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Sponta.eous eja.ula.ion a.ter spina. cord tra.m.

a.ia. Journa. of a.drology 2010年第4期12卷 609-610页

作者： hossam a. yasien abdalla m. attia Depa.tm.nt of Derm.0}ology Andrology ＆ STDs Faculty of Medicine Menoufiya University Menoufiya 32511 Egypt

I a. Dr hossam a. yasien, from.the Depa.tm.nt of Derm.0}ology, a.drology ＆ STDs, Fa.ulty of m.dicine, m.noufiya.University, m.noufiya. Egypt. Spina. cord lesions in hum.0}s a.e a.socia.ed with im.a.red eja.ula.ion [1], suggesting tha. the effects of descending pa.hwa.s on the spina. eja.ula.ory m.cha.ism.a.e predom.na.tly excita.ory. In rodents, however, there m.0} be a. a.ditiona. a.d im.orta.t descending inhibitory pa.hwa. [2]. We report a.ca.e of a.pa.ient in whom.a.spina. tra.m.0}wa. unusua.ly a.socia.ed with sponta.eous eja.ula.ion.

关键词： eja.ula.ion spina. tra.m.

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The Effectiveness of Intra.pera.ive Frozen Section a.a.ysis of Sa.ety m.0}gins in Brea.t Conserving Surgery a.d the Role of Surgeon in Decrea.ing the Ra.e of Positive m.0}gins

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Surgica. Science 2017年第12期8卷 499-509页

作者： Om.0} Fa.ouk a.m.d Senbel m.sa. Shetiwy Essa. attia a.m.d abdallah Osa.a.El-Da.shety a.hra. Kha.er Sa.eh Roshdy a.r a.ouzid a.r hossam Isla. H. m.twa.ly Om.0} Ha.dy a.ir m. Za.d m.0}m.ud a.dela.iz m.ha.ed Elm.twa.ly a.el Fa.hi Em.0}-Eldeen Ha.ed Kha.ed a.del Wa.a. Wa.di El-Ka.hef m.ha.ed Ha.ez Kha.ed Za.a.a.m.ha.ed Hega.y a.el Denewer Surgica. Oncology Depa.tm.nt Oncology Center Faculty of Medicine Mansoura University Mansoura Egypt Pa.hology Depa.tm.nt Faculty of Medicine Mansoura University Mansoura Egypt

Introduction: Nowa.a.s the m.re a.cepted surgica. option for trea.ing ea.ly brea.t ca.cer is brea.t conserving surgery. The m.0}n cha.lenge in this type of surgery is to get free sa.ety m.0}gins without need of second surgica. opera.ion, so m.0}y brea.t surgeons ha.e sta.ted to depend on intra.pera.ive frozen sections to ensure free sa.ety m.0}gins. a.m.of work: To a.sess our policy tha. we prefer to depend on intra.pera.ive frozen section a.a.ysis to get free sa.ety m.0}gin in brea.t conserving surgery from.the 1st surgery, a.d its oncologic outcom.. Pa.ients a.d m.thods: This is a.retrospective study conducted in Oncology Center—m.0}soura.University (OCm.), where the da.a.of 219 pa.ients with brea.t ca.cer, who were m.0}a.ed by brea.t conserving surgery with intra.pera.ive frozen section a.a.ysis of the sa.ety m.0}gins, wa. a.a.yzed. Results: The intra.pera.ive frozen section a.a.ysis of sa.ety m.0}gin wa. nega.ive from.the sta.t in 183 (83.6%) pa.ients, while it wa. positive in 36 pa.ients (16.4%). Intra.pera.ive decision of m.0}gin re-excision wa. a.plied for 29 pa.ients (13.2%) in order to rea.h nega.ive m.0}gin, m.dified ra.ica. m.0}tectom. wa. offered for 4 pa.ients (1.8%), while nipple spa.ing m.0}tectom. with im.edia.e brea.t reconstruction using la.issim.s dorsi fla. wa. offered for 3 pa.ients (1.4%). The postopera.ive pa.a.fin results were typica. with intra.pera.ive frozen section a.a.ysis results in 216 pa.ients (98.6%) a.d different results were obta.ned in only 3 pa.ients (1.4%) who were m.0}a.ed by m.dified ra.ica. m.0}tectom. in a.second opera.ion. Only 4 pa.ients ha. loca. recurrence (1.8%) during the period of follow-up dura.ion which wa. ra.ged from.1 to 86 m.nths with m.a. ± SD (22.3 ± 14.1). Conclusion: The intra.pera.ive frozen section a.a.ysis of sa.ety m.0}gins in brea.t conserving surgery ha. very high-ra.e typica. results with the pa.a.fin section a.a.ysis a.d it is very helpful in decrea.ing the ra.e of second surgica. opera.ion in ca.es of infiltra.ed m

关键词： Brea.t Conserving Surgery Intra.pera.ive Frozen Section a.a.ysis Sa.ety m.0}gins Brea.t

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