Heineke -Mikulicz Pyloroplasty - The Observer Error in the Interpretation of the Films

Barium meals done before and after Heineke-Mikulicz pyloroplasty on 29 patients undergoing surgery for duodenal ulceration ware studied. Representative views of the pre- and post-pyloroplasty examinations were arranged in a random fashion on unexposed film. Eight radiologists studied the films on 2 occasions. Five sets of films at the first view:ng and 6 sets of films at the second viewing were correctly interpreted. This observation cannot be related to the completeness or incompleteness of the vagotomy, but does appear to be related to the experience of the radiologist.S. Afr. Med. J., 45, 1375 (1971

Mystery of bilateral breast masses

Leiomyosarcoma (LMS) is an uncommon malignant tumour of smooth muscle origin. It arises in the gastro-intestinal tract, retroperitoneum, urinary bladder, uterus and soft tissue. Peritoneal leiomyosarcomatosis (PL) is defined as a peritoneal dissemination of a primary sarcoma. We present a case of leiomyosarcomatosis with widespread dissemination including involvement of both breasts.http://www.journals.co.za/sama/m_sajr.htm

Mystery of bilateral breast masses

Leiomyosarcoma (LMS) is an uncommon malignant tumour of smooth muscle origin. It arises in the gastro-intestinal tract, retroperitoneum, urinary bladder, uterus and soft tissue. Peritoneal leiomyosarcomatosis (PL) is defined as a peritoneal dissemination of a primary sarcoma. We present a case of leiomyosarcomatosis with widespread dissemination including involvement of both breasts.http://www.journals.co.za/sama/m_sajr.htm

Metastatic melanoma to the small bowel complicated by fistula formation

Malignant melanoma (MM) is an unpredictable tumour that can metastasise to any organ, and is well known for its widespread dissemination. The incidence of metastases to the gastro-intestinal (GI) tract is well documented; this, however, is a late manifestation of the disease with an overall poor prognosis. Most GI metastases are asymptomatic and are only discovered on postmortem, with the majority in the small bowel. The presenting symptoms are usually of obstruction or intussusception; GI bleeding is also common. Fistula formation with the small bowel is rare; ours is believed to be the second case documented.http://www.journals.co.za/sama/m_sajr.htm

Metastatic calcification as a result of extensive bone metastases in a paediatric patient with parameningeal embryonal rhabdomyosarcoma

We present a case of parameningeal embryonal rhabdomyosarcoma with the primary lesion arising in the middle and inner ear, with associated diffuse skeletal metastases and metastatic calcifications