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ABSTRACT: Background-AimPrimary squamous cell carcinoma of the breast (SCC) is a rare tumour. The exact histogenesis and clinical behaviour of this Background-AimPrimary squamous cell carcinoma of the breast (SCC) is a rare tumour. The exact histogenesis and clinical behaviour of this
malignancy has not been fully elucidated. We herein present a related case report and an extensive review of the relevant malignancy has not been fully elucidated. We herein present a related case report and an extensive review of the relevant
literature. literature.
Case presentationOur patient was a 66-year-old woman that presented with a well-circumcised mass in her left breast. There were no palpable Case presentationOur patient was a 66-year-old woman that presented with a well-circumcised mass in her left breast. There were no palpable
axillary nodes. An ultrasound and mastography revealed an 8.5 cm cystic lesion. Early relapses followed consecutive aspirations. axillary nodes. An ultrasound and mastography revealed an 8.5 cm cystic lesion. Early relapses followed consecutive aspirations.
Cytology was not conclusive. An operation was decided, during which a frozen section was positive for malignancy. A simple Cytology was not conclusive. An operation was decided, during which a frozen section was positive for malignancy. A simple
mastectomy was performed. Histologic examination confirmed the definitive diagnosis. Adjuvant radiation therapy and chemotherapy mastectomy was performed. Histologic examination confirmed the definitive diagnosis. Adjuvant radiation therapy and chemotherapy
was administered. was administered.
ConclusionSquamous cell carcinoma of the breast is an interesting rarity that presents as a cystic breast lesion. Its natural history ConclusionSquamous cell carcinoma of the breast is an interesting rarity that presents as a cystic breast lesion. Its natural history
has not been entirely elucidated. Preoperative diagnosis of this rarity can prove very difficult. Many more cases are needed has not been entirely elucidated. Preoperative diagnosis of this rarity can prove very difficult. Many more cases are needed
to delineate its characteristics in a future metanalysis. In a cystic lesion with a non-diagnostic investigation, surgery to delineate its characteristics in a future metanalysis. In a cystic lesion with a non-diagnostic investigation, surgery
may be required as a definitive diagnostic and therapeutic intervention. may be required as a definitive diagnostic and therapeutic intervention.
Key wordsSquamous cell carcinoma–Breast Key wordsSquamous cell carcinoma–Breast
Hellēnikē cheirourgikē. Acta chirurgica Hellenica 04/2012; 83(4):230-234.
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ABSTRACT: BackgroundThe ideal method of ventral hernia repair is yet to be defined. We herein present a method of intraperitoneal mesh fixation
which is easy, fast and secure. With this method we can achieve an open surgery for hernia repair with all its advantages
and with minimal stress to the patient.
MethodsThe skin incision is limited to just over the hernia opening. No other dissection in the subcutaneous layer is made. Adhesionlysis
is performed and the mesh is prepared by placing multiple sutures circumferentially at its edge at one to one and a half cm
intervals. Small skin stab wounds with an 11 blade are made corresponding to these points. The mesh is being introduced into
the abdominal cavity and each suture is pulled out using a suture-grasping device and tied subcutaneously, thus securing a
full thickness abdominal muscular/fascial wall fixation.
ResultsBetween February 2003 and June 2007, we performed 106 incisional and ventral hernia mesh repairs using our fixating technique.
Twenty-four patients (22.6%) were treated for recurrent hernias. Of the 106 patients, 14 (13.2%) had a hernia defect ≤ 4 cm
and the remainder a larger one. The mean age was 62 years (range 27–84). The average time spent in the operating room was
52 minutes (range 28–112). No intraoperative complications were recorded and two superficial minor wound infections were managed
conservatively. Twenty-eight (35%) patients complained of pain at points corresponding to suture knots lasting for more than
two months. All patients were successfully treated conservatively. To date, none of the patients has had a recurrence of their
hernia.
ConclusionsOur proposed method of mesh fixation in open ventral hernia repair is a safe, effective, quick and easily-learned method with
a low morbidity and low recurrence rate.
Key WordsVentral hernia–Mesh–Fixation method
Hellēnikē cheirourgikē. Acta chirurgica Hellenica 04/2012; 83(1):53-56.
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A. Ninos,
G. Douridas,
E. Papakonstantinou,
M. Vidali,
G. Liapi,
S. Maletsikopoulos,
P. Antonakas,
L. Palivos,
J. Papandrikos,
C. Farazi, S. Pierrakakis
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ABSTRACT: BackgroundDuplication of the appendix is a rare anomaly. To date, about 100 such cases have been recorded in the English literature,
and although two cases are described as horseshoe appendices, none referred the unique configuration with a single tip presented
in this case report.
Case reportA 20-year-old woman presented with a two-day history of right iliac fossa pain. An appendicectomy was performed along with
a lymph node excisional biopsy. Histological examination revealed a horseshoe double appendix and an incidental high grade
B-cell non-Hodgkin lymphoma.
ConclusionsDespite its rarity, failure to recognize appendiceal duplication may have serious clinical and medico-legal consequences.
As in our case, this anomaly may be an incidental finding, highlighting the need for increased awareness of the condition,
especially amongst junior doctors. A lymphoma may present with a non-specific abdominal pain. Our case presented as an acute
appendicitis which prompted us to proceed with surgical exploration. Based on our findings and the review of the relative
literature, we propose a modification of the existing classification of appendicial duplication.
KeywordsDouble appendix-Duplication-Horseshoe appendix
Hellēnikē cheirourgikē. Acta chirurgica Hellenica 04/2012; 82(1):73-76.
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ABSTRACT: Cystic adenomyoepithelioma of the breast is a rare tumor. We report a case of this entity in a 42-year-old woman who presented with a lump behind her left nipple. Clinical examination suggested the diagnosis of a cyst. Ultrasound showed a cyst with an intracystic mass. The lesion was biopsied and found to be a cystic adenomyoepithelioma.
The Breast 09/2004; 13(4):356-8. · 2.49 Impact Factor
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ABSTRACT: Benign neoplasms originating from the neuronal sheath are usually found along the distribution of the cranial nerves and in the flexor surfaces of the upper and lower extremities. We herein present a case of a 65-year-old man with a schwannoma located in the inguinal canal, which presented as an irreducible hernia. This is the first reported case in the English literature of a schwannoma with such a presentation.
Hernia 03/2004; 8(1):73-5. · 1.84 Impact Factor
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European Radiology 02/1997; 7(7):1137-8. · 3.22 Impact Factor
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ABSTRACT: In 99% of cases external biliary fistulas are caused by liver and biliary tract surgery. The paper describes a new continuous aspiration of the fistula. This method was used to treat 18 patients and full closure of the fistula was achieved in 15 out of 18 patients.
Minerva chirurgica 11/1990; 45(19):1239-42. · 0.77 Impact Factor
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ABSTRACT: Forty-five cases of acute pancreatitis observed during the period 1986-88 were included in this study. Four of the 45 patients were operated during the acute phase and of these, two died. The remaining 41 patients were treated with conservative therapy using the application of a nasogastric tube, analgesics, and the endovenous administration of various solutions and antibiotics. The severity of each attack of pancreatitis was assessed according to Ranson and Agarwal's criteria. In severe cases (more than 3 of Ranson's criteria) the presence of endotoxin in the systemic circulation was shown using the "limulus" method, together with contemporary low levels of C3 complement factor. As is evident from the results of the study, the presence of endotoxinemia and the low level of C3 in acute pancreatitis are related to the high percentage of complications.
Minerva chirurgica 04/1990; 45(5):295-301. · 0.77 Impact Factor
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Minerva chirurgica 12/1988; 43(22):1963-8. · 0.77 Impact Factor
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Minerva chirurgica 08/1987; 42(13-14):1177-80. · 0.77 Impact Factor
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ABSTRACT: This retrospective study aimed to estimate the value of spiral Computerized Tomography (sCT) in patients with suspected appendicitis who remained undiagnosed after 48 hours of expectant management. We assessed a cohort of 150 patients by focused unenhanced sCT. According to the clinical scenario we occasionally employed contrast media and extended the scanned area. The major radiological signs were appendiceal enlargement and inflammatory changes of periappendiceal tissue and mesenteric fat. Regarding acute appendicitis the examination was 95.8% sensitive, 97.4% specific, had a positive predictive value of 97.18%, a negative predictive value of 96.2% and an accuracy of 96.7%. It also provided alternative diagnoses in 55 patients leading correctly 31 of them to the theatre for a variety of abdominal surgical diseases. For abdominal surgical pathology in general, sCT was 97.1% sensitive, 95.7% specific, had a positive predictive value of 98% and a negative predictive value of 93.8%. The importance of good communication between the clinicians and radiologists was pointed out by the correct alternative diagnoses set by imaging in the 55 patients after modifying the sCT protocol and was highlighted by the unnecessary appendectomy of three patients with negative imaging. Our results verify the accuracy and value of unenhanced sCT in patients with a clinical picture which remains inconclusive after an initial period of expectant management.
Acta chirurgica Belgica 106(1):47-51. · 0.43 Impact Factor
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ABSTRACT: During the last 20 years (1972-1992), 421 patients underwent surgery for hydatid disease of the liver. 96 out of 421 patients had a rupture such as, intrabiliary rupture 49 patients, intrathoracic rupture 43 patients and free rupture in the peritoneal cavity 4 patients. The surgical treatment required a variety of procedures: 1) Prolonged tube drainage of the residual cavity and exploration of the common bile duct followed by either T tube drainage or sphincteroplasty or choledocho-duedonostomy if it was necessary, for intrabiliary rupture. 2) Lung resection if it was necessary, and evacuation plus drainage and the hepatic cavity followed by suture of the diaphragmatic rupture of closure of the bronchial opening if present for intrathoracic rupture. 3) Lavage and prolonged tube drainage of the hepatic cavity for free rupture in the peritoneal cavity. Five patients died in the postoperative period one from suppurative cholagitis, one from pulmonary embolism and 3 from M.O.F.
Journal de Chirurgie 131(8-9):363-70. · 0.50 Impact Factor
