A uniform approach for esophagectomy with or without thoracotomy.

In patients with carcinoma of the esophagus, it is advisable to perform a total esophagectomy. We prefer a cervico-abdominal procedure and use the stomach to reconstruct the alimentary tract. Sometimes the operation needs to be extended with a right-sided thoracotomy.

[Fatal liver cell necrosis following administration of glafenine].

The case is described of a patient with fulminant hepatic failure attributed to intake of glafenine 400 mg daily for 15 days. The first symptoms appeared two weeks after discontinuation of glafenine. Other causes of hepatic necrosis could be excluded.

Phospholipid profiles of human colon cancer using 31P magnetic resonance spectroscopy.

Phospholipids of 16 malignant and 11 non-malignant human colon specimens were analyzed using a chloroform-methanol analytical reagent in conjunction with 31P magnetic resonance spectroscopy (MRS) at 202.4 MHz. Sixteen individual generic phospholipids were identified and quantified for statistical intergroup comparisons.

Innervation pattern of the gill arches and gills of the carp (Cyprinus carpio).

The innervation pattern of the respiratory gill arches of the carp (Cyprinus carpio) is described. The gill region is innervated by the branchial branches of the glossopharyngeal and vagal nerves. Each branchial nerve divides at the level of or just distal to the epibranchial ganglion into: 1) a pretrematic branch, 2) a dorsal pharyngeal branch, and 3) a posttrematic branch.

Polyradiculoneuritis and inappropriate ADH secretion in infectious mononucleosis.

A 59-yr-old female with acute infectious mononucleosis developed a severe polyradiculoneuritis with quadriplegia and a transient syndrome of inappropriate antidiuretic hormone secretion. Both these complications of the Epstein-Barr virus infection are rare.

Long-term venous access with a Hickman catheter: complications and patient satisfaction.

Hickman catheters can be used to secure prolonged access to the venous system. We have retrospectively analysed the incidence of complications, risk factors for the occurrence of complications and patient satisfaction in 120 catheters. The total number of complications was 30, leading to the removal of 15 catheters.

Hereditary cancer and its clinical implications: a view.

In hereditary cancers the responsible inherited cancer genes are defective (mutated) anti-oncogenes (tumour suppressor genes). This inherited mutation is present in all cells of the organism, and only leads to cancer if in a somatic cell a complete set of specific cancer mutations is accumulated. Since one defective anti-oncogene has been inherited, only three additional somatic cancer mutations are required, according to our previously published view (Anticancer Res 10:1990).

Oncogenesis by mutations in anti-oncogenes: a view.

Oncogenesis is the result of accumulation of specific gene mutations. Two classes of specific cancer mutations are distinguished: namely those affecting anti-oncogenes and those in which oncogenes are involved. Anti-oncogenes are thought to regulate normal growth by encoding proteins that inhibit the expression of the oncogenes.

Intraperitoneal tumor growth and chemotherapy in a rat model.

Animal models are important to evaluate new treatment modalities. In the present paper a new animal model is described, in which the effects of intraperitoneal (i.p.

Direct diffusion of cis-diamminedichloroplatinum(II) in intraperitoneal rat tumors after intraperitoneal chemotherapy: a comparison with systemic chemotherapy.

Chemotherapy i.p. is increasingly being tested as a treatment modality for cancer limited to the peritoneal cavity.

31P NMR study of the impact of dietary manipulation on tumor metabolism and response to methotrexate.

The effects of nutritional manipulation and subsequent chemotherapeutic treatment upon growth and metabolism of a transplanted rat rhabdomyosarcoma were investigated by in vivo 31P NMR spectroscopy. Nutritional manipulation was accomplished by administration of a protein deprived diet containing no protein and 75.5% glucose.

Dietary influences on cell proliferation in bone marrow.

Oral dietary protein-calorie malnutrition was used in rats to study the influence of malnutrition on the distribution of the dividing cells in the bone marrow (stem cells) over the compartments of the cell cycle. A 5-day period of malnutrition induced an increase in the percentage of cells in the G0/G1 phase of the cell cycle while simultaneously inducing a statistically significant decrease in the percentage of cells in S phase. Similar results were obtained after a 14-day period of malnutrition.

Alterations in serum levels, anti-tumor activity and toxicity of methotrexate in rats after a short period of nutritional depletion.

The alterations in serum levels, anti-tumor activity and host toxicity of methotrexate (MTX) were tested in tumor bearing rats following a period of dietary manipulation. A protein deprived (PD) diet or a diet containing a normal protein content (NP) was administered for 5 days and MTX injected intra-peritoneally (i.p.

Shigellosis and AIDS. Report of a case and brief review of the literature.

This report describes the fatal outcome of an infection with Shigella flexneri in a 39-yr-old man with the acquired immunodeficiency syndrome (AIDS). The pertinent literature is reviewed.

Adoptive immunotherapy of syngeneic murine leukemia is enhanced by the combination of recombinant IFN-gamma and a tumor-specific cytotoxic T cell clone.

Mice with an established syngeneic T cell tumor (RBL5) received short term adoptive chemoimmunotherapy with CTL clone 1.B6 and murine rIFN-gamma. In comparison with treatment with either agent alone, the combination of 1.

Complications of Tenckhoff catheter implantation in patients with multiple previous intraabdominal procedures for ovarian carcinoma.

In patients with minimal residual ovarian carcinoma after aggressive surgical and chemotherapeutic treatment, nephrotoxicity and/or peripheral neuropathy often prohibit continued treatment with intravenous combination cisplatin-based chemotherapy. It is attractive to continue treatment of these patients with intraperitoneal (ip) delivered chemotherapy. From 1981 through 1984 a Tenckhoff catheter was implanted in 59 women for ip chemotherapy after a staging laparoscopy or laparotomy.

Mechanoreceptor activity in the gills of the carp. II. Gill arch proprioceptors.

The presence of gill arch proprioceptors in the gills of a teleost, Cyprinus carpio L., is demonstrated and their firing characteristics are analysed. Spontaneous activity of gill arch proprioceptors was recorded from epibranchial ganglia.

Mechanoreceptor activity in the gills of the carp. I. Gill filament and gill raker mechanoreceptors.

Physiological properties of gill filament and gill raker mechanoreceptors in the gills of spontaneously breathing carp, Cyprinus carpio L., were analysed. Stroking stimuli applied to gill filaments elicited a phasic mechanoreceptive response, which was recorded from neurons in the epibranchial ganglia.

Haematological study in Cabo Delgado province, Mozambique; sickle cell trait and G6PD deficiency.

A haematological study was done in several villages in the northern province of Cabo Delgado in Mozambique. The prevalence of sickle cell trait (HbAS) was found to be about 4%. The prevalence of G6PD deficiency in males was about 18%.

Early-stage rectal cancer: electrofulguration in comparison to abdominoperineal extirpation or low-anterior resection.

For some small rectal cancers electrofulguration can be an attractive alternative to more extensive surgical procedures. This report is a review of 49 patients who, after careful selection, were considered ideal candidates for curative fulguration in the period 1959-1982. All had rectal adenocarcinomas and were clinically staged as Dukes' A tumors.