Because of the unusual route 2 cases of foreign body migration from the bladder are reported. In 1 case a thermometer was inserted into the bladder and penetrated into the peritoneal cavity. In the other case a thermometer penetrated from the bladder into the prevesical space. These penetrations occurred without any obvious manifestations after the thermometers were inserted into the bladder.
To confirm the cause of a small defect of the ureter and to determine preoperatively the histological grade of ureteral carcinoma a new technique of intraureteral biopsy was attempted with a Dormia stone basket. Of 8 biopsies performed on 7 patients with ureteral or pelvioureteral carcinoma only 1 failed to produce a fragment of tissue. Histological diagnosis was made in each of the 7 patients and histological grading in 5. Four patients with non-malignant defects of the lower ureter also were biopsied with this technique to ascertain the feasibility of this biopsy on minimal filling defects. In each patient a tiny piece of tissue was removed. Histological diagnosis could be made in 3 cases.
In a histological study of 17 prostates excised in toto for stages B and C primary carcinoma, we found one focus of well differentiated carcinoma in each of six prostates, which, in addition to these foci, had large tumors of invasive prostatic carcinoma. In four of the six prostates, the foci were located near but separate from the main tumor, and in the remaining two they were invaded by the main tumor. These findings strongly suggest that prostatic carcinoma is multifocal in origin and that focal well differentiated carcinomas are different in biological behavior from invasive poorly differentiated carcinomas.
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