Perforation of the stomach is the most uncommon complication of cancer of the stomach and was found in 9 of 1,620 patients treated over a 23-year period. The 5-year survival rate of 62.8% indicates that aggressive surgical treatment should be applied where possible. In some patients, radical resection is performed as a second procedure after recovery from the acute episode of perforation.
Forty-nine patients with primary carcinoma of the liver were surgically treated at our hospital through 1961. Four cases with minute hepatocellular carcinoma which were subjected to liver resection were investigated.1. Twenty cases of this series underwent liver resection and their resectability was 41.7%. Of these 20 cases, 16 were concomitant with fibrosis or cirrhosis for back ground.Patients with such a cancer show poor prognosis and autopsy were performed on 10 cases.Histological findings showed marked proliferation of connective tissues and invasion of its fiber into the pseudolobules in the residual liver than the resected liver.
Of 4 cases with minute hepatocellular carcinoma, 2 were positive serum AFP andHBs-Ag level and 3 were found tumor stain in hepatic arteriogram and low density area in hepatoscintigram.3. On gross specimen with minute cancer, all of them were of the single nodular type with capsule formation which were histologically found invasion of carcinoma. Tumors larger than 3.0cm in size revealed tumor necrosis, tumor thrombus in the portal vein and rupture of the hepatic capusules. Above findings indicated that those cases should be subjected to radical operation such as segmental resection or hepatic lobectomy.
Lymphangioma of the small intestine is so rare that only 28 cases have been reported in Japan. This paper describes a case of lymphagioma of the jejunum, together with a review of the literature. A 30-year-old woman was admitted to our hospital with the chief complaints of nausea and lumbago. Urinalysis, haematological and biochemical screening were normal. Ultrasonography and computed tomography filled with a clear yellow fluid was found in the jejunum 140cm distant from the Treitz's ligament. Partial resection of the jejunum was carrried out, and pathologically it was diagnosed as cavernous lymphangioma.
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