Giornale di Chirurgia最新文献_第7页

Non small cell lung cancer metastasized to the breast and treated with modified radical mastectomy: a case report. 非小细胞肺癌转移至乳房，改良乳房根治术治疗:1例报告。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

P Grigoropoulos, T Mariolis-Sapsakos, I Karantonis, I Kaklamanos, V Karanasiou, C G Zografos, D Chrysikos

{"title":"Non small cell lung cancer metastasized to the breast and treated with modified radical mastectomy: a case report.","authors":"P Grigoropoulos, T Mariolis-Sapsakos, I Karantonis, I Kaklamanos, V Karanasiou, C G Zografos, D Chrysikos","doi":"","DOIUrl":"","url":null,"abstract":"Breast metastasis from extra-mammary malignancy is extremely rare with an incidence from 0.4% to 1.3%. Several types of malignancies that most commonly metastasize to the breast include leukemia, lymphoma, and melanoma.Aim: We report a case of a 57-year-old male with a history of non-small cell lung cancer (NSCLC) who manifested a left breast mass, two years and four months after the initial diagnosis and treatRomament of NSCLC.Method: Physical examination revealed a poorly defined mass in the upper outer quadrant of the left breast, suspicious for breast cancer. After mammography results, the patient underwent Fine Needle Aspiration that was indicative of cancer. He underwent then modified radical mastectomy and axillary lymph node dissection. Histology and immunohistochemical analyses were conducted, that revealed a NSCLC that metastasized to the left breast.Results: Finally, the prognosis of the patient was poor, as NSCLC relapsed from IIB to stage IV.Conclusions: An accurate differentiation of metastasis to the breast from primary breast cancer is of paramount importance because the therapeutic approach and prognosis of the two differ significantly.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"304-307"},"PeriodicalIF":0.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of trichilemmal ovarian carcinoma. Case report and review of the literature. 罕见的三乳头卵巢癌1例。病例报告及文献复习。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

V Leanza, V Nobile, C Galvagno, F M Di Grazia, M Palumbo, G Leanza

{"title":"A rare case of trichilemmal ovarian carcinoma. Case report and review of the literature.","authors":"V Leanza, V Nobile, C Galvagno, F M Di Grazia, M Palumbo, G Leanza","doi":"","DOIUrl":"","url":null,"abstract":"Trichilemmal ovarian carcinoma is very rare. A 52-years-old woman was admitted to University Hospital Department suffering from pain in the left iliaca fossa lasting for three months. Uterus was normal in size, painless as well as right adnexum. On the left site ovary was increased in volume and slightly sore. Transvaginal ultrasounds showed a 97x65x86 mm mixed vascularized unilocular mass. CT scan detected a pelvic expansion with a heterogeneous density due to the presence of different structures varying from fat to bone tissue. A proper informed consent was obtained and a suprapubic transversal laparotomy according to Pfannenstiel was carried out. Ovarian mass and ipsilateral tube were removed with no rupture. The anatomical extemporaneous result was of benign dermoid cyst. The postoperative course was uneventful and after three days the patient was discharged in regular conditions and was recommended to come for final anatomical result. Following a month, the final histological answer was of 15 mm trichilemmal malignant tumor in a context of a large benign dermoid cyst. The neoplastic lesion appears to be entirely contained within the limits of the swollen mass. The outer surface was with no lesions. A case of trichilemmal malignant tumor involving ovary has not been published so far.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"334-337"},"PeriodicalIF":0.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Encapsulating peritoneal sclerosis: do not be too late for the right diagnosis! Case report and short literature review. 包膜性腹膜硬化:正确诊断不要太晚!病例报告及简短文献回顾。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

E Sinagra, F Buscaglia, A Iacoponelli, C Sciumè

引用次数: 0

Adrenalectomy for benign and malignant adrenal tumors. Experience from Misurata Cancer Center. 良性和恶性肾上腺肿瘤的肾上腺切除术。米苏拉塔癌症中心的经验。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

A Wafa, A Ghellai, A Aboshnaf, M Elfagieh, A Juwid

{"title":"Adrenalectomy for benign and malignant adrenal tumors. Experience from Misurata Cancer Center.","authors":"A Wafa, A Ghellai, A Aboshnaf, M Elfagieh, A Juwid","doi":"","DOIUrl":"","url":null,"abstract":"Background: Laparoscopic adrenalectomy is the standard management of benign adrenal tumors. Open adrenalectomy is still the gold standard surgical treatment for adrenocortical carcinoma and malignant pheochromocytoma, while the role of minimal invasive surgery is still controversial. Laparoscopic adrenalectomy is associated with low morbidity rate, short hospital stay and rapid recovery to work. The aim of the study is identifying the advantages of laparoscopic adrenalectomy in comparison to open adrenalectomy.Methods: We present a retrospective study of 21 adrenal tumors that underwent surgical resection at Misurata Cancer Center from April 2013 up to April 2018. We compared: age, sex, marital status, past medical history, function and size of the tumor, type of surgery, duration of surgery, estimated blood loss, preparation of patient for surgery, post-operative complications, post-operative discharge day and mortality.Results: There were 21 adrenal tumors, 61.9% were females and 38.1% were males, median age 41 years. 61.9% were hypertensive patients, 71.4% functional tumors and 28.6% nonfunctional tumors. 71.4% benign tumors and 28.6% malignant. Laparoscopic adrenalectomy was done in 15 cases (71.4%), open adrenalectomy in 6 cases (28.6%), and 4 cases (19%) were converted to open surgery. Morbidity was 19%, and 30 days mortality rate was 4.7%.Conclusion: Surgical treatment of adrenal tumors consists of laparoscopic and open adrenalectomy. The type of surgery depends on the size of the tumor and suspicious of malignancy in imaging study. Laparoscopic adrenalectomy is safe and effective for benign tumors with decreased operative time, less post-operative pain, and decreased hospital stay.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"348-354"},"PeriodicalIF":0.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nuck canal cyst involving right femoral vein: management and therapy of a rare clinical case. 颈管囊肿累及右股静脉:一例罕见临床病例的处理与治疗。

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Giornale di Chirurgia Pub Date : 2019-07-01

V Leanza, S D'Antoni, V Lo Presti, G Zanghì, R Vecchio, G Leanza, F Basile

引用次数: 0

CT-guided drainage with percutaneous approach as treatment of E. Faecalis post caesarean section severe abscess: case report and literature review. ct引导下经皮引流治疗剖宫产后粪肠杆菌严重脓肿1例并文献复习。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

V Leanza, V Lo Presti, F Di Guardo, G Leanza, M Palumbo

引用次数: 0

Retained sponges in abdomen: an analysis of the judgments of the Italian Supreme Court. 腹部残留海绵:意大利最高法院判决分析。

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Giornale di Chirurgia Pub Date : 2019-07-01

Stefano Gioia, M Lancia, R Cirocchi, F Suadoni, L Franceschetto, A Santoro, P Palumbo, C Boselli, F Barberini, P Covarelli, C Renzi, L Carlini

引用次数: 0

Dual site intestinal perforation due to toothpick. 牙签引起双部位肠穿孔。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-07-01

L Ossola, J Galafassi

{"title":"Dual site intestinal perforation due to toothpick.","authors":"L Ossola, J Galafassi","doi":"","DOIUrl":"","url":null,"abstract":"We present a case where a toothpick perforation in both the large and small bowel was intra-operatively diagnosed. A 45-years-old man presented with 48 hours abdominal pain associated with fever. The abdomen was tender at the McBurney point with signs of localized peritonitis. We suspected an acute appendicitis. The patient underwent a diagnostic laparoscopy. During the operation we exposed a toothpick perforating both sigmoid and small bowel. The toothpick was removed and a direct suture of the two perforations was performed. No faecal contamination or purulent peritonitis was showed. The patient was given 5 days of intravenous antibiotics and recovery was uncomplicated. Perforations caused by foreign body ingestion are often non-specific and misdiagnoses such as diverticulitis or acute appendicitis are common. The diagnosis is most commonly made on radiological imaging or intraoperatively. Abdominal X-ray is unlikely to detect a foreign body unless it is high bone density or metal, CT scan has a higher yield. In our patient, although the ultrasound didn't show directly an appendicitis, we didn't decide to perform other diagnostic exams because of the typical clinical feature. 80 to 90% of foreign bodies transit the gastrointestinal tract without causing an associated pathology. However, the distal ileum and recto sigma tract are risk areas for impaction and perforation due to their caliber. There are no guidelines for the management of foreign bodies in the lower gastrointestinal tract. Case reports describe managing patients non-operatively with antibiotics or with surgery, as in this case.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"330-333"},"PeriodicalIF":0.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral overuse myositis ossificans of the triceps: report of an unusual case. 双侧三头肌过度使用性骨化性肌炎:报告一例罕见病例。

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Giornale di Chirurgia Pub Date : 2019-07-01

S Georgoulis, C Koutserimpas

{"title":"Bilateral overuse myositis ossificans of the triceps: report of an unusual case.","authors":"S Georgoulis, C Koutserimpas","doi":"","DOIUrl":"","url":null,"abstract":"Overuse myositis ossificans is considered an extremely rare diagnosis, with only a few cases reported so far. A case of a 54-year-old firefighter, involved regularly in training exercises, with bilateral myositis ossificans of the triceps, is presented. The patient had a 4 year history of painful masses at the posterior region of both arms. He never experienced any traumatic event, while physical examination revealed firm masses extending longitudinally within the lateral head of the triceps, bilaterally. The patient had painful restricted range of motion at both sides. Plain X-ray views of the humerus showed linear lobulated heterogeneous masses posterolateral. Surgical resection of both masses, which extended intramuscularly through the whole lateral triceps' head, was performed. Histological examination confirmed the diagnosis of myositis ossificans. Myositis ossificans represents a benign, relative rare clinical entity, defined as heterotopic ossification of the soft tissues. Only 5 cases of myositis ossificans due to overuse have been described so far. The present case is unique, since it is the first one describing bilateral appearance of two masses which extended through the whole length of the lateral head of the triceps. A detailed medical history, as well as imaging examination seem to be necessary in order to establish the diagnosis. Treatment should be decided upon the stage of the lesion. For mature lesions surgical treatment is advised.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 4","pages":"325-329"},"PeriodicalIF":0.6,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37604334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The widespread of Robot-Assisted Surgery: the urologist perspective. 机器人辅助手术的广泛应用:泌尿科医生的观点。

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Giornale di Chirurgia Pub Date : 2019-07-01

E Mearini, M Del Zingaro, A Boni

引用次数: 0