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Anatomical incidence of testicular appendages
282
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repair, the penis was liberated from the scrotum. Based on this case and a review of the literature, the authors suggest the following guides for successful repair: ( 1) the distal penile skin should be removed, (2) the anastomosed penile shaft should be buried into the scrotum with the glans protruding from the dependent portion, and (3) urine should be diverted suprapubically.-B. M. Henderson. ANATOMICAL INCIDENCE OF TESTICULAR APPENDAGES. D. Rolnick, S. Kawanoue, P. Szanto, and I. M. Bush. J. Urol. 100:755-756 (Dec.) 1968. This is an autopsy study of 100 cases to determine the anatomic incidence of testicular appendages. The appendix testis was present in 92, bilaterally in 69 and unilaterally in 23 cases. The appendix epididymis was present in 34 autopsies. Eighty-two of the appendix testes were pedunculated and all the appendices epididymes were pedunculated. Exploration of the opposite side in cases of torsion of the appendix testis does not appear warranted as frequently the appendix on the opposite side is sessile or absent. The authors postulate that intermittent testicular discomfort which has been attributed either to trauma or “low grade chronic epididymitis” might be due to mild recurrent torsion of testicular appendages.B. M. Henderson. THE EXSTROPHIC BLADDER AS A VAGINA. H. E. Carkon. J. Urol. 100:733-734 (Dec.) 1968. This is a case report of a child with exstrophy of the bladder associated with absence of the vagina and anal stricture. After attempting primary closure of the exstrophied bladder, urinary diversion by ileal conduit was performed. When the child was 8 years old the bladder was used to construct a vagina and the uterus was opened into the new vagina.-B. M. Henderson. NEOPLASMS CURABILITY OF CANCER IN Murphy. Cancer 22:779-784
CHILDREN. (October)
M. L. 1968.
This is a discussion of the management of I73 patients treated for cancer during childhood who survived, free of disease, 5 years or more. Tumors included lymphomas, leukemia, sarcomas, Wilms’ neuroblastoma, and carcinoma. There was an increased survival among those who were initially treated when 1 year of age or less and in those I2 years of age or more. As the early detection of tumors must depend on parents and physician, the
ABSTRACTS
OF PEDIATRIC
SURGERY
authors recommend frequent examinations of the child. A solid mass should be considered cancer until proven otherwise. Several of these children developed emotional problems following treatmerit.-B. M. Henderson. CYSTATHIONINURA IN PATIENTS WITH TOMAOR GANGLIONEUROBLASTOMA.~. and M. Efron. Cancer 22:857-860 1968.
NEUROBLASF. Goiser, (October)
Fifty per cent of patients with neuroblastoma or ganglioneuroblastoma were found to excrete cystathionine. Cystathioninuria also occurs in patients with sympathetic tumors and primary hepatic tumors. Those who have been successfully treated do not show cystathioninuria. The authors conclude that cystathioninuria is a useful test in the diagnosis and follow-up care of neuroblastoma and ganglioneuroblastoma.-B. M. Henderson. WILMS' TUMOR AND CONGENITAL ANIRIDIA. J. F. Fraumeni, and A. G. Glass. J.A.M.A. 206:825828 (October 21) 1968. Among 28 children under 4 years of age hospitalized with congenital aniridia, (bilateral absence of the iris), Wihns’ tumor subsequently developed in 6, and 1 had the neoplasm on admission. These 7 patients bring to 22 the total number of cases with this association. One child had familial aniridia. All other cases of aniridia with Wilms’ tumor have been sporadic, suggesting that the two disorders originate by common or concurrent gene mutation or by environmental effect on embryogenesis. The aniridia Wilms’ tumor complex includes an array of nonocular anomalies. However, hemihypertrophy and aniridia have not been observed in association with one another. In addition, neoplasms other than Wilms’ tumor have not been described with aniridia, whereas hemihypertrophy is related to liver and adrenocortical neoplasms.-.I. E. Lewis, Jr.
BILATERAL WILMS' TUMOR: DL~~CNOSIS AND MANAGEMENT. E. E. Anderson, J. H. Herlong, J. M. Harper, M. P. Small, and W. H. Atwill. Clin. Ped. 7:596, 1968. inThis is a single case report of a IO-month-old fant first seen with bilateral flank masses. Surgery was used only for diagnostic exploration and the taking of biopsies. Following the diagnosis of bilateral Wilms’ tumor, treatment consisted of radiotherapy, and a single 4-day course of Actinomycin D. In 4X years followup patient is asymptomatic
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repair, the penis was liberated from the scrotum. Based on this case and a review of the literature, the authors suggest the following guides for successful repair: ( 1) the distal penile skin should be removed, (2) the anastomosed penile shaft should be buried into the scrotum with the glans protruding from the dependent portion, and (3) urine should be diverted suprapubically.-B. M. Henderson. ANATOMICAL INCIDENCE OF TESTICULAR APPENDAGES. D. Rolnick, S. Kawanoue, P. Szanto, and I. M. Bush. J. Urol. 100:755-756 (Dec.) 1968. This is an autopsy study of 100 cases to determine the anatomic incidence of testicular appendages. The appendix testis was present in 92, bilaterally in 69 and unilaterally in 23 cases. The appendix epididymis was present in 34 autopsies. Eighty-two of the appendix testes were pedunculated and all the appendices epididymes were pedunculated. Exploration of the opposite side in cases of torsion of the appendix testis does not appear warranted as frequently the appendix on the opposite side is sessile or absent. The authors postulate that intermittent testicular discomfort which has been attributed either to trauma or “low grade chronic epididymitis” might be due to mild recurrent torsion of testicular appendages.B. M. Henderson. THE EXSTROPHIC BLADDER AS A VAGINA. H. E. Carkon. J. Urol. 100:733-734 (Dec.) 1968. This is a case report of a child with exstrophy of the bladder associated with absence of the vagina and anal stricture. After attempting primary closure of the exstrophied bladder, urinary diversion by ileal conduit was performed. When the child was 8 years old the bladder was used to construct a vagina and the uterus was opened into the new vagina.-B. M. Henderson. NEOPLASMS CURABILITY OF CANCER IN Murphy. Cancer 22:779-784
CHILDREN. (October)
M. L. 1968.
This is a discussion of the management of I73 patients treated for cancer during childhood who survived, free of disease, 5 years or more. Tumors included lymphomas, leukemia, sarcomas, Wilms’ neuroblastoma, and carcinoma. There was an increased survival among those who were initially treated when 1 year of age or less and in those I2 years of age or more. As the early detection of tumors must depend on parents and physician, the
ABSTRACTS
OF PEDIATRIC
SURGERY
authors recommend frequent examinations of the child. A solid mass should be considered cancer until proven otherwise. Several of these children developed emotional problems following treatmerit.-B. M. Henderson. CYSTATHIONINURA IN PATIENTS WITH TOMAOR GANGLIONEUROBLASTOMA.~. and M. Efron. Cancer 22:857-860 1968.
NEUROBLASF. Goiser, (October)
Fifty per cent of patients with neuroblastoma or ganglioneuroblastoma were found to excrete cystathionine. Cystathioninuria also occurs in patients with sympathetic tumors and primary hepatic tumors. Those who have been successfully treated do not show cystathioninuria. The authors conclude that cystathioninuria is a useful test in the diagnosis and follow-up care of neuroblastoma and ganglioneuroblastoma.-B. M. Henderson. WILMS' TUMOR AND CONGENITAL ANIRIDIA. J. F. Fraumeni, and A. G. Glass. J.A.M.A. 206:825828 (October 21) 1968. Among 28 children under 4 years of age hospitalized with congenital aniridia, (bilateral absence of the iris), Wihns’ tumor subsequently developed in 6, and 1 had the neoplasm on admission. These 7 patients bring to 22 the total number of cases with this association. One child had familial aniridia. All other cases of aniridia with Wilms’ tumor have been sporadic, suggesting that the two disorders originate by common or concurrent gene mutation or by environmental effect on embryogenesis. The aniridia Wilms’ tumor complex includes an array of nonocular anomalies. However, hemihypertrophy and aniridia have not been observed in association with one another. In addition, neoplasms other than Wilms’ tumor have not been described with aniridia, whereas hemihypertrophy is related to liver and adrenocortical neoplasms.-.I. E. Lewis, Jr.
BILATERAL WILMS' TUMOR: DL~~CNOSIS AND MANAGEMENT. E. E. Anderson, J. H. Herlong, J. M. Harper, M. P. Small, and W. H. Atwill. Clin. Ped. 7:596, 1968. inThis is a single case report of a IO-month-old fant first seen with bilateral flank masses. Surgery was used only for diagnostic exploration and the taking of biopsies. Following the diagnosis of bilateral Wilms’ tumor, treatment consisted of radiotherapy, and a single 4-day course of Actinomycin D. In 4X years followup patient is asymptomatic