Spontaneous regression of hepatic metastases after nephrectomy and metastasectomy of renal cell carcinoma.

We report a case of clear cell carcinoma of the kidney with multifocal metastases to the lymph nodes, vagina and liver. Spontaneous regression of liver metastasis has been described after nephrectomy. Surgical management of primary and metastatic tumors should be considered in all patients with renal cell carcinoma.

[Pregnancy in patients with end-stage renal failure on maintenance dialysis: case reports]. / Ciaza u pacjentek przewlekle dializowanych z powodu terminalnej niewydolnosci nerek--opisy przypadków.

Pregnancy in women with end-stage renal failure on maintenance dialysis is rare, and the chance of successful delivery is relatively low. In this paper we present two cases of women who conceived just prior to initiation of renal replacement therapy and the pregnancy was terminated successfully already on chronic dialysis treatment. The special attention was paid on the necessity of multi-disciplinary collaboration and the need for changes in regular dialysis schedule as the conditions crucial for successful delivery. In summary, the review of current literature dealing with mentioned problem was done.

[Genital actinomycosis as a complication of an intrauterine contraceptive device and curettage of the uterine cavity]. / Promienica narzadu rodnego jako powiklanie po zastosowaniu wewnatrzmacicznej wkladki antykoncepcyjnej i po wylyzeczkowaniu jamy macicy.

PIP: By 1979, only 300 cases of actinomycosis of the genital tract had been observed worldwide. It occurs normally as the saprophyte Actinomyces Israeli, order Actinomycetales, in dental carries, in the tonsil arches, in the larynx, and in the large intestine. Usual disease processes involve the neck and face, and infrequently the lungs and peristenum or ileocaecal, sigmoid, and rectal areas. 2 cases of genital actinomycosis were observed in women, at the Z III Gynecological Clinic in the Institute of Gynecology and Obstetrics within the Academy of Medicine in Cracow, and in the Clinic of Infectious Diseases in that Academy's Institute of Internal Medicine. 1 of the women had had an IUD inserted immediately after artificial interruption of pregnancy. The difficulty in clinical determinations of this complication may necessitate diagnosis based solely on the clinical picture. A number of common clinical symptoms and characteristics were observed. These included repeated episodes of pain; presence of an IUD inserted immediately after interruption of pregnancy or after treament of the uterine cavity; severe pain in the lower abdominal area; the presence of very hard infiltrates throughout the genital tract; apyretic course of the disease; and high leucocytes. Success was attained after long term penicillin therapy. Ultrasonography was applied as an auxiliary means. Therapeutic management of these cases is described.^ieng

[Actinomycosis of the genital organs as a complication of intrauterine devices]. / Promienica narzadu rodnego u kobiety stosujacej wewnatrzmaciczna wkladke antykoncepcyjna.

PIP: A case of actinomycosis of the genitals is described. It occurred in a woman after insertion of an IUD. The paper presents the diagnostic difficulties resulting from the rarity of such complication, and the noncharacteristic signs and symptoms of the disease, leading to initial therapeutic failure. In the described case, the signs of inflammation of the genital organs were accompanied by a hard infiltration of the bladder wall. Results of ultrasonographic and microscopic examinations permitted finally to pose the correct diagnosis. Full recovery was observed after a 28 day curative period including injections of 22 million units of penicillin and 4 grams of ampicillin per day. (Author's modified)^ieng