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Query: UMLS:C0027651 (tumor)
 685,946 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

To lessen a damage and to eliminate the reflux-esophagitis in bypass anastomoses, constructed for inoperable cancer of the stomach and epicardia, it is suggested to create a side-to side enteroesophageal anastomosis by means of an apparatus of the authors' design. The anastomosis is constructed above the tumor via a transperitoneal approach. To prevent regurgitation of the intestinal juice in the esophagus an invagination-valve enteroanastomosis elaborated at the clinic was employed. The immediate results are good.
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PMID:[Esophago-intestinal bypass anastomoses for inoperable cancer of the proximal portion of the stomach and abdominal portion of the esophagus]. 5 88

Zenker's diverticulum is a common developmental anomaly seen usually in the elderly. Carcinoma in this pharyngoesophageal outpouching has been reported in only 23 instances. A 55-year-old woman is presented whose only symptoms were dysphagia and periodic regurgitation of bloodstained material. Barium swallow and esophagoscopy confirmed the presence of a neoplasm, and biopsy revealed an epidermoid carcinoma. Wide field resection was followed by a full course of irradiation and secondary pharyngoesophageal reconstruction. The patient was free of disease at three-year follow-up.
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PMID:Carcinoma in a Zenker's diverticulum. 12 79

Esophageal carcinomas in two cats are described. The main clinical sign was regurgitation of food and fluids. Radiographic examination revealed severe esophageal abnormalities in both cats. In the second cat, the radiographic appearance of the esophagus together with the esophagoscopic findings provided a presumptive diagnosis of neoplasia. Histologic examination in both cats revealed squamous cell carcinoma with metastases.
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PMID:Esophageal squamous cell carcinoma in two cats. 70 48

The loss of function of the vagus nerve resulting from radical tumor surgery may require some sort of pharyngeal rehabilitation. This may be accomplished by excision of the denervated muscularis as in partial pharyngectomy. This allows the remainder of the newly formed gullet to be innervated, with 80% to 90% of the innervation provided by the vagus nerve of the contralateral side. Extramucosal myotomy, temporary tracheostomy, and a bypass nasogastric feeding tube are required. However, nasal regurgitation may occur in velopharyngeal insufficiency. A technique is described by using two nasopharyngeal local flaps to narrow the velopharyngeal entrance on the paralyzed side.
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PMID:Reconstructive procedures on the denervated gullet. 85 81

Two patients with primary cardiac leiomyosarcoma, one of the rarest malignant tumors of the heart, are described. The first patient had a tumor of the pulmonary trunk and was admitted with symptoms suggestive of pulmonary thromboembolism. The second had a tumor of the left atrium and had signs and symptoms of mitral valve obstruction and regurgitation. The 2 patients were operated on and later underwent adjuvant chemotherapy. Both died more than 22 months after operation, having required multiple hospital admissions for treatment of complications related to the pathology or the treatment of the primary cardiac leiomyosarcoma. Nonetheless, aggressive surgical excision followed by chemotherapy appears to have improved survival in these patients with primary cardiac leiomyosarcoma, as they are among the longest survivors reported.
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PMID:Primary cardiac leiomyosarcomas. 203 35

While less common than stricture, recurrent neoplasm, and neuromuscular dysfunction, neopharyngeal diverticulum must be considered in the differential diagnosis of postlaryngectomy dysphagia. Symptoms of difficulty clearing the neopharynx during and after a swallow, with regurgitation of undigested material, should alert the clinician to this possibility. Experience with 3 postlaryngectomy patients with anterior neopharyngeal divericulae serve as the springboard for discussion of the clinical spectrum, radiologic features, contributory pathophysiologic factors, and therapeutic options concerning this condition. Surgical indications, approaches, and potential hazards are reviewed.
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PMID:Anterior neopharyngeal diverticulum following laryngectomy. 212 8

We report herein, a rare case of esophageal lipoma and review the Japanese literature on this subject. Lipoma of the alimentary tract is relatively uncommon but that of the esophagus is extremely rare with only 17 cases having been reported in Japan. The majority of these cases occurred in the cervical esophagus with the most serious symptom being regurgitation of the pedunculated tumor which lead to asphyxia and death in one case. Only 2 cases occurred in the thoracic esophagus and these tumors were small in size and resected endoscopically. This is the first reported case of an esophageal lipoma being located in the thoracic esophagus which was resected through a thorocotomy. The clinical features of esophageal lipoma are also described herein.
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PMID:Lipoma of the esophagus--report of a case and review of the literature. 220 11

A resected case of remarkably mucin-secreting malignant papillomatosis (villous tumor) of the ductus choledocus and left intrahepatic duct in a 79 year-old female was reported. In this case, cholecystectomy and choledocho-duodenal anastomosis for the gallbladder stone were performed 14 years ago. Villous or papillary tumors arose in the ductus choledocus and spread into the left intrahepatic duct. Histological examination revealed villous proliferation similar to the villous tumor in the large intestine, in which cancerous and adenomatous changes intermingled showing remarkable mucin secretion. Tumor invasion was limited in the wall without extracanal dissemination, and nodal metastasis was absent. Interestingly, exceeding mucin-secretion was observed as the frog-egg like appearance in the ductus choledocus and as the regurgitation into the stomach by the endoscopic examination. This type carcinomas usually show favorable prognosis compared with the ordinary adenocarcinomas of the bile duct.
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PMID:[A resected case of mucin-secreting malignant papillomatosis (villous tumor) of ductus choledocus and left intrahepatic duct]. 223 58

Transoesophageal echocardiography (TE) presents a new window in echocardiography. Experience obtained in the first 70 TE studies performed in 66 patients is reported. The patients' age ranged between 15 and 75 years, there were 36 females and 30 males. Sixty studies were done in awake patients and 10 studies in anesthetized or intubated patients. TE indications included suspected mitral prosthetic valve dysfunction: 20, tumor or thrombus: 11, search for source of embolism: 10, infective endocarditis: 5, congenital heart disease: 8, intraoperative decision-making: 7, acute postoperative hypotension: 3, suspected aortic dissection: 3 and others. There was no unsuccessful intubation or complication. The most important results: the differentiation of left atrial tumor and thrombus by the presence or absence of spontaneous echocontrast, the role of TE in the intraoperative and early postoperative decision making and the diagnosis in rare clinical situations (multiplex myxoma; tricuspid prosthetic valvular regurgitation caused by pacemaker electrode dislocation). It is concluded that TE is a unique diagnostic technique which provides invaluable clinical informations and facilitates therapeutic decision making. It is a safe procedure both in awake and anesthetized patients therefore in certain indications it should supplement standard echocardiographic technique in routine clinical practice.
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PMID:[Clinical use of transesophageal echocardiography]. 227 Jan 71

Postoperative reflux esophagitis is usually not seen in connection with Roux-en-Y reconstruction after total or subtotal gastrectomy. An isoperistaltic jejunal limb of adequate length (over 40 cm) is considered to prevent reflux of duodenal contents into the esophagus with consequent injury of the esophageal mucosa that otherwise may ensue. The present paper describes four patients who developed postoperative reflux esophagitis as a complication after total gastrectomy, despite a well-functioning Roux-en-Y reconstruction. It is possible that the intraabdominal generalization of cancer which was concomitantly observed in three of our four patients, may have had a contributory influence on the development of the condition by decreasing esophageal mucosal resistance, thus rendering the mucosa vulnerable to even minimal amounts of intra-esophageal regurgitation of duodenal contents, and that alkaline reflux esophagitis appearing after an interval in a patient who had an adequate Roux-en-Y reconstruction after total gastrectomy, may be the first sign of intraabdominal tumor recurrence despite negative x-ray examinations.
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PMID:Failure of long limb Roux-en-Y reconstruction to prevent alkaline reflux esophagitis after total gastrectomy. 233 44


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