Abstract：
BACKGROUND:Peripheral lymphadenopathy can be caused by benign disease, or it could be a manifestation of underlying hematological disease or metastasis of a yet undiagnosed malignant condition. Fine-needle aspiration cytology (FNAC) and image-guided core biopsy usually make up the first line of investigation. There are several disadvantages to these techniques: FNAC is an acellular aspirate that may provide non-diagnostic specimens, while core biopsy may fail in the presence of composite lymphoma, nodal necrosis, and insufficiency or fragmentation of the specimens. Our aim was to evaluate the safety and effectiveness of excisional biopsy (EB) in a large case series. METHODS:The study included 220 consecutive patients who underwent lymph node EB under local anesthesia. All patients underwent complete and systematic physical examination. Any palpable lymph node was evaluated for its location, size, consistency, fixation, and tenderness. All specimens were sent to the pathologist as fresh tissue. RESULTS:The EB materials demonstrated 89 (40.5%) benign lesions, 130 (59%) malignant diagnoses, and one (0.5%) unclear diagnosis. Mean operative time was 42.9 minutes (range 10-120 minutes). Harvested lymph nodes had a mean diameter of 3.3 x 2.3 cm. All patients were discharged within 8 hours. No major complications were reported, with a mean of 1.16 postoperative outpatient visits. Temporary seroma and/or minor lymph leak at the site of the incision occurred in 14 cases (6.4%), hematoma in 7 (3.2%), and dehiscence of the surgical incision in 4 (1.8%), and in 3 cases (1.4%) pain was reported up to 7 days postoperatively. CONCLUSIONS:Excisional biopsy is a diagnostic method that can be applied safely with minimal morbidity and mortality.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Campanelli M,Cabry F,Marasca R,Gelmini Rdoi
10.23736/S0026-4733.18.07752-0subject
Has Abstractpub_date
2019-06-01 00:00:00pages
218-223issue
3eissn
0026-4733issn
1827-1626pii
S0026-4733.18.07752-0journal_volume
74pub_type
杂志文章abstract：:The Authors report two cases with local recurrence after partial gastrectomy for advanced gastric carcinoma. The Authors suggest that chemo and/or radiotherapy associated with surgical treatment can improve the prognosis in some patients with recurrence. Response to chemotherapy and time elapsing before recurrence app...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1992-06-15 00:00:00
abstract：:Papillomatosis of the biliary tract is characterised by multicentric papillary lesions of intra and extrahepatic biliary epithelium. It's a rare benign neoplasm of the biliary tract that causes obstructive jaundice with a high rate of malignant transformation. We described a case of papillomatosis of the biliary tract...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:This study aims to check the presence and the role of the Mycobacterium tuberculosis infection, in an Ambulatory and Day Surgery Out-Patient Centre. METHODS:Two periods of activity in this Centre are evaluated corresponding separately to the years 1989-1993 and 1994-1998 and the total number of patients, co...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:Our aim is to propose the Video-Consulting Emergency (VCE) protocol as a tool to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smartphone, the FaceTime application, and the Acute Abdominal Decision Making (AADM®) model proposed by World Soc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.18.07963-4
更新日期：2019-06-01 00:00:00
abstract：:A case of spontaneous oesophageal rupture or Boerhaave syndrome is described. The absence of the typical initial vomiting together with a clinical picture that successively indicated repeated myocardial infarction, pancreatitis and pulmonary abscess delayed diagnosis by 4 days, after which emergency thoracotomy, perfo...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:High resolution magnetic resonance cholangiopancreatography (MRCP) is a non invasive imaging modality for depicting the pancreatobiliary tree. It can demonstrate dilation, stenosis and intraductal filling defects of both the biliary and the pancreatic duct. The imaging quality of high resolution MRCP is exce...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:The bacterial infections constitute a serious problem for the surgeon: the choice of antibiotic drugs is really important and, as often as possible, should be guided by antibiotic sensitivity tests. In this study we used sulbactam-ampicillin (Unasyn) who is an antibiotic combination between sulbactam, inhibitor of bet...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-10-31 00:00:00
abstract：:Acute aortic dissection (AAD) is an uncommon lethal cardiovascular emergency demanding prompt diagnosis and aggressive therapeutic intervention. Although it usually affects males over 60 years of age, it may also occur in young adults with specific risk factors such as Marfan syndrome, bicuspid aortic valve and larger...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-08-01 00:00:00
abstract：:Advanced hepatocellular carcinoma remains an entity that is hard to approach therapeutically and has shown disappointing results in terms of survival. For many years, the only accepted option for this setting was the use of a multikinase inhibitor, sorafenib. Nevertheless, through the years, a deeper knowledge has ari...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2015-04-01 00:00:00
abstract：:In a double blind, controlled clinical study, 40 patients, 20 of whom were subjected to mastectomy or quadrantectomy and 20 to inguinal hernioplasty, were randomly assigned to two treatment groups of 20 subjects each, balanced by type of operation. Treatment lasted 3 days and involved the administration of 3 supposito...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1990-12-01 00:00:00
abstract：BACKGROUND:The present paper considers the technique of CT scan maps of pulmonary isodensity, examining lung density differences as a function of the type of disease and considering their significance for the purposes of refined, useful diagnosis in a surgical context. METHODS. The method is used to examine 3 groups of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
abstract：:The diaphragmatic hernia described by Morgagni in 1761 and by Larrey in 1829 is a rare diaphragmatic anomaly that may be considered nearly always congenital. It is called in so many ways, but the authors think that "anterior diaphragmatic hernia of Morgagni-Larrey" is the most correct name. Usually asymptomatic in the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:Gastro-intestinal foreign bodies are a by no means rare event in surgery and in the USA mortality is about 1500 people per annum. The surgical treatment of foreign bodies in the alimentary tract is reported here. Certain cases of voluntary ingestion in mental patients are reported, comparing personal experience with t...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-01-01 00:00:00
abstract：INTRODUCTION:Over recent years, minimally invasive hepatic resections have increasingly been reported in the literature. Even though hepatic surgery is still considered a challenge for surgeons due to its technical difficulties and high morbidity, the development and spread of robotic surgery has highlighted a new inte...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2016-12-01 00:00:00
abstract：:Pancreatic pseudocysts are a rare pathology in pancreas diseases. Their incidence has been increasing in recent years and the man-woman ratio is equal. The aetiopathogenetic mechanism is attributable to dilation of the pancreatic ducts with later formation of a cyst due to blocked flow. Symptomatology is bound up prev...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-30 00:00:00
abstract：:A multicentre study has been done to evaluate the effectiveness and safety of pefloxacin, a new fluoroquinolone, when given intravenously for surgical prophylaxis. 440 patients (224 males, 216 females), mean age 51.7 +/- 27.3 (SD) years and mean weight 68.4 +/- 12.6 kg, were admitted to the study. The diagnoses for ad...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1994-10-01 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：: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：:The link between blood viscosity, Ht and the onset of stroke is highlighted and reports in the literature are examined. On this basic, the paper proposes an experimental model of cerebral ischaemia in the rabbit as providing a better insight into this aspect which may be highly significant, particularly in the prevent...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-06-15 00:00:00
abstract：:Following a discussion of the various methods of colorectal anastomosis in cancer surgery, the Authors describe a technical variant using a mechanical stapler in a high rectal location. The rapidity of anastomosis as well as the decreased risk of dehiscence, fistula and stenosis are underlined. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-09-30 00:00:00
abstract：:Sorbsan is a new dressing composed of alginate fibers extracted from seaweed. It is claimed to have important hydrophilic, haemostatic and biocompatible qualities. Sorbsan was used in the treatment of the donor site of split skin grafts in 52 patients operated in this department from 1988 to 1990. The patients of this...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-06-15 00:00:00
abstract：BACKGROUND:The choice of surgical technique in antral gastric cancer is still debated. Some authors support total gastrectomy in all cases. In recent years there is a trend to use total gastrectomy only if strictly necessary. Total gastrectomy allows a large lymph node excision, with better oncological results. The mor...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:The authors describe their experience of the aneurysm popliteal artery. They analyze the symptomatology, the diagnostic way and the therapy of such disease. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：:The physiopathological premises for various methods of hepatic revascularisation are described and results wiht splenohepatoplasty in 40 rats are presented. This operation involves insertion of the upper pole of decapsulated spleen in the left hepatic lobe to create a new parenchymal supply and regenerate the liver ce...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-09-30 00:00:00
abstract：:Cholangiography carried out in laparoscopic surgery is a diagnostic exam considered by many authors to be very important for the anatomy and the research pre-existent pathologies of the biliary tree. Such are the effective advantages that many Schools suggest it be carried out any case as the risks, the costs and the ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:The Mirizzi syndrome is an unusual benign obstructive jaundice due to extrinsic mechanical compression of the common hepatic duct by gallstone impacted within the neck or cystic duct of the gallbladder. This syndrome is described either as an acute form due only to extrinsic compression of the common bile duct (type I...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：AIM:The aim of this study was to make a contribution to improve the care of patients with colorectal cancer by optimizing times and methods of the follow-up; particular attention is given to factors which may be important for the prognosis and for the quality of life in the immediate postoperative period. METHODS:The ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-06-01 00:00:00
abstract：:Persistent postmastectomy pain (PPMP) syndrome is characterized by neuropathic pain that develops following surgery in breast cancer patients. The reported incidence of PPMP ranges between 30% and 50% and is estimated to increase as the number of women surviving cancer continues to rise. Though effective, today's drug...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2015-04-01 00:00:00
abstract：:A case of multiple mesentery cysts is presented and the etiopathogenesis, anatomopathology, symptomatology and therapy of this disease discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-04-30 00:00:00
abstract：BACKGROUND:The authors describe the advantages and disadvantages of plastic surgery performed in a day-care public hospital unit. METHODS:A retrospective study was made of the day-surgery activities over 16 months (1998-1999) as part of a centralized system. Data were compared to day-surgery activities undertaken in 1...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
