Skin Cancer Charts Graphs: 09/04/08

Fwd: Health-related quality of life in patients treated for enterocutaneous fistula.

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From: HubMed - cancer <rssfwd@rssfwd.com>
Date: Thu, Sep 4, 2008 at 7:39 AM
Subject: Health-related quality of life in patients treated for enterocutaneous fistula.
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[1]Br J Surg. 2008 Sep 2; 95(10): 1280-1286
Visschers RG, Damink SW, van Bekkum M, Winkens B, Soeters PB, van Gemert WG

BACKGROUND:: Patients with enterocutaneous fistulas undergo long intensive treatment. The aim of this study was to investigate the long-term health-related quality of life (HRQL) of these patients. METHODS:: Consecutive patients treated for enterocutaneous fistula between 1990 and 2005 were eligible for this retrospective study. The Karnofsky Performance Scale (KPS), Short Form 36 (SF-36((R))) and the Inflammatory Bowel Disease Questionnaire were used to measure HRQL. The SF-36((R)) was matched with results from healthy controls. Patients also gave information on concurrent medical illnesses. RESULTS:: Of 135 patients, 44 died, 14 were lost to follow-up and 12 refused to participate; of the remaining 65, 62 participated (response rate 81 per cent). HRQL was independent of patient characteristics during treatment. Scores for SF-36((R)) domains were lower than in their matched controls (P

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Fwd: Dismantling of French naval ship faces legal battle (Dawn)

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From: Yahoo! News Search Results for asbestos cancer <rssfwd@rssfwd.com>
Date: Thu, Sep 4, 2008 at 7:38 AM
Subject: Dismantling of French naval ship faces legal battle (Dawn)
To: mesothelioma77@gmail.com

LONDON, Sept 3: Environmental campaigners said on Wednesday they would go to the courts in a bid to stop an asbestos-contaminated French aircraft carrier from being broken up in Britain.

Thu, 04 Sep 2008 03:02:10 GMT

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Fwd: [Contrast enhanced endosonography for improving differential diagnosis between chronic pancreatitis and pancreatic cancer.]

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From: HubMed - cancer <rssfwd@rssfwd.com>
Date: Thu, Sep 4, 2008 at 7:39 AM
Subject: [Contrast enhanced endosonography for improving differential diagnosis between chronic pancreatitis and pancreatic cancer.]
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[1]Dtsch Med Wochenschr. 2008 Sep 1;
Hocke M, Schmidt C, Zimmer B, Topalidis T, Dietrich CF, Stallmach A

BACKGROUND AND OBJECTIVE: The aim of this study was to evaluate contrast-enhanced endosonography as a method for improving the differentiation between chronic focal pancreatitis and ductal pancreatic cancer, based on perfusion characteristics of the microcirculation. PATIENTS AND METHOD: In 194 patients [75 women, 119 men; age: 64 +/- 11 years] with chronic pancreatitis (n = 73) or pancreatic cancer (n = 121), pancreatic lesions were examined by conventional endoscopic B-mode ultrasound, power Doppler ultrasound and contrast-enhanced power mode, using the following criteria for malignant lesions: no detectable vascularization with conventional power Doppler scanning, irregular appearance of arterial vessels over a short distance using contrast-enhanced technique and no detection of venous vessels inside the lesion. A malignant lesion was assumed to be present if all criteria were detectable. The criteria of chronic pancreatitis without neoplasia were defined as no detectable vascularization before injection, regular appearance of vessels over a distance of at least 20 mm after injection of the contrast medium and detection of arterial and venous vessels. The gold standard was the histological diagnosis by endoscopic ultrasound (EUS)-guided fine needle aspiration cytology or operation. RESULTS: Using conventional EUS the diagnosis was correct in 96 of 121 patients with pancreatic cancer (sensitivity 79.3 %; 95% confindence interval 71 - 85.2%) and in 60 of 73 patients with chronic pancreatitis (specificity 82.2 % [71.5 - 90.2%]). Using contrast-enhanced EUS malignant pancreatic lesions were correctly diagnosed in 111 of 121 patients, thus increasing sensitivity to 91.7 % (85.3 - 96%). In 70 of 73 patients chronic inflammatory pancreatitis was correctly diagnosed (specificity 95.9 % [88.5 - 99,1%]) . CONCLUSION: Contrast-enhanced endoscopic ultrasound improves the differentiation between chronic pancreatitis and pancreatic carcinoma.

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Fwd: Meta-analysis of sentinel node biopsy in ductal carcinoma in situ of the breast (Br J Surg 2008; 95: 547-554).

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From: HubMed - cancer <rssfwd@rssfwd.com>
Date: Thu, Sep 4, 2008 at 7:39 AM
Subject: Meta-analysis of sentinel node biopsy in ductal carcinoma in situ of the breast (Br J Surg 2008; 95: 547-554).
To: mesothelioma77@gmail.com

[1]Br J Surg. 2008 Sep 2; 95(10): 1305
Meijnen P, Th Rutgers EJ

The Editors welcome topical correspondence from readers relating to articles published in the Journal. Responses should be sent electronically via the BJS website (www.bjs.co.uk). All letters will be reviewed and,if approved,appear on the website. A selection of these will be edited and published in the Journal. Letters must be no more than 250 words in length. Copyright (c) 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

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