[Juvenile secretory carcinoma of the breast. Apropos of a case in a 4-year-old girl]. / Carcinome sécrétant juvénile du sein. A propos d'une observation chez une fille de 4 ans.

The authors report the case of a juvenile secretory carcinoma of the breast in a 4 year old girl. The study of the first local excision leads to the thought of a "duct ectasia with a luminal benign papilloma". At the age of 6 years, there is a local relapse. A second local excision is performed and connected with simple mastectomy and an axillary node sampling. The pathological examination shows the aspect of a multifocal secretory juvenile carcinoma of the breast without lymph node axillary metastase. The authors emphasize the cystic appearance of the first tumor and the distinctive histologic pattern of this particular breast carcinoma.

[Contribution of artificial feeding to the prevention of fistulae, anastomotic breakdowns, and eviscerations. Applications to diffuse postoperative peritonitis in eight cases (author's transl)]. / Support nutritionnel artificiel et prévention des fistules, lâchages anastomotoques et éviscérations. Applications aux péritonites diffuses post-opératoires à propos de 8 cas.

Based on the study of 8 cases diffuse post-operative peritonitis, the authors demonstrate in an exemplary manner the benefit derived through artificial nutritive support which permits, in certain well-defined cases, one-step digestive sutures and allows high-quality anastomotic and parietal healing. This new therapeutic attitude should not be generalized; it remains as yet very special, requiring specific metabolic safety measures. Only surgical teams in total control of the metabolic and nutritive problems accompanying heavy visceral surgery are in a position to apply this new concept.