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[Uninodular bronchioalveolar carcinoma. Apropos of 10 operated cases].

Minerva Chir

May 1998

Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università degli Studi, Parma.

Background: This study reports 10 cases of uninodular bronchiolo-alveolar carcinoma (BAC) operated on in the General Surgery and Organ Transplantation Institute of the University of Parma between January 1st 1981 and December 31st 1995.

Methods: Seven patients were males and three females, mean age was 65 (DS 11, range 37-75) and globally accounted for 6.4% of all surgically treated lung malignant tumors.

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Unlabelled: Most of the children with Di George syndrome and 60% of patients with velocardiofacial syndrome exhibit a microdeletion within chromosome 22q11. The phenotypic expression of this chromosomal abnormality is highly variable.

Patients: Forty-nine children, 0 to 15 years of age, were demonstrated as carriers of a 22q11 microdeletion.

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We reported an antenatal diagnosis case of oesophageal atresia in 21 years aged woman in second pregnancy. The echographic diagnosis of antenatal oesophageal atresia was suspected from the non visualisation of stomach liquid after separate following examinations at 8 days interval, the presence of a great abundant hydramnios and a very important delay of in utero foetal growth. This study permitted us to emphasize the antenatal diagnosis interest in supporting a child with oesophageal atresia during neonatal period.

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[Trans-sutural mechanical anastomosis in esophagogastric surgery. Apropos of 25 cases].

J Chir (Paris)

December 1994

Service de Chirurgie Digestive et Générale, CHG, Troyes.

The essential point conditioning the success of a mechanical esophagogastric or esophagojejunal anastomosis is the performance of an esophageal purse. The authors present a variety of the technique which consists of replacing the esophageal purse by a linear stapling after having introduced the anvil in esophagus. The anvil shaft is then exteriorized through the staple line.

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Having found, in the same medical centre, an abnormally high (15%) frequency of bone metastases from colorectal carcinoma, the authors report a series of 8 cases and review what is now known of this reputed rare (4%) metastases. Their clinical and imaging features are not very different from secondary bone lesions of other origins. They usually appear approximately 5 years after the primary tumour has been diagnosed; and they are rarely isolated, being part of a diffuse metastatic disease; their prognosis is in fact conditioned by visceral metastases (liver, lung, peritoneum).

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