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Successful en bloc resection of primary hepatocellular carcinoma directly invading the stomach and pancreas

World Journal of Gastroenterology 2009年第9期15卷 1134-1137页

作者： Dimitris P Korkolis Chrysanthi Aggeli George D Plataniotis Emmanuel Gontikakis helen Zerbinis Nikitas Papantoniou Dimitris Xinopoulos Nikiforos Apostolikas Perikles P Vassilopoulos Department of Surgical Oncology Hellenic Anticancer Institute"Saint Savvas"HospitalAthens 14561Greece Department of Gastroenterology Hellenic Anticancer Institute"Saint Savvas"HospitalAthens 14561Greece Department of Surgical Pathology Hellenic Anticancer Institute"Saint Savvas"HospitalAthens14561Greece

Multivisceral surgical resection for cure was successfully performed in a 70-year-old man suffering from a primary hepatocellular carcinoma(HCC)associated with direct invasion to the stomach and *** patient presented with gastric outlet obstruction,upper abdominal pain and a history of chronic liver disease due to hepatitis B virus(HBV)*** gastro-intestinal(gi)endoscopy revealed an infiltrating tumor protruding through the gastric wall and obliterating the *** tomograghy(CT)and magnetic resonance imaging(MRI)scan demonstrated a 15-cm tumor in the left lateral segment of the liver with invasion to the stomach and ***-foetoprotein (AFP)levels and liver function tests were *** patient underwent an en bloc left hepatectomy,total gastrectomy,distal pancreatectomy with splenectomy and radical *** revealed a poorly differentiated,giant cell HCC involving the stom-ach and ***-free margins of resection were *** patient's postoperative course was *** months after surgery,he has norecurrence or distal *** invasion of HCC into the gi tract is rarely *** surgical resection should be considered in selected patients with an appropriate hepatic functional reserve.

关键词： Hepatocellular carcinoma Surgery Stomach Pancreas Multivisceral resection

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Prevalence and Risk Factors of Gastrointestinal Parasitic Infections in Small Ruminants in the Greek Temperate Mediterranean Environment

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Open Journal of Veterinary Medicine 2012年第1期2卷 25-33页

作者： Vaia Kantzoura Marc K. Kouam helen Theodoropoulou Haralambos Feidas Georgios Theodoropoulos Department of Anatomy and Physiology of Farm Animals Faculty of Animal Science and Aquaculture Department of Anatomy and Physiology of Farm Animals Faculty of Animal Science and Aquaculture Agricultural University of Athens Athens Greece Department of Home Economics and Ecology Harokopio University Athens Greece Department of Meteorology and Climatology School of Geology Aristotle University of Thessaloniki Thessaloniki Greece

Gastrointestinal (gi) parasitic infections of sheep and goats were investigated in 69 farms located in Thessaly region of Greece, characterized by temperate Mediterranean climate, during two consecutive seasons. A total of 557 fecal samples were collected. Helminth eggs were detected in 44 (7.9%) samples. Strongyle-type eggs were found in 19 (3.4%) samples, Nematodirus spp. eggs in 6 (1.1%) samples, Trichuris spp. eggs in 16 (2.9%) samples, Fasciola hepatica in 3 (0.5%) samples, and Dicrocoelium dendriticum in 1 (0.2%) sample. Coccidian oocysts were found in 36 (6.5%) samples. Risk factors related to animal and farmer status, farm and pasture management, and environmental factors derived by satellite data were examined for their association with the prevalence of helmith infections. A logistic regression model showed that the educational level of farmers and the elevation of farm location were associated with helminth

关键词： Risk Factors Gastrointestinal Parasites Sheep Goats Farm Greece

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