Abstract：
:Anaplastic carcinoma of the thyroid is a highly aggressive neoplasm with quickly total course. It is characterized by an average survival of 4-12 months. It infiltrates precociously into the windpipe, oesophagus, vessels of the neck and gives distant metastases in 10-48% of cases. In 30.8 to 80% of cases, this carcinoma originates in an old multinodular goiter. The hypothesis has been also advanced that this neoplasm could derive from a pre-existent well-differentiated carcinoma. The improvement in diagnostic techniques (especially immunohistochemistry) allows a more correct definition of this neoplasm, permitting a differential diagnosis with other tumours (lymphoma, medullary carcinoma, hemangioblastoma) with which in the past it has been erroneously identified. The results reported in the literature are controversial as regards long-term survival, but usually it is less than one year. Longer survival must lead to the suspicion of wrong diagnosis. A relatively better prognosis is observable in intraglandular forms, "minimi" neoplastic focus and young patients. The presence of regional metastatic lymph nodes doesn't seem to modify the prognosis. Instead, a factor which can condition the prognosis is the type of therapy. Now a days the most efficacious curative treatment is the multinodal one (surgery, radio- and chemotherapy). The best results about survival and quality of life have been obtained using chemo-radiotherapy before operation and chemotherapy after it.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Cannizzaro MA,De Maria A,Fazzi C,Mazzone G,Terminella A,Fiorenza G,Veroux PFsubject
Has Abstractpub_date
1993-11-01 00:00:00pages
1293-9issue
21-22eissn
0026-4733issn
1827-1626journal_volume
48pub_type
杂志文章,评审abstract：:Vagal paragangliomas are rare tumors of neural crest origin. This neoplasm is generally located at various points along the peripheral distribution of the vagus nerve, in the region of the jugular and nodose ganglia, just beneath the perineurium of the nerve, but may arise anywhere along the course of the vagus nerve....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：BACKGROUND:Neoadjuvant therapy is recommended for patients with borderline-resectable pancreatic cancer (BRPC). In this study, we compare survival outcomes of neoadjuvant therapy with upfront surgery. METHODS:From January 2011 to June 2016, 1415 patients underwent treatments for pancreatic cancer in Samsung Medical Ce...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.19.07958-6
更新日期：2020-02-01 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：: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：:We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-15 00:00:00
abstract：AIM:The aim of the present study was to prospectively evaluate the Stretta radiofrequency (RF) treatment for gastroesophageal reflux disease (GERD) -related respiratory symptoms over a 5-years follow-up period. METHODS:A total of 132 patients underwent the Stretta procedure between April 2007 and February 2009; 122 of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2014-10-01 00:00:00
abstract：:The clinical records and pathologic patterns of all the cases of primary small bowel malignancies, treated in the last 15 years, were reviewed. There were 12 patients: 8 men and 4 women ranged from 41 to 86 years old. Carcinoma was the most common (82%) followed by carcinoid and lymphoma (9%). The distribution of the ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-15 00:00:00
abstract：:Endoscopic intubation is a popular palliative method to resolve immediately malignant dysphagia. However, the complication rate is still high. Between 1978 and 1993, at the Division of Diagnostic and Surgical Endoscopy of Istituto Nazionale Tumori in Milan, 305 patients suffering from malignant dysphagia, were endosco...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:Ingestion of a corrosive agent results in a life-threatening clinical condition that requires emergency intensive care and often surgical intervention. Treatment is multifactorial and varies with the extent and depth of the injury. We report a case of a young 24-year-old man with accidental ingestion of sulphonic acid...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-09-15 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：:One-hundred seventy four consecutive patients who underwent curative resection for gastric and colorectal cancer between 1983 and 1985, were studied prospectively to evaluate the roles of sequential CEA, TPA and GICA determinations and independent clinical examinations, in the early diagnosis of resectable recurrences...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:The authors present a case of neonatal intestinal duplication. Etiopathogenic view and the diagnostic and therapeutic problems are discussed. Echotomographic examination can provide useful diagnostic input, as in this case, even at a prenatal stage. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 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：:Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to t...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：:Abdomen and pelvic radiation therapy, as a complement to medical and surgery therapy in malignancies, may determine acute and chronic intestinal injuries. The acute intestinal effects of ionizing radiation are the necrosis of crypt epithelial cells and the cessation of the intestinal epithelium; late radiation injury ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：:Solitary fibrous tumors of the pleura represent a rare clinicopathological entity: 456 cases only have been reported since 1991. A interesting case of solitary fibrous tumor of the pleura is described here, because it turned up in a female patient followed up for a bilateral breast cancer and so with the exact determi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：:Pancreatoblastoma is a very rare tumor of the pancreas, affecting children in the first decade of life. Ultrasound and CT scan may be useful but pre-operative diagnosis is often quite difficult. High level of seric alpha-fetoprotein could be suggestive of pancreatoblastoma. The definitive diagnosis is however made by ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：:Retrospective analysis of risk-factors in 241 patients with large abdominal incisional hernia collected in a 16-year period at the Department of Surgery, University of Pavia, allows the Authors to identify the aetiological mechanism of herniation and to discuss the fundamental technical skills in wall reconstruction. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-02-01 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 report a case of benign mucocele which was brought to their attention for emergency treatment. Following a review of the literature, they examine the clinical, anatomopathological, pathogenetic and therapeutic problems related to this rare disease. In conclusion, it is important to assess the benign nature...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-10-31 00:00:00
abstract：:The paper describes a case of traumatic hernia of the diaphragm, complicated by mixed gastric volvulus, with a rapid onset and severe clinical symptoms. The etiopathogenesis, diagnosis and therapeutic methods inherent in this rare affliction are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-11-15 00:00:00
abstract：:The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-12-15 00:00:00
abstract：:The key concepts regarding nutrition of elderly patients prior to surgery are outlined. The main metabolic changes that occur during surgical stress, paying special attention to the characteristics of elderly patients, are described. Lastly, the caloric-energy intake required by postoperative geriatric patients is eva...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1999-01-01 00:00:00
abstract：AIM:Despite improvement in the operative technique and graft and suture material, femoral anastomotic aneurysms (FAAs) represent a continuing problem for patients undergoing lower extremity revascularization. The present retrospective study investigates the clinical presentation, the infection as a cause of FAAs, the i...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Despite many guidelines issued by national and professional societies, a detailed literature survey between the late 1940s and 2010 clearly demonstrates that several aspects of pneumothorax pathogenesis and treatment still remain controversial. Related to pathogenesis of primary pneumothorax, the current manuscript hi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2011-08-01 00:00:00
abstract：BACKGROUND:Personal experience about substernal goiter is reported. Stressing laid on the importance of definition: a goiter that is totally or in the most part below the superior thoracic outlet, with normal vascularization. METHODS: DESIGN:retrospective evaluation of patients observed in the last six years. SETTIN...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：BACKGROUND:Personal preliminary experience with Minimally Invasive Repair of Pectus Excavatum (MIRPE), "Nuss" procedure, using VATS is reported. METHODS:From January 2001 to February 2002, MIRPE has been performed on 5 patients (age range 13-18 y; mean 14.8 y). Under general anesthesia, a curved steel bar is inserted ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:Obesity has an impact on health-related quality of life (HRQoL) and bariatric surgery may improve HRQoL in addition to severe obesity-related comorbidities. Aim of the study was to evaluate HRQoL following sleeve gastrectomy and the sensitivity of two HRQoL questionnaires: the Impact of Weight on Quality Of ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,多中心研究
doi：
更新日期：2016-08-01 00:00:00
abstract：:This study analysed 90 cases of symptomatic cholelithiasis treated with laparoscopic cholecystectomy. 27% of the cases studied suffered from microlithiasis, 44% from multiple calculosis with calculi measuring 1 to 2 cm in diameter, 25% from single calculi measuring up to 4 cm in diameter, and 4% from a benign prolifer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-10-15 00:00:00
abstract：:Results obtained in the surgical management of 36 cases of perforated duodenal ulcer treated between January 1976 and November 1979 are presented. A choice was made between three methods (suturing, excision plus pyloroplasty and truncular vagotomy, and Péan-Billroth resection and reconstruction) in the light of the du...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-10-31 00:00:00
