[Hoffmann-Zurhelle superficial cutaneous lipomatous nevus. Apropos of a case]. / Le naevus lipomateux cutané superficiel d'Hoffmann et Zurhelle. A propos d'une observation.

The authors report a case of lipomatous naevus present for 35 years, and therefore probably congenital, in a 48 year old female patient. This bulging lesion was 2.5 cm in diameter with a slightly encephaloid appearance. The authors reviewed the limited literature on the subject in order to more clearly define this hamartomatous lesion which has a constant histological appearance, but very variable clinical and macroscopic features.

[Anatamo-pathological aspects of malignant ovarian tumors in children. Apropos of 16 cases]. / Aspects anatomo-pathologiques des tumeurs malignes de l'ovaire chez l'enfant. A propos de 16 cas.

The authors present 16 cases of malignant ovarian tumors in childhood, censed in Pasteur Institute - Tunis. These tumors are scarce, and present in the literature only 3% of the malignant tumors in childhood. In this series, germ cell tumors are the most frequent and present 81.25% of these cases, of which 43.75% of dysgerminoma. Gonadal stromal tumors are more scarce (6.25%). The prognosis of these tumors was transformed by the radiation therapy in dysgerminoma, and the chemotherapy in the other germ cell tumors. These tumors must be diagnosed and treated early.

[Bronchial cytology in the diagnosis of broncho-pulmonary cancer in Tunisia]. / Apport de la cytologie bronchique dans le diagnostic du cancer broncho-pulmonaire en Tunisie.

The authors present a retrospective study of 287 pulmonary cytologic exams censed in Pasteur Institute - Tunis between 1970 and 1986. These 287 exams consist of 145 bronchic aspiration liquids and 142 spittles. A systematic exam was practiced in patients presenting a pulmonary symptomatology suggesting little or not at all broncho pulmonary cancer. 40 of these exams present cancerous cells (15 cases) or suspected cancerous cells (25 cases). The biopsy confirms a malignant tumor in 25 patients (5%). These results should urge us toward a cytologic exam not only in adults presenting any respiratory symptomatology, but also in subjects at high risk, especially smokers. Localising the tumor is necessary for the biopsy. This biopsy will lead us to determine the histologic type and consequently the adequate therapy.

[Apropos of a case of lesional pulmonary edema advancing to fibrosis with cartilage metaplasia]. / A propos d'un cas d'oedème pulmonaire lésionnel ayant évolué vers la fibrose avec métaplasie cartilagineuse.

The non-hemodynamic pulmonary oedema by increase alveolo-capillary permeability or Adult Respiratory distress Syndrome (ARDS), has many causes and determine an acute insufficiency respiratory who needed mechanic ventilation. It can above all progressing to interstitial fibrosis after deadly. The writer present lesional pulmonary oedema case which evolved to fibrosis in a 17 old patient. This patient has been operated for duodenal ulcer with bi-vagotomy and antrectomy and presented a post operatory shock. The particularity of this observation is The fibrosis evolution to an cartilaginous metaplasia. The lesional pulmonary oedema has usually serious prognosis because the mortality is from 50 to 80% in the literature review.

[Histologic aspects of pleural mesothelioma]. / Aspects histologiques du mésothéliome pleural.

The authors present four cases of malignant mesothelioma of pleura. Mean of age of our patients is 34 years. Two of them are men, the two others are women. The histologic study shows that our cases are represented by one of epithelial type, one of sarcomatoïd type and the two last of mixed biphasic type. The authors insist, in the basis of literature data, in the importance of the positive and differential diagnosis concerning the primitive and secondary epithelial tumors of the lung. The means of diagnosis are represented currently by cytology and histopathology and also by cytochemistry and immunohistochemistry.

[Endosalpingosis: apropos of a case of colonic localization]. / L'endosalpingiose: à propos d'un cas à localisation colique.

The endosalpingosis is a benign affection which is in the most often asymptomatic. It means the presence of tubal mucosa in ectopic location; often in the tubal wall; the pelvic peritoneal and adjacent lymph node. We present here a colic endosalpingosis case with intestinal occlusion. We review in this purpose the literature, and discuss the etiopathogenicity. It shows that a previously tubal affection can have a great part in the birth of this pathology.

[Fibro-inflammatory polyposis of the stomach: apropos of a case]. / Le polype fibro-inflammatoire de l'estomac: à propos d'un cas.

The stomach fibro-inflammatory-polyp is distinguished from the eosinophilic granuloma by some authors because of their geographic assessments. It is an inflammatory affection represented by a pseudo tumoral lesion. We present a case concerning a woman, 62 years old, who presented since 10 years a Biermer anaemia; a neoplastic affection was suspected, and then denied by histopathologic exam. We shall discuss the pathogenic and therapeutic data proposed by the literature. Recently, the treatment of this benign lesion consists in endoscopic resection. There no recurrence or malignant degeneration.

[Anatomo-clinical study of 102 cases of primary lung cancer]. / Etude anatomo-clinique de 102 cas de cancers primitifs du poumon.

The authors do a clinical anatomic study showing 102 cases of lung primitives cancers to be diagnose in 60% cases on biopsy and 40% on operation'piece. The matter in boundless majority of cases is carcinoma 92%, themselves overlooked by squamous cells carcinoma 55%, forwarded by adenocarcinoma 20%, small cells carcinoma represent 11% of cases and large cells carcinoma 7%. The mean age of occur is 55 years and any cases of carcinoma is observed at persons under 30 years of age. 94% of person are masculine. The majority of tumors 58% cases present themselves as bulky masses exceeding 6 cm of diameter. The authors insist in this study on necessity of early diagnosis when the therapeutic will be curative.

[Malignant tumors of the stomach: apropos of 583 anatomo-clinical cases]. / Les tumeurs malignes de l'estomac: à propos de 583 cas anatomo-cliniques.

A retrospective study interesting 582 anatomoclinical cases of gastric malignant tumors was realised in two anatomo-pathological services of Tunis from 1970 to 1985. The average age of patients is 55 years old, with extensive ranges from 17 to 85 years old. The authors point out significative male predominance 64.6% of cases. The ulcered form is the most frequent, about 3.8% of macroscopic aspect cases. Among these last, the authors find 26.7% of ulcerating and polypoid form with invasive characteristics, and 18.83% of linitis plastica. The pyloric area localisation is the most frequent, 68% of cases. Diffuse tumors are observed in 8.47% of cases and numerous stomach localisation in 0.82% of cases. 84% of histological aspect are represented by adenocarcinoma, the most frequent of them (35%) is well differentiated type, then the poorly differentiated (20%) and atypic form (19.75%). Frequency of lymphosarcoma reaches 14.7%, the first is the centroblastic form, then lymphoblastic and lymphoplasmocytic forms. Concerning evolution, gastric cancer is an infiltrative tumor: serosal surface is attempted in 69.5% of cases, and during the first chirurgical act half cases show lymph nodes metastasis.