Carcinoma of Abdominal Cavity; Puncture of Intestine During Paracentesis Abdominis; Presence of Carcinomatous Fragments in Ascitic Exudate.

Gwyn, Norman B.

doi:10.1097/00000441-190412740-00002

The American Journal of the Medical Sciences

1904

DOI: 10.1097/00000441-190412740-00002

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Carcinoma of Abdominal Cavity; Puncture of Intestine During Paracentesis Abdominis; Presence of Carcinomatous Fragments in Ascitic Exudate.

Norman B. Gwyn¹

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1911

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“…REPORT OF CASES Case 1.-Patient.-E. T., n'aie, 14 years old, was admitted to the University Hospital March 25. 1910, complaining of swollen abdomen.…”

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confidence: 99%

The Diagnostic Value of Mitotic Figures in the Cells of Serous Exudates

Warren¹

1911

Arch Intern Med

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Since Quincke's1 report in 1882, repeated attempts have been made to establish a diagnosis of malignant disease from the character of the cells present in pleuritic or peritoneal exudates. Where bits of tissue are withdrawn by the exploring needle, such a diagnosis may sometimes be made with a fair degree of certainty just as it has been made in the case of tissue obtained in stomach washings, the urine, the feces, etc. The recognition of isolated cancer cells, on the other hand, is extremely uncer¬ tain; and in 1900 Widal and Rivaut,2 after a study of the cells in 600 exudates, concluded that it is difficult to diagnose cancer from such cells, on account of their general resemblance to endothelial cells. In one of the cases to be reported, the presence of many mitotic figures rendered the diagnosis of malignancy almost certain, in the second case their appearance in small numbers strengthened a similar diagnosis, and in the third case they changed a probable diagnosis of sepsis to one of malignancy. A review of the literature shows how few cases have been reported in which large numbers of mitotic figures were found in the cells of serous exudation. We shall therefore report these three cases and review the literature with the object of ascertaining how much reliance may be placed on such findings in establishing a diagnosis of malignant disease.

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“…REPORT OF CASES Case 1.-Patient.-E. T., n'aie, 14 years old, was admitted to the University Hospital March 25. 1910, complaining of swollen abdomen.…”

mentioning

confidence: 99%

The Diagnostic Value of Mitotic Figures in the Cells of Serous Exudates

Warren¹

1911

Arch Intern Med

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Carcinoma of Abdominal Cavity; Puncture of Intestine During Paracentesis Abdominis; Presence of Carcinomatous Fragments in Ascitic Exudate.

Cited by 1 publication

References 0 publications

The Diagnostic Value of Mitotic Figures in the Cells of Serous Exudates

The Diagnostic Value of Mitotic Figures in the Cells of Serous Exudates

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