Multiple metastatic deposits of a left breast cancer into a right fibroadenoma.

We present a case which we believe to be the first report of carcinoma of the breast metastasising into a long-standing fibroadenoma in the contralateral breast.

Fine-wire localization and biopsy of non-palpable breast lesions.

We have undertaken fine-wire localization and biopsy of 130 impalpable breast lesions identified by mammography and considered suspicious of malignancy. Histologically 22 of these lesions were invasive carcinomas and 24 were in situ carcinomas (35 per cent malignant). Twenty-nine per cent of the lesions were identified during the screening of asymptomatic women.

Muscle adenosine 5'-triphosphate and creatine phosphate concentrations in relation to nutritional status and sepsis in man.

1. Intramuscular concentrations of adenosine 5'-triphosphate (ATP) and creatine phosphate were measured in the vastus lateralis muscle of 28 non-septic malnourished patients and 31 septic malnourished patients. Similar measurements were made on the rectus abdominis muscle of about one-third of these patients.

Three years' experience with an intestinal failure unit.

The work of a purpose-built unit for the treatment of intestinal failure is described. In the 3 years following its opening the 4-bed unit treated 83 patients who were admitted for a mean of 35 days. Major indications for admission were difficult cases of Crohn's disease, intestinal fistulae and short bowel syndrome.

Maintenance of pregnancy in a home parenteral nutrition patient.

A case is reported of successful conception and completion of pregnancy in a patient with intestinal failure due to Crohn's disease, nourished entirely by home parenteral nutrition. The nutritional regimen included both dextrose and lipid as calorie sources, together with synthetic amino acids and appropriate additives. Nutritional status was monitored by blood biochemistry, anthropometry, urinary nitrogen losses, and measured resting energy expenditure.