0000000000963070
AUTHOR
Michele Frazzetta
INCIDENTALOMA: INDICAZIONI E LIMITI DELLA TERAPIA CHIRURGICA
Downregulated expression of Cdc25A gene in MCF-7 breast cancer cell
Weekly docetaxel (wDOC) for the treatment of metastatic breast cancer (MBC): A literature based meta-analysis
BRCA1 and BRCA2 variants of uncertain clinical significance and their implications for genetic counseling
AMPULLECTOMIA E CARCINOMA GIGANTE DELLA PAPILLA DI VATER
The case of a giant carcinoma of Vater's papilla is reported. The clinical/diagnostic paths and therapeutic indications for ampullectomy are analysed on the basis of the good survival rate observed more than five years after transduodenal excision and in the light of the most recent literature. The authors believe that accurate, early diagnosis and histological typing is fundamental for an appropriate selection of patients when complex surgical decisions have to be taken. They consider ampullectomy to be a valid therapeutic option, certainly in the case of benign neoplasias, and duodenocephalopancreasectomy (DCP) to be the operation of choice for the treatment of ampullar and periampullar m…
Tiroidectomia totale con impiego del dissettore ad ultrasuoni: risultati di uno studio prospettico randomizzato
In the last years, the introduction and employment in surgery of the dissectors of last generation (ultrasounds, radiofrequency, etc.) have contributed to a remarkable improvement and simplification of the performances and the surgical techniques. The present study has the aim to verify, on the basis of the experience made in the last two years and through a careful comparisons with operations performed in the usual way, the advantages of employment of ultrasonic dissector in thyroid surgery and if besides such advantages it is possible to obtain real and substantial reductions of the complications. To such aim a randomized perspective study has been lead, confronting two groups of 60 patie…
TRATTAMENTO CHIRURGICO D' URGENZA DI ANEURISMA GIGANTE DELL'ARTERIA SPLENICA NELL'ANZIANO
BRCA1 and BRCA2 germline mutations in sicilian breast and/or ovarian cancer families and their association with familial profiles
EGF Induces STAT3-Dependent VEGF Expression in HT-29 colon cancer cells
CARCINOMA CON CELLULE CON CASTONE INSORTO SU POLIPO GASTRICO
AIM: The authors signal a case of gastric polypoid signet ring cell carcinoma, of particular interest for its rarity like show from the review of the literature, which is the first to have been described after Tabaru's citation. METHODS: The study has been carried out at the Department of Surgical and Oncological Sciences of the University of Palermo. It has been based on 2000 cases analysed from June 2001 to December 2003. RESULTS: The authors advance some and emphasizes the diagnostic flow chart and therapeutic choices adopted. CONCLUSIONS: We agree that the endoscopic polypectomy is surgical procedure of first approach, but modifying the therapeutic guideline in relation to histologic ex…
Antiemetic prophylaxis containing Palonosetron (P) alone or in combination with Aprepitant (A) in the treatment of advanced soft tissue sarcoma (STS) patients with epirubicin and ifosfamide
ILEO BILIARE: DIAGNOSI E TRATTAMENTO. CASE REPORT
The authors present a case of gallstone intermittent ileus caused by the passage of a big gallstone (about 4 cm in diameter) in the intestinal lumen, through a cholecystoduodenal fistula. They emphasize the peculiarity of the case for the characteristics of symptoms and for casual diagnostic check-up with a ultrasonography. The disease is not frequently diagnosed; today it has a safe recognition by modern imaging. The symptoms can be intermittent and, even when there are the classic signs of intestinal occlusion, the site of the occlusion is various. With a timely endoscopical or surgical approach (open or laparoscopic) it is possible to reduce mortality of patients treated in emergency.
Il ruolo della manometria intraoperatoria nel trattamento chirurgico dell'acalasia esofagea
Versione italiana Introduzione. Gli Autori riportano i risultati della loro esperienza sul ruolo della manometria intraoperatoria (MI) nel trattamento chirurgico dell'acalasia. Pazienti e metodi. Sono stati presi in considerazione 239 pazienti affetti da acalasia osservati dal 1994 al 2006; solo 79 hanno continuato l'iter diagnostico-terapeutico e 31 sono stati sottoposti ad intervento chirurgico di miotomia longitudinale secondo Heller, associando in 25 una plastica antireflusso secondo Dor e in 6 una plastica antireflusso secondo Nissen. In 24 pazienti su 31 è stata eseguita una MI con la individuazione delle zone di alta pressione (HPZ). Risultati. I pazienti sottoposti ad intervento di …
Gists eredo familiari e pediatrici: aspetti biomolecolari e clinici.
I tumori della mammella e/o dell’ovaio di tipo eredofamiliare: strategie di prevenzione nelle donne ad alto rischio
Numerosi fattori sono stati coinvolti nell’insorgenza del carcinoma mammario e dell’ovaio tra cui l’età, fattori ormonali e riproduttivi come l’età e il numero di gravidanze e l’utilizzo di contraccettivi orali e, in minor misura, fattori ambientali e stili di vita. Le possibilità per la gestione clinica delle pazienti considerate ad alto rischio di sviluppare carcinoma della mammella e/o dell’ovaio includono chirurgia profilattica (es. mastectomia bilaterale profilattica o ovarosalpingectomia bilaterale), chemioprevenzione (principalmente tamoxifene e raloxifene ma anche, più recentemente, inibitori dell’aromatasi nelle donne ad alto rischio in postmenopausa), cambiamenti nelle abitudini d…
La consulenza genetica in oncologia: implicazioni biomolecolari e cliniche.
“Serum HER-2/neu (s-HER2) levels evaluation in breast cancer (BC) patients (PTS)”
Carcinoma ereditario dell'ovaio (Ereditary Ovarian Cancer)
INGUINAL HERNIA SURGERY PERFORMED ON ELDERLY CARDIOPATH PATIENS
ROLE OF THE EXPULSION BALLOON TEST IN ANORECTAL DISEASES
gastric polypoid lesions. Our ecperience.
BACKGROUND AND AIM: The Authors report the results of their experience on polypoids lesions of the stomach and on endoscopic polypectomies. PATIENTS AND METHODS: A study on 2000 OGD (oesophagogastroduodenoscopy) has been carried out on 95 patients with polypoid lesions. The authors have analysed the associations existing between histological type and symptomatology and localisation of the lesion and the status of the Helicobacter pylori and the risk of cancerization. The data were confronted with the ones already available. RESULTS: In the majority of the cases, the polypoid lesions were asymptomatic, the localization changed according to the histological type, with the antrum as the most a…
Pseudocisti pancreatiche infette: Note di tecnica
Introduction. Starting from the observation of 9 cases of giant infected pancreatic cysts, which occurred from 1994 to 2004 at the Department of Oncological and Surgical Studies, the Authors' aim has been to evaluate whether a more thorough necrosectomy, carried-out under videoendoscopic control, associated with a nose-gastro-cavity tube, which ensures a continuous cleansing of the newly-formed cavity, and an appropriate positioning of the drainages, could reduce the morbility and allow a shorter recovery of the infected psuodocysts. Patients and methods. Of 73 cases of acute pancreatitis, observed from 1994 to 2004, 9 showed severe and acute pancreatitis, which included giant pseudocysts, …