Browsing by Author "Lukac, R. (7004932427)"

Two cases of boys, 12 yr and 14 yr old, with cancer of the lower rectum are presented. In one of them, the 12 yr old, only colostomy was performed. He was alive 20 mth after the histologic diagnosis and 3 yr after the appearance of the first clinical signs. He died in a cachectic state. The cancer probably stemmed from the long standing malignant degeneration of the polyp. The 14 year old boy died in uremia 10 mth after the diagnosis and 13 mth after the manifestation of the disease. He had been treated by radical surgery.

The mesenteric cysts are rare lesions. In the pathologic sense these cysts include cystic mesotheliomas and cystic lymphangiomas. Differentiation of these cysts by standard histological technique can be sometimes difficult, and additional investigations are required. We report a case of a 14-year-old girl with a giant cystic lymphangioma of the mesentery diagnosed by immunohistochemistry. The endothelial nature of the cyst lining cells was established by immunopositivity for von Willebrand factor. It is important to define the exact nature of mesenteric cysts according to their different biological properties.

The authors describe the cases of 10 babies in which epiphysiolysis occurred during delivery. This was usually epiphysiolysis of the humerus. The babies were generally brought to the paediatrician after considerable delay as a result of wrong diagnosis. Most of the babies had epiphysiolysis of type I in which the line of fracture passes horizontally through the epiphyseal plate forming a triangular fragment which includes the metaphysis. They describe the radiological signs of value in diagnosis and stress that, where necessary, the joint should be tapped and a bacterial examination of the fluid should be made. Previous experience shows that epiphysiolysis has a serious effect on growth and development.