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Extraskeletal myxoid chondrosarcoma metastatic to the pancreas: A case report

World Journal of Gastroenterology 2005年第14期11卷 2203-2205页

作者： C Fotiadis A Charalambopoulos S Chatzikokolis gc.zografos M Genetzakis R Tringidou Third University Department of General Surgery Athens School of Medicine AthensGreece First University Department of General Surgery Athens School of Medicine Ippokration HospitalAthensGreece Department of Pathology Sotiria Hospital AthensGreece

Extraskeletal myxoid chondrosarcoma (EMC) is a lowgrade sarcoma characterized by developing metastases and local recurrence in high rate. It is mainly deep seated in the proximal extremities. The most common metastatic sites are the lungs, soft tissues, lymph nodes, bones and the brain. To our knowledge, no case of clearly defined EMC has been reported to date developing a metastasis in the pancreas. We describe a case of a man suffering from EMC who developed a single pancreatic metastasis 20 years after the initial diagnosis. A 49-year-old man was submitted to surgical excision of an EMC, in left thigh, 20 years ago. Fourteen years after the initial diagnosis a local recurrence in left thigh occurred. Multiple lesions of metastatic origin, in both lungs, were excised via thoracotomies until the time being. In 2003, as a part of a periodically performed imaging control, an abdominal CT scan was performed revealing a solid lesion in the pancreas. Distal pancreatectomy was performed. The histopathology of the excised specimen proved to be the one of metastatic lesion of EMC. The above-mentioned case of EMC is, as far as we know, the first one described developing a certain pancreatic metastasis.

关键词： Extraskeletal myxoid chondrosarcoma Metastasis Pancreas

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Colonic duplication in adults: Report of two cases presenting with rectal bleeding

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World Journal of Gastroenterology 2005年第32期11卷 5072-5074页

作者： C Fotiadis M Genetzakis I Papandreou EP Misiakos E Agapitos gc.zografos 3rd Department of SurgeryUniversity of Athens School of MedicineAthensGreece 1st Department of Propedeutic SurgeryUniversity of Athens School of MedicineHippokration HospitalAthensGreece Department of PathologyUniversity of Athens School of MedicineAthensGreece

Gastrointestinal duplication is an uncommon congenital abnormality in two-thirds of cases manifesting before the age of 2 years. Ileal duplication is common while colonic duplication, either cystic or tubular, is a rather unusual clinical entity that remains asymptomatic and undiagnosed in most cases. Mostly occurring in pediatric patients,colonic duplication is encountered in adults only in a few cases. This study reports two cases of colonic duplication in adults. Both cases presented with rectal bleeding on admission. The study was focused on clinical, imaging,histological, and therapeutical aspects of the presenting cases. Gastrografin enema established the diagnosis in both cases. The cystic structure and the adjacent part of the colon were excised en-block. The study implies that colonic duplication, though uncommon, should be included in the differential diagnosis of rectal bleeding.

关键词： Colonic duplication Gastrointestinal bleeding

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Gardner's syndrome: A case report and review of the literature

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World Journal of Gastroenterology 2005年第34期11卷 5408-5411页

作者： C Fotiadis DK Tsekouras P Antonakis J Sfiniadakis M Genetzakis gc.zografos 3~(rd) University Department of General Surgery Athens School of Medicine Athens Greece 1~(st) University Department of General Surgery Athens School of Medicine Ippokration Hospital Athens Greece Department of Pathology Athens Naval Hospital Athens Greece

Gardner's syndrome is an autosomal dominant disease characterized by the presence of colonic polyposis,osteomas and a multitude of soft tissue tumors. The syndrome may present at any age from 2 mo to 70 years with a variety of symptoms, either colonic or *** present a case of a 11-year-old female patient with Gardner's syndrome who presented with a lumbar area desmoid tumor and treated with resection of the desmoid,restorative proctocolectomy and ileal pouch anal anastomosis,A review of the current literature has been performed.

关键词： Gardner's syndrome Desmoid tumor RPC IPAA

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