RESUMEN
Bowenoid papulosis is a recently described condition with a clinically benign appearance of multiple reddish-brown or violaceous papules. The histologic picture, however, is that of squamous-cell carcinoma in situ. In the reported cases the lesions usually occurred on the genitalia of patients in the third or fourth decades of life. We recently encountered a patient who presented with papules in the anal area. Human papillomavirus has been identified as the causative agent. Differentiation from Bowen's disease is usually possible due to the presence of multiple small lesions and the young age of the patients. The long-term consequences of bowenoid papulosis are still unknown. The presence of human papillomavirus in a female or her sexual partner places her at higher risk for cervical neoplasia. The treatment of bowenoid papulosis is ablation or 5-FU cream.
Asunto(s)
Enfermedades del Ano/patología , Neoplasias Cutáneas/patología , Adulto , Enfermedad de Bowen/diagnóstico , Diagnóstico Diferencial , Femenino , Genitales Femeninos/patología , Humanos , Papillomaviridae , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/etiología , Infecciones Tumorales por Virus/complicaciones , Infecciones Tumorales por Virus/diagnóstico , Infecciones Tumorales por Virus/patologíaRESUMEN
Since the first successful resection of a colonic neoplasm was carried out in 1823, many attempts have been made to find the ideal technique for bowel anastomosis, in respect both of the surgical technique employed and the suture material used. We have finally adopted a single layer anastomosis with a continuous polypropylene suture. To out knowledge, no series of such anastomoses has so far been reported, and we now review our technique, first described by Allen in 1979, and our very satisfactory experiences following our adoption of it for virtually all colorectal anastomoses above the peritoneal reflection.
Asunto(s)
Colon/cirugía , Recto/cirugía , Suturas , Adolescente , Adulto , Anciano , Femenino , Estudios de Seguimiento , Humanos , Masculino , Métodos , Persona de Mediana Edad , Polipropilenos , Técnicas de SuturaRESUMEN
The technique of single-layer continuous polypropylene colorectal anastomosis is described. The authors' experience with their initial 100 cases is analyzed in detail. No clinical leaks or anastomotic strictures were noted in a two-year follow-up period. The technique is safe, easily learned, rapidly performed, and it does not add significantly to the cost of medical care. The authors' total experience with this anastomosis now exceeds 350 cases.