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Carcinosarcoma of the stomach:A case report and review of the literature

World Journal of Gastroenterology 2007年第41期13卷 5533-5536页

作者： tomislav randjelovic Branka Filipovic Darko Babic Vesna Cemerikic Branislav Filipovic Department of Gastrointestinal Surgery Clinical and Hospital Center "Bezanijska Kosa" BelgradeSerbia Department of Gastroenterohepatology Clinical and Hospital Center "Bezanijska Kosa " Belgrade 11080Serbia Department of Pathology Clinical and Hospital Center "Bezanijska Kosa" Belgrade 11080Serbia Laboratory for Histopathological and Cytological Diagnostics "Histolab " Belgrade 11080Serbia Institute of Anatomy School of MedicineUniversity of BelgradeBelgrade 11080Serbia

Carcinosarcomas are rare,malignant,biphasic tumors. We report the case of a 62-year-old man with gastric carcinosarcoma,along with its clinical,macroscopic and histopathological features. Macroscopically,a specimen of deformed stomach was obtained that measured 200 mm×150 mm×100 mm. A 150 mm×100 mm× 50 mm exophytic tumoral mass (Borrmann typeⅠ) was found,which involved the posterior wall from the cardia to the antrum. Histopathologically,a mixed type of malignancy was revealed: an adenocarcinoma with intestinal metaplasia,with interposed fascicles of fusiform atypical cells and numerous large,rounded and oval cells. The tumor showed positive histochemistry for cytokeratin 18,epithelial membrane antigen,carcinoembryonic antigen,chromogranin A and vimentin. Liver metastases were diagnosed 8 mo postoperatively,and the patient died 4 mo later. A review of the available literature is also presented.

关键词： Carcinosarcoma Histochemistry Pathology Stomach

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Time for the new approach in management of early phase of severe acute pancreatitis？

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Chinese Medical Journal 2010年第2期123卷 256-256页

作者： Darko Zdravkovic Dragoljub Bilanovic tomislav randjelovic Borislav Toskovic Department of Surgery University Medical Center Faculty of Medicine University of Belgrade Serbia

To the Editor： We read with a great interest the recent article by Dr. Yang et al, in which they summarized the surgical treatment of patients with fulminant acute pancreatitis in their hospital. This is a very interesting paper on treating severe acute panceratitis （SAP） since the management of acute pancreatitis has been controversial over the past decades, varying between a conservative medical approach on the one hand and aggressive surgical approach on the other.

关键词： severe acute pancreatitis management surgical approach new surgical treatment interesting medical paper hand SAP

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