摘要:

Summary1Early and accurate diagnosis of carcinoma of the pancreas and the ampulla of Vater can be assised by the use of bio‐ chemical tests and perhaps liver biopsy. Early laparotomy is essential to avoid further liver damage and spread of the tumour.2The general clinical improvement of the patients and the improvement of these tests have shown the value of preliminary decompression of the biliary system be‐ fore pancreatico‐duodenal resection. A two stage operation is therefore recom‐ mended.3The diagnosis of small tumours of the ampulla or head of the pancreas is dis‐ cussed and its importance emphasised as the most difficult tumours to diagnose will probably have the best prognoses.4A detailed description of the steps in pancreatico‐duodenal resection is given, with illustrations. The hazards are em‐ phasized.5The results of resection in eight cases

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03429.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary1In a clinical study of 90 cases of malig‐ nant melanoma registered at the Auck‐ land Consultation Clinic between 1929 and 1946, the evidence is slightly in favour of local excision only for the primary lesion with delayed operation on regional glands as required.2The prognosis in this series is considerably better in women than in men.3It is better in the younger age group.4Lesions in the head area, in the digits and in the leg appear to carry a better prognosis.5It would seem that the shorter the period between apparent onset of malignancy and operation, the worse is the prognosis.6With a small lesion, 1 cm. or less, there appears to be a better prognosis than with a larger les

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03430.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03431.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

SummaryAn unusual lesion affecting the lateral chest wall is described; 5 cases are reportedand the literature on the subject is reviewed. Histological examination indicates gross sclerosis around some vessel or vessels.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03432.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary1The facial neuralgias form a group of symptom ‐ complexes, characterised by pains of various types in one or both sides of the face.2The commonest variety is true trigeminal neuralgia or tic doloureux, and it has certain definite characteristics which distinguish it and without which the diag‐ nosis should be reviewed.3Eight other varieties of facial neuralgia are classified and described. Some of theses have a definite cause and are as‐ sociated with tumours or aneurysms4The treatment of these various conditions is discussed on the following 1ines:(a) Analgesics.(b) Anti‐neuritic vitamins.(c) Injections of alcohol into the branches of the 5th nerve, its roots or the Gasserian ganglion.(d) Resection of the sensory root of the 5th nerve.(e) Attack upon the sympathetic nerves or blood vessels supplying the af‐fected area.(f) Removal or correction of the cause, when known.(g) Prefrontal leucotomy for intractable pain.5Migraine and neuralgias of nasal and ocular origin ar

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03433.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary1Twelve cases of tumour of the testis in which there was an association of a seminoma and a “teratoma” are discussed and three of these are described in detail.2The malignant “teratomata” do not usually show a degree of multi‐differen‐ tiation greater than is seen in many carcinomata in other parts of the body but usually show only an epithelial tissue and often only one form of this.3The evidence for the opinion that these are really teratomata is therefore of the slenderest, and the reasons for consider‐ ing that they are not so are discussed.4These tumours (both the “teratoma” and the seminoma) are regarded as arising from the cells of the testicular tubules.5The term teratoma, by definition, should be applied only to such tumours as show considerable multi‐differentiation and the term should cease to be used as applying to those in which this is not true. For this reason it should not be used for those malignant forms of epithelial growth which differ from the seminomata.6Tumours of this kind should be desig‐ nated carcinoma.7The seminoma is a carcinoma but, in view of its characteristic features, this or some comparable term should be re‐ tained at present.8In this way over 95 per cent. of the growths of the testis, which constitute the malignant epithelial tumours, would fall into two sub‐groups, the c

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03434.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Speed, Why, man, how black Lánce. Why, as black as ink

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03435.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

SummaryTwo cases of malignant synovioma, one of which shows an unusual diversity of tissue differentiation, are recorded. The histological nature of the tumours and the conclusion that the malignant synoviomata are connective tissue neoplasms which possess the same capacity of diverse tissue differentiation as is shown by the normal connectivetissue of the synovium is discussed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03436.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03437.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY

摘要:

Summary1Four cases of fibrosis of the hand are described.2The clinical feature of swelling occurring in the tendon sheaths and in the tissues beyond these, arising usually after an injury, is described.t)3The condition is one of a chronic inflammatory change following the injury; instead of simple resolution, which usually occurs, there is fibrosis and cystic (that is, synovial) development.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1952.tb03438.x

出版商:Blackwell Publishing Ltd    

年代:1952

数据来源: WILEY