[18 cases of surgically treated parathyroid adenoma responsible for urinary calculi]. / Dix-huit cas d'adénomes parathyroïdiens opérés responsables de lithiases urinaires.

The development of urinary lithiasis as a result of parathyroid lesions is not an exceptional occurrence and should be routinely looked for. Among the 30 cases of parathyroid adenoma identified during a 25-year period in a department of urology in a medium-sized town, 18 were detected following the occurrence of urinary lithiasis. Clinical features in these 18 cases, as well as the investigations that led to the discovery of the adenoma are reported. The surgical cervicotomy technique used by the same operators is briefly described. In other countries (Germany, Switzerland, Italy), the detection and management of parathyroid adenomas is often considered as within the field of urology.

["Small cell" carcinoma of the lung. Results obtained using combination chemotherapy (adriamycin, vincristine, cyclophosphamide) in 38 patients (author's transl)]. / Cancer pulmonaire à "petites cellules" Résultats de l'association adriamycine-vincristine-cyclophosphamide chez 38 patients.

A cyclic and sequential combination of adriamycin, vincristine (or VM 26) and cyclophosphamide was used, with a follow up of 4 to 33 months in 38 patients with a "micro-cellular" carcinoma of the lung. Radiotherapy was used in association in a variable manner. Chemotherapy alone resulted in marked regression of the lesions (regression is greater than 50%) in approximately 65 per cent of cases and a level of complete regression which varied from 31 to 45 per cent according to the degree of diffusion of the lesions at the time of admission. In this study, survival in apparently localised forms was 70 per cent after one year and 55 per cent at eighteen months, whilst it was 34 per cent at one year and nil at eighteen months in patients with evidence of metastatic disease at the time of entry. These encouraging results indicate a hope for improvement, in certain patients reacting favourably to this protocol, in the still grave prognosis of "small cell" carcinoma of the lung.