA. examine 75 cases of Crohn disease for studying the secretion of mucina in the different stages of disease. The result is that the acute stage is marked by a strong depletion of mucina; the interesting part of this work is that the study of sulpherized acid mucinae is an excellent standard of diagnosis in regard to the benign evolution of this disease.


Asunto(s)
Colitis/diagnóstico , Enfermedad de Crohn/diagnóstico , Secreciones Intestinales/análisis , Mucinas/análisis , Proctocolitis/diagnóstico , Colon , Humanos
11.
Chir Ital ; 32(2): 413-22, 1980 Apr.
Artículo en Italiano | MEDLINE | ID: mdl-7016355

RESUMEN

With regard to vesica tumors, a remarkable difficulty for the interpretation of statistical data is often given by the different classifications that the different authors use. Therefore we have reported a comparative table always for being faithful to what we wished at the beginning of this work that has be useful to the doctor above all by a clinical point of view. In synthesis all the Authors think that radiotherapy is not the elective treatment for tumors in O or A stage, while it can be efficient in the therapy of vesica neoplasies in B1, B2 and C stages. The most Authors seem less favourable to preoperating irradiation of tumor above all for the unexact intraoperating valuation of "staging" that is inevitable after this treatment. Postoperating radiotherapy (5000-6000 R in 20-30 days) can be more useful in the cases of incomplete surgical exeresis although there is the problem of possible radiolesions of eventual uretero-intestinal anastomosis let alone of intestine. In the end urethra tumors are sensitive to radiotherapy for their superficiality and excellent tolerance of membrum to radiations that permits also the giving of 6000-7000 R in 4-6 days.


Asunto(s)
Neoplasias Uretrales/radioterapia , Neoplasias de la Vejiga Urinaria/radioterapia , Humanos , Estadificación de Neoplasias , Dosificación Radioterapéutica , Neoplasias Uretrales/patología , Neoplasias Uretrales/cirugía , Neoplasias de la Vejiga Urinaria/patología , Neoplasias de la Vejiga Urinaria/cirugía
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