Abstract:
BACKGROUND:The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. METHODS:From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a palpable mass was observed (mean dimension of 1.3 cm). In 36 cases (78.3%) non palpable lesions were identified by mammography (26 microcalcifications and 10 non palpable masses). All patients have been treated after stereotactic preoperatory mammographic localization of the lesions. 15 simple mastectomies, 11 mammary resections without radiotherapy and 20 mammary resections followed by radiotherapy have been performed. No patient was submitted to axillary dissection. The radiotherapy has been administered with a boost of 50 Gy on the breast. RESULTS:At a 36 months median follow-up all the patients are alive and no local recurrence or distant metastases has been observed. CONCLUSIONS:The treatment of choice is the local resection of neoplasm followed by radiotherapy.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Tersigni R,Mencacci R,Alessandroni L,Baiano G,Mardarella C,Parisi Akeywords:
subject
Has Abstractpub_date
2003-08-01 00:00:00pages
563-9issue
4eissn
0026-4733issn
1827-1626journal_volume
58pub_type
杂志文章,评审abstract::Three cases of diverticulum of the IV duodenal portion are presented. The Authors, after having summarized the general features of the duodenal diverticula, remembered the rareness of the ones of its fourth portion, describe the clinical cases and conclude synthetizing the main indications to this type of surgery: com...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-09-15 00:00:00
abstract::Double pylorus is an extremely rare pathology: it can be an acquired or congenital lesion. Two new cases complicating a peptic ulcer are reported and the clinical appearance and evolution of the different etiological type are described. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract::The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Surgical treatment in the patient effected by secondary hyperparathyroidism consists in subtotal parathyroidectomy or total parathyroidectomy plus autotransplantation of parathyroid tissue. METHODS:The results obtained with surgical treatment of 6 patients observed in the years 1995-1996 are analyzed. Two g...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND AND AIM:Over the past decade the use of surgical staplers has resulted in a substantial change in both elective and emergency surgery for gastrointestinal pathologies. A large number of studies have now affirmed the safety, reliability, simplicity, rapidity and usefulness of these instruments. They offer man...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::A case of aneurysm of the hepatic artery associated with aneurysm of the abdominal artery in fissuration is discussed. The indications, possibilities and limits of exclusion or removal of the aneurysm without reconstructing the main artery axis in the treatment of cases involving the hepatic artery are examined in the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-01-15 00:00:00
abstract::During the period March 1991-June 1992 5 single lung transplantations were successfully performed at the Ospedale Maggiore Policlinico in Milan. All patients underwent regular fibrobronchoscopies within the context of a complex follow-up programme in order to monitor the resolution of the bronchial anastomosis and ide...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::5 cases of pulmonary embolism are reported. 3 of these were subjected to pulmonary embolectomy with complete success; repeated controls bear witness to the good long-term cardiorespiratory condition. Two patients died, one following angiography, the other at anaesthetic induction; this fact shows the desirability of s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-04-15 00:00:00
abstract::After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Attention is drawn to the fact that renal transplants are quite commonly complicated by stenosis of the arterial pedicle. The symptomatology (hypertension, oliguria, fever and gradual loss of renal function) points to the need for angiography. In about 70% of cases, surgical management in the light of the nature of th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-08-15 00:00:00
abstract::Uremic patients in hemodialytic treatment have the same opportunity to be affected with hydatid disease as healthy people. However, because these patients usually have an immunodeficiency syndrome, it is always necessary to evaluate correctly the most common immune diagnostic procedures; furthermore the clinical appro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::We report a case of diffuse diverticulosis of the gallbladder in a 32 year old patient, who presents epigastric pains and decayed general conditions. With the suspicion of a primitive tumor of the gallbladder, we make a cholecystectomy and the intraoperative histological examination shows a "diffuse diverticulosis of ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::On the basis of the anatomophysiological assumption that the abdominal oesophagus is kept in its seat by the meso-oesophagus and that the complex functional role of the gastro-oesophageal junction is conditioned essentially by the inferior oesophageal sphincter under the influence of intra-abdominal and endogastric pr...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-05-15 00:00:00
abstract::The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract::A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract::After a wide analysis of peptic gastroduodenal ulcer medical therapy, before and after the era of cimetidine, the Authors, after a brief account of the Anatomy and Physiology of the stomach, examine surgical therapy, from the end of the last century till now. After giving the results of the surgical cases of one of th...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-30 00:00:00
abstract:BACKGROUND:The aim of this study was to determine the efficacy and safety of biliary-intestinal bypass in severely obese subjects (Body Mass Index > 35). METHODS:From January to December 1999, 23 patients (8 men and 15 women, mean age 36.6 years: range 20-51) affected with primary morbid obesity (BMI >40: range 40.1-6...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract::The authors discuss their experience of six cases of cancer of the gastric stump observed by them in the period from 1988 to 1992 inclusive. All the patients were operated; five total gastrectomies and a gastric re-resection were effected. In association also the spleen was removed in four patients, in one of them a h...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::Ganglioneuroma represents a benign neoplasia based on the sympathetic system, which should be assessed in the differential diagnosis of cervical tumefactions. The paper discusses the epidemiology and clinical aspects of this pathology and stresses the importance of taking these factors into account whenever a neoforma...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1990-10-15 00:00:00
abstract::Patients with cirrhosis have reduced life expectancy. Surgery is often associated with clinical decompensation in this group of patients. The purpose of this paper is to study the surgical risk in cirrhotic patients undergoing nonderivative operations. Unfortunately, most of the studies in the literature about this pr...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract::Mechanistic reasoning suggests that since antireflux surgery treats the gastroesophageal reflux that is the major known risk factor for Barrett's esophagus, it should have a beneficial effect on the biology of Barrett's disease. Due to a lack of adequate data, whether this is the case remains uncertain. Most studies, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2011-02-01 00:00:00
abstract::In 1965, Kerr described a type of death, apoptosis, with different characteristics from necrosis. Apoptosis has an important role in the development and cell homeostasis. Excessive or insufficient apoptosis contributes to the pathogenesis of pathology like ischemia, neurodegeneration, autoimmunity, viral infection, an...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract::A case of widespread papillomatosis of the gallbladder, accompanied with an area of carcinoma in the presence of calculosis is reported. The question whether papilloma of the gallbladder should be regarded as a precancerous lesion, and what rôle concomitant lesions play in the pathogenesis of papilloma and its degener...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-08-15 00:00:00
abstract::The authors report a case of urachal fistula diagnosed after repeated omphalitis, this disease was associated with coronal hypospadias. Diagnosis was done thanks to a fistulography; subsequently, during the operation, to evidence the fistula, this was injected with methylene blue, this expedient showed that the fistul...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1997-10-01 00:00:00
abstract::A case of gastric leiomyoblastoma observed in a 76 year old woman, with details of its cytological and histological diagnosis, is reported. Cytologically, the tumour showed spindle-shaped cells, either single or arranged in clusters and bundles and constituted of epithelial-like cells with moderately irregular and hyp...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract::Cancer of the extrahepatic biliary tract is a rare disease related to a severe prognosis. The resection of the extrahepatic biliary tract is a complex procedure and the preoperative assessment of resectability is made difficult because of the malignancies. Biliary cancer resection can be curative in some patients but ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::In the orbital region the variety of tumors is so vast that even an expert oculoplastic surgeon may be deceived. The various tumors may be classified as benign, precancerous and malignant. Approximately 5-10% of all skin cancers occur in the eyelids. Incidence studies indicate that basal cell carcinoma is the most fre...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptabl...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Reference is made to a personal case in an examination of the more controversial aspects of segmentary necrosis of the main bile pathway. Attention is drawn to the leading features of the pathogenetic evolution of this lesion. Bearing in mind the almost insurmountable difficulty of formulating a preoperative diagnosis...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-05-31 00:00:00