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de Jesus VHF, Peixoto RD, Ribeiro HSDC, Pinheiro RN, Oliveira AF, Anghinoni M, Torres SM, Boff MF, Weschenfelder R, Prolla G, Riechelmann RP. Current clinical practice in the management of Brazilian patients with potentially resectable pancreatic ductal adenocarcinoma (PDAC). J Surg Oncol 2023. [PMID: 37795658 DOI: 10.1002/jso.27453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 09/11/2023] [Indexed: 10/06/2023]
Abstract
BACKGROUND AND OBJECTIVES We aimed to describe the routine clinical practice of physicians involved in the treatment of patients with localized pancreatic ductal adenocarcinoma (PDAC) in Brazil. METHODS Physicians were invited through email and text messages to participate in an electronic survey sponsored by the Brazilian Gastrointestinal Tumor Group (GTG) and the Brazilian Society of Surgical Oncology (SBCO). We evaluated the relationship between variable categories numerically with false discovery rate-adjusted Fisher's exact test p values and graphically with Multiple Correspondence Analysis. RESULTS Overall, 255 physicians answered the survey. Most (52.5%) were medical oncologists, treated patients predominantly in the private setting (71.0%), and had access to multidisciplinary tumor boards (MTDTB; 76.1%). Medical oncologists were more likely to describe neoadjuvant therapy as beneficial in the resectable setting and surgeons in the borderline resectable setting. Most physicians would use information on risk factors for early recurrence, frailty, and type of surgery to decide treatment strategy. Doctors working predominantly in public institutions were less likely to have access to MTDTB and to consider FOLFIRINOX the most adequate regimen in the neoadjuvant setting. CONCLUSIONS Considerable differences exist in the management of localized PDAC, some of them possibly explained by the medical specialty, but also by the funding source of health care.
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Affiliation(s)
- Victor Hugo Fonseca de Jesus
- Medical Oncology Unit, Grupo Oncolínicas Florianópolis, Florianópolis, Santa Catarina, Brazil
- Medical Oncology Department, Centro de Pesquisas Oncológicas (CEPON), Florianópolis, Santa Catarina, Brazil
- Post-Graduate Program, A.C. Camargo Cancer, São Paulo, Sao Paulo, Brazil
| | - Renata D'Alpino Peixoto
- Medical Oncology Unit, Grupo Oncoclínicas/Centro Paulista de Oncologia, São Paulo, São Paulo, Brazil
| | | | | | | | - Marciano Anghinoni
- Surgical Oncology Unit, Centro de Oncologia do Paraná (Oncoville), Curitiba, Paraná, Brazil
| | - Silvio Melo Torres
- Department of Abdominal Surgery, A.C. Camargo Cancer, São Paulo, São Paulo, Brazil
| | - Márcio Fernando Boff
- Surgical Oncology Unit, Hospital Mãe de Deus, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rui Weschenfelder
- Department of Medical Oncology, Hospital Moinho de Vento, Porto Alegre, Rio Grande do Sul, Brazil
| | - Gabriel Prolla
- Grupo Oncoclínicas Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rachel P Riechelmann
- Department of Medical Oncology, A.C. Camargo Cancer, São Paulo, São Paulo, Brazil
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2
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Anghinoni M, Toderke EL, Nakadomari TS, de Oliveira TKM, Locatelli FP, Matias JEF. Liver regeneration after extensive hepatectomy in rats: effect of preoperative chemotherapy with intravenous 5-fluorouracil. Acta Cir Bras 2022; 37:e370901. [PMID: 36449812 PMCID: PMC9710188 DOI: 10.1590/acb370901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/03/2022] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To evaluate the effect of preoperative intravenous chemotherapy with 5-fluorouracil on liver regeneration in an experimental model of major hepatectomy in rats. METHODS Wistar rats were divided into two groups of 20 animals each and submitted to 70% hepatectomy 24 h after intravenous injection of 5-fluorouracil 20 mg/kg (fluorouracil group, FG) or 0.9% saline (control group, CG). After hepatectomy, each group was subdivided into two subgroups of 10 animals each according to the day of sacrifice (24 h or 7 days). Liver weight during regeneration, liver regeneration rate using Kwon formula, and the immunohistochemical markers proliferating cell nuclear antigen (PCNA) and Ki-67 were used to assess liver regeneration. RESULTS At early phase (24 h after hepatectomy) it was demonstrated the negative effect of 5-fluorouracil on liver regeneration when assessed by Kwon formula (p < 0.0001), PCNA analysis (p = 0.02). With regeneration process complete (7 days), it was possible to demonstrate the sustained impairment of chemotherapy with 5-fluorouracil on hepatocytes regeneration phenomenon when measured by Kwon formula (p = 0.009), PCNA analysis (p = 0.0001) and Ki-67 analysis (0.001). CONCLUSIONS Preoperative chemotherapy with intravenous 5-fluorouracil negatively affected the mechanisms of liver regeneration after major hepatectomy in rats.
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Affiliation(s)
- Marciano Anghinoni
- Fellow MSc. Universidade Federal do Paraná – Departamento de Cirurgia – Pós-Graduação em Clínica Cirúrgica – Curitiba (PR), Brazil.,Corresponding author:
- (55 41) 98819-1130
| | - Edimar Leandro Toderke
- Fellow PhD. Universidade Federal do Paraná – Departamento de Cirurgia – Pós-Graduação em Clínica Cirúrgica – Curitiba (PR), Brazil
| | - Thaísa Sami Nakadomari
- Fellow MSc. Universidade Federal do Paraná – Departamento de Cirurgia – Pós-Graduação em Clínica Cirúrgica – Curitiba (PR), Brazil
| | | | | | - Jorge Eduardo Fouto Matias
- PhD, Associate Professor. Universidade Federal do Paraná – Departamento de Cirurgia – Pós-Graduação em Clínica Cirúrgica – Curitiba (PR), Brazil
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3
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Gomes GF, Noda RW, Lima TMDC, Carboni da Silva E, Kashiwagui LY, Nakadomari TS, Anghinoni M. Endoscopic Treatment of a Total Ileorectal Anastomosis Stenosis using Magnets. Endoscopy 2022; 54:E300-E301. [PMID: 34215002 DOI: 10.1055/a-1524-0868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
| | | | | | | | | | | | - Marciano Anghinoni
- Oncologic Surgery Unit, Hospital Nossa Senhora das Graças, Curitiba, Brazil
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4
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Coimbra FJF, Torres OJM, Alikhanov R, Agarwal A, Pessaux P, Fernandes EDSM, Quireze-Junior C, Araujo RLC, Godoy AL, Waechter FL, Resende APD, Boff MF, Coelho GR, Rezende MBD, Linhares MM, Belotto M, Moraes-Junior JMA, Amaral PCG, Pinto RD, Genzini T, Lima AS, Ribeiro HSC, Ramos EJ, Anghinoni M, Pereira LL, Enne M, Sampaio A, Montagnini AL, Diniz A, Jesus VHFD, Sirohi B, Shrikhande SV, Peixoto RDA, Kalil AN, Jarufe N, Smith M, Herman P. BRAZILIAN CONSENSUS ON INCIDENTAL GALLBLADDER CARCINOMA. ACTA ACUST UNITED AC 2020; 33:e1496. [PMID: 32667526 PMCID: PMC7357549 DOI: 10.1590/0102-672020190001e1496] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Accepted: 12/10/2019] [Indexed: 12/18/2022]
Abstract
Background: Incidental gallbladder cancer is defined as a cancer discovered by
histological examination after cholecystectomy. It is a potentially curable
disease. However, some questions related to their management remain
controversial and a defined strategy is associated with better prognosis.
Aim: To develop the first evidence-based consensus for management of patients with
incidental gallbladder cancer in Brazil. Methods: Sixteen questions were selected, and 36 Brazilian and International members
were included to the answer them. The statements were based on current
evident literature. The final report was sent to the members of the panel
for agreement assessment. Results: Intraoperative evaluation of the specimen, use of retrieval bags and routine
histopathology is recommended. Complete preoperative evaluation is necessary
and the reoperation should be performed once final staging is available.
Evaluation of the cystic duct margin and routine 16b1 lymph node biopsy is
recommended. Chemotherapy should be considered and chemoradiation therapy if
microscopically positive surgical margins. Port site should be resected
exceptionally. Staging laparoscopy before reoperation is recommended, but
minimally invasive radical approach only in specialized minimally invasive
hepatopancreatobiliary centers. The extent of liver resection is acceptable
if R0 resection is achieved. Standard lymph node dissection is required for
T2 tumors and above, but common bile duct resection is not recommended
routinely. Conclusions: It was possible to prepare safe recommendations as guidance for incidental
gallbladder carcinoma, addressing the most frequent topics of everyday work
of digestive and general surgeons.
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Affiliation(s)
| | | | - Orlando Jorge M Torres
- Department of Hepatopancreatobiliary Surgery, Federal University of Maranhão, São Luis, Brazil
| | - Ruslan Alikhanov
- Department of Hepatopancreatobiliary Surgery, Moscow Clinical Scientific Center, Moscow, Russia
| | - Anil Agarwal
- Department of Gastrointestinal Surgery, Govind Ballabh Pant Hospital, New Delhi, India
| | - Patrick Pessaux
- Department of Hepatopancreatobiliary Surgery, Nouvel Hopital Civil, University Hospital of Strasbourg, Strasbourg, France
| | - Eduardo de Souza M Fernandes
- Department of Hepatopancreatobiliary and Transplant Surgery, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - André Luis Godoy
- Department of Gastrointestinal Surgery, AC Camargo Cancer Center, São Paulo, Brazil
| | - Fabio Luis Waechter
- Department of Gastrointestinal Surgery, Santa Casa de Porto Alegre, Porto Alegre, Brazil
| | | | | | - Gustavo Rego Coelho
- Department of Hepatopancreatobiliary Surgery, Hospital Walter Cantidio, Fortaleza, Brazil
| | | | | | - Marcos Belotto
- Department of Gastrointestinal Surgery, Santa Casa de São Paulo, São Paulo, Brazil
| | | | | | - Rinaldo Danesi Pinto
- Department of Gastrointestinal Surgery, Hospital Santa Catarina, Blumenal, Brazil
| | - Tercio Genzini
- Department of Hepatopancreatobiliary Surgery, Hospital Beneficiência Portuguesa, São Paulo, Brazil
| | - Agnaldo Soares Lima
- Department of Hepatopancreatobiliary Surgery, Santa Casa de Belo Horizonte, Brazil
| | | | - Eduardo José Ramos
- Department of Hepatopancreatobiliary Surgery, Hospital NS das Graças, Curitiba, Brazil
| | | | - Lucio Lucas Pereira
- Department of Gastrointestinal Surgery, Hospital Sírio-Libanês, Brasilia, Brazil
| | - Marcelo Enne
- Department of Hepatopancreatobiliary Surgery, Ipanema Hospital, Rio de Janeiro, Brazil
| | - Adriano Sampaio
- Department of Gastrointestinal Surgery, Santo Amaro University, São Paulo, Brazil
| | - André Luis Montagnini
- Department of Hepatopancreatobiliary Surgery, São Paulo Medical School, São Paulo, Brazil
| | - Alessandro Diniz
- Department of Gastrointestinal Surgery, AC Camargo Cancer Center, São Paulo, Brazil
| | | | - Bhawna Sirohi
- Department of Hepatopancreatobiliary and Oncology Surgery, Tata Memorial Hospital, Mumbai, India
| | - Shailesh V Shrikhande
- Department of Hepatopancreatobiliary and Oncology Surgery, Tata Memorial Hospital, Mumbai, India
| | | | - Antonio Nocchi Kalil
- Department of Gastrointestinal Oncology, Santa Casa de Porto Alegre, Porto Alegre, Brazil
| | - Nicolas Jarufe
- Department of Hepatopancreatobiliary Surgery, Universidade Católica, Santiago, Chile
| | - Martin Smith
- Department of Hepatopancreatobiliary Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
| | - Paulo Herman
- Department of Hepatopancreatobiliary Surgery, São Paulo Medical School, São Paulo, Brazil
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Wainstein AJA, Drummond‐Lage AP, Ribeiro R, de Castro Ribeiro HS, Pinheiro RN, Baiocchi G, de Sousa Fernandes PH, Anghinoni M, Laporte GA, Coelho Junior MJ, Dall'Inha VN, Oliveira AF. Risks of COVID-19 for surgical cancer patients: The importance of the informed consent process. J Surg Oncol 2020; 122:608-610. [PMID: 32563201 PMCID: PMC7323393 DOI: 10.1002/jso.26065] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 05/26/2020] [Indexed: 12/31/2022]
Affiliation(s)
- Alberto Julius Alves Wainstein
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Rede Mater Dei de Saúde, Surgical OncologyBelo HorizonteBrazil
- Faculdade Ciências Médicas de Minas GeraisBelo HorizonteBrazil
| | | | - Reitan Ribeiro
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyErasto Gaertner HospitalCuritibaBrazil
| | - Héber Salvador de Castro Ribeiro
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyAC Camargo Cancer CenterSão PauloBrazil
| | - Rodrigo Nascimento Pinheiro
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyHospital de Base do Distrito FederalBrasíliaBrazil
| | - Glauco Baiocchi
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyAC Camargo Cancer CenterSão PauloBrazil
| | | | | | - Gustavo Andreazza Laporte
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologySanta Casa de Misericórdia de Porto AlegrePorto AlegreBrazil
| | - Manoel Jesus Coelho Junior
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyOncology Control Center of Amazonas StateManausBrazil
| | | | - Alexandre Ferreira Oliveira
- Sociedade Brasileira de Cirurgia OncológicaRio de JaneiroBrazil
- Department of Surgical OncologyUniversidade Federal de Juiz de ForaJuiz de ForaBrazil
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6
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Pinheiro RN, Coimbra FJF, Costa-Jr WLDA, Ribeiro HSDEC, Ribeiro R, Wainstein AJA, Laporte GA, Coelho-Jr MJP, Fernandes PHDES, Cordeiro EZ, Sarmento BJQ, Guimaraes-Filho MAC, Anghinoni M, Baiocchi G, Oliveira AF. Surgical cancer care in the COVID-19 era: front line views and consensus. ACTA ACUST UNITED AC 2020; 47:e20202601. [PMID: 32638914 DOI: 10.1590/0100-6991e-20202601] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 05/08/2020] [Indexed: 01/08/2023]
Abstract
OBJECTIVE to suggest a script for surgical oncology assistance in COVID-19 pandemic in Brazil. METHOD a narrative review and a "brainstorming" consensus were carried out after discussion with more than 350 Brazilian specialists and renowned surgeons from Portugal, France, Italy and United States of America. RESULTS consensus on testing for COVID-19: 1- All patients to be operated should be tested between 24 and 48 before the procedure; 2- The team that has contact with sick or symptomatic patients should be tested; 3 - Chest tomography was suggested to investigate pulmonary changes. Consensus on protection of care teams: 1 - Use of surgical masks inside the hospitals. Use of N95 masks for all professionals in the operating room; 2 - Selection of cases for minimally invasive surgery and maximum pneumoperitoneal aspiration before removal of the surgical specimen; 2 - Optimization of the number of people in teams, with a minimum number of professionals, reducing their occupational exposure, the consumption of protective equipment and the circulation of people in the hospital environment; 3 - Isolation of contaminated patients. Priority consensus: 1- Construction of service priorities; 2 - Interdisciplinary discussion on minimally invasive or conventional pathways. CONCLUSION the Brazilian Society of Surgical Oncology (BSSO) suggests a script for coping with oncological treatment, remembering that the impoundment in the assistance of these cases, can configure a new wave of overload in health systems.
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Affiliation(s)
| | | | | | | | - Reitan Ribeiro
- Brazilian Society of Oncological Surgery, Rio de Janeiro, RJ, Brazil
| | | | | | | | | | | | | | | | | | - Glauco Baiocchi
- Brazilian Society of Oncological Surgery, Rio de Janeiro, RJ, Brazil
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7
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Spencer RMSSB, Castro Ribeiro HS, Araujo RLC, Costa WL, Oliveira AF, Cordeiro EZ, Huguenin JFL, Anghinoni M, Silva EJS, Laporte GA, Gadelha MIP, Melo RL, Almeida Quadros C, Lopes A. Challenges in surgical oncology training in Brazil: From history to a board‐certified specialization. J Surg Oncol 2020; 121:707-717. [DOI: 10.1002/jso.25850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 01/05/2020] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Wilson Luiz Costa
- Department of Surgical OncologyAC Camargo Cancer Center Hospital São Paulo Brazil
| | | | | | | | - Marciano Anghinoni
- Directory MembersBrazilian Society of Surgical Oncology (BSSO) Board São Paulo Brazil
| | | | | | | | - Rosana Leite Melo
- President of Medical Residency National CommiteeMedical Residency National Committee São Paulo Brazil
| | | | - Ademar Lopes
- Department of Surgical OncologyAC Camargo Cancer Center Hospital São Paulo Brazil
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8
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Poli T, Toma L, Anghinoni M, Sesenna E. O.349 The versatility of Kröonlein operation in orbital surgery. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71473-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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9
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Mali Junior J, Carvalho GS, Pierro G, Anghinoni M, Dias JDA, Albagli R. Morbimortalidade relacionada à técnica de anastomose pancreática (ducto-mucosa x telescopagem) após cirurgia de Whipple. Rev Col Bras Cir 2005. [DOI: 10.1590/s0100-69912005000200006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVOS: A gastroduodenopancreatectomia (GDP) é atualmente a única forma de tratamento segura e eficaz para pacientes selecionados com doenças benignas e malignas do pâncreas e da região periampular. Entre as complicações pós-operatórias, a fístula pancreática continua sendo a mais importante, com uma incidência que varia de 5 a 25% nas grandes séries. Os objetivos deste trabalho são os de avaliar a morbimortalidade relacionada a duas técnicas de anastomoses pancreatojejunais (ducto-mucosa X telescopagem), e comparar seus resultados. MÉTODO: Foram analisados retrospectivamente 64 pacientes submetidos à GDP, no Serviço de Cirurgia Abdômino-Pélvica, do INCA, no período de 1987 a 2002. Destes doentes, 42 foram submetidos à anastomose tipo ducto-mucosa e 22 à telescopagem. A análise estatística foi realizada através do teste de Fischer. RESULTADOS: A taxa de fístula pancreática no grupo ducto-mucosa foi de 12% e no telescopagem foi 36%. Esta diferença percentual se mostrou estatisticamente significativa (p = 0,02). A mortalidade operatória relacionada à fístula pancreática foi de 2,4% para o grupo ducto-mucosa e 4,5% para o telescopagem, com nível de significância estatística > 5%. CONCLUSÕES: A técnica de anastomose pancreatojejunal tipo ducto-mucosa é associada a menores índices de fístula pancreática em relação a técnica de telescopagem, enquanto que a mortalidade operatória relacionada a fístula não mostrou diferença estatística entre os dois grupos estudados.
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10
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Medici A, Raho MT, Anghinoni M. Ectopic third molar in the condylar process: case report. Acta Biomed Ateneo Parmense 2002; 72:115-8. [PMID: 12233269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
We describe an ectopic inferior third molar which is positioned in the condylar process and associated with an odontogenic cyst. The ectopic third molar is a quite frequent condition but it become unusual when the tooth is placed in the condylar region. In the reported case the removal of both the tooth and the cyst was recommended to solve the infective and articular symptoms and to prevent worse complications like pathologic fractures due to bone's absorption.
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Affiliation(s)
- A Medici
- Department of Maxillo-Facial Surgery, University Hospital of Parma, Parma, Italy.
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11
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Abstract
A comparison between two samples of patients with condylar fractures is reported: the first treated non-surgically and the second with open reduction and rigid internal fixation. The functional results for both groups were similar. However, open reduction gave better occlusal results, anatomic restoration and faster recovery rates than non-surgical techniques.
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Affiliation(s)
- G De Riu
- Maxillofacial Surgery Department, Parma, Italy.
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12
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Parolin MB, Coelho JC, Balbi E, Wiederkehr JC, Anghinoni M, Nassif AE. [Normalization of menstrual cycles and pregnancy after liver transplantation]. Arq Gastroenterol 2000; 37:3-6. [PMID: 10962620 DOI: 10.1590/s0004-28032000000100002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The objective of the present study is to evaluate the effects of successful liver transplantation on menstrual cycles abnormalities and on reproductive function of women with chronic liver disease. Twelve women with age between 17 and 54 years who underwent liver transplantation were evaluated. The following variables were analyzed: age, etiology of chronic liver disease, pattern of menstrual function and period of amenorrhea before and after transplantation, and occurrence of pregnancy after transplantation. The mean age of patients was 36 +/- 12.6 years. Patients with primary biliary cirrhosis did not have menstrual abnormalities before transplantation. The other patients presented amenorrhea for 3 months to 11 years before the transplantation. Rapid recovery of menstrual function was observed in all patients after the transplantation (3.1 +/- 1.2 months). Two patients became pregnant one and three years after the transplantation. It is concluded from this study that most women who present amenorrhea secondary to chronic liver disease have normal menstrual cycles in approximately three months following liver transplantation and they may become pregnant.
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Affiliation(s)
- M B Parolin
- Serviço de Transplante Hepático, Hospital de Clínicas, Universidade Federal do Paraná
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13
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Fancello A, Anghinoni M, Tullio A. [Aspergillus-induced maxillary sinusitis]. Minerva Stomatol 1998; 47:51-6. [PMID: 9578648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Maxillary aspergillosis sinusitis more often occur in immunocompromised patients, but this pathology is increasing also in healthy people. Many risk factors are known and clinical and radiologic findings are aspecific; diagnosis therefore is possible with histologic and microbiologic aid. This particular disease and its surgical-pharmacological approach is explained.
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Affiliation(s)
- A Fancello
- Cattedra e Divisione di Chirurgia Maxillo-Facciale, Ospedale Maggiore, Parma
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14
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Tanda F, Fancello A, Cossu A, Anghinoni M, Canu L. [Mucoepidermoid carcinoma and mucoepidermoid cyst of the jaw bones in the same patient. A clinical case and discussion of their histogenesis]. Minerva Stomatol 1996; 45:599-603. [PMID: 9026705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The association between a so-called mucoepidermoid cyst and a central mucoepidermoid carcinoma in a 29-year-old man is reported. Since the two lesions are in continuity and the morphologic appearances are very much alike, a close relationship between these entities is suggested.
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Affiliation(s)
- F Tanda
- Istituto di Anatomia Patologica ed Istopatologia, Università degli Studi, Sassari
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