- Email: [email protected]
Books of interest
INTERNATIONAL
1355
ABSTRACTS
involvement with tumor and reactive changes, and preoperative CT was inaccurate in predicting liver invasion in 4 cases. -Amir
agement of children with NHL is a multidisciplinary -Thomas
approach.
A. Angerpoitztner
Azmy
Staging Systems for Neuroblastoma: A Look at the Old and the New. G.M. Huase. Pediatr Surg Int 6:14-18, January 1991.
The author discusses the disadvantages of many currently used staging systems for neuroblastoma. A new international neuroblastoma staging system (IN%) is proposed, which combines components of initial distribution of disease as well as surgical resectability. The author believes that the flexibility of the INSS proposal will allow incorporation of new biological staging and response criteria into the overall classification when they are more standardized and readily available.-Prem Pun’ Neuroblastoma:
A 1990 Overview.
J.L. Grosfeld. Pediatr Surg
Int 6:9-13, January 1991. This is an up-to-date overview on the pathophysiology, diagnosis, treatment and prognosis of the most common solid tumor of infancy.-Prem Pun’ Abdominal Manifestations of Non-Hodgkin’s Lymphomas. C. M. Kullendorff; E. AmbjBmsson, and T. Wiebe. Eur J Pediatr Surg
1:21-23, (February), 1991. Twenty-five children (18 boys, 7 girls) were treated for nonHodgkin’s lymphomas (NHL) from 1982 to 1990. Age at time of diagnosis was 2 to 1.5 years. Five of the 25 children died. Six patients presented with intraabdominal NHL. Abdominal symptoms were pain (4), nausea (3), abdominal distention (2), icterus (1) and diarrhea (1). Four of the six patients with abdominal NHL underwent laparotomy, but the diagnosis was unknown before surgery. Indication for laparotomy was a tumor of unknown etiology combined with ascites in 2 cases and icterus in 1. At laparotomy, there was a localized tumor around the porta hepatis in one case and in the right ovary in another. Diffuse infiltration was found in 3 cases. A specimen for frozen section was taken and gave a conclusive diagnosis of NHL in 4 of 6 cases. Staging laparotomy, palliative tumor resection, or radical surgery should be avoided. An adequate biopsy is decisive for postoperative treatment. The man-
Papillary Cystic Neoplasm of the Pancreas: Radiological and Pathological Characteristics in 11 Cases. Y. Yumuguchi, R. Hirukatu. and K. Kitamura. Br J Surg 77:1000-1003. (September),
1990. Five of 11 patients with papillary cystic neoplasm of the pancreas (PCNP) occurred in girls aged 13 to 17 years old. The mean size of the tumors was 7.5 cm, 6 of which were located in the tail of the pancreas, 2 in the body, and 3 in the head. Most patients complained of abdominal pain or a mass. Ultrasonography and/or computed tomography showed 5 solid, 4 mixed, and 2 cystic types of tumour. Macroscopically all 11 tumors consisted of a welldefined solid mass with degerative changes including hemorrhage, necrosis, or dystrophic calcification. Patients with PCNP have an inherently good prognosis and should be explored with the intention of resection.-Lewis Spitz Mesenchymal Hamartoma of the Chest Wall in Infancy. XL Gwyfherand C.M. Hall. Clin Radio1 43:24-25, (January), 1991.
The clinical presentations and radiological and histological features of two cases of mesenchymal hamartoma of the chest wall are reported. The tumor is benign and conservative treatment is desirable. Surgery is recommended to relieve respiratory distress or if the lesion is causing deformity. Radical surgery is curative but leaves a large defect that is disfiguring and may lead to future scoliosis.-Amir Azmy The Radiology of a Skin Tumour. A. Saifuddin, R.J.H. Robertson. and SE. W Smith. Clin Radio1 43:19-23, (January), 1991.
The authors describe the clinical and radiologic features of a highly malignant primitive neuroectodermal tumor of the chest wall in three children. They state that it should be considered in the differential diagnosis of chest wall masses in children and young adults. The tumor presents as a chest wall mass with pain and constitutional symptoms. Radiologically, it appears as a large, soft tissue tumor mass of the chest wall with erosion of the ribs and pleural effusion. The tumor tends to recur locally to lungs or bones and has a poor prognosis.-AmirAzmy
BOOKS OF INTEREST
Rudolph’s Pediatrics (ed 19). By A.M. Rudolph. 2,006 pages, illustrated. $80.00. Norwalk, CT, Appleton & Lange, 1991. Tracheal Reconstruction in Infancy. Edited by T.E. Lobe. 218 pages, illustrated. $80.00. Philadelphia, PA, Saunders, 1991. Neuropathic Bladder in Childhood. Edited by M. Bonyskowski and A.R. Mundy. 115 pages, illustrated. $39.50. New York, NY, Cambridge University Press, 1990. Kendig’s Disorders of the Respiratory Tract in Children (ed 5). Edited by K Chernick and E.L. Kendig.
1,077 pages, 971 illustrations. $185.00. Philadelphia, PA, Saunders, 1990. Textbook of Surgery (ed 14). Edited by D. C. Sabiston. 2,270 pages, 1,725 illustrations. $75.00 (limited time offer). Philadelphia, PA, Saunders, 1991. Woodward’s Postgastrectomy Syndromes. By M. P. Hocking and S.B. Vogel. 195 pages, illustrated. $50.00. Philadelphia, PA, Saunders, 1991. Pediatric Surgery of the Liver, Pancreas, and Spleen. Edited by M Schiller, 285 pages, illustrated. $89.00. Philadelphia, PA, Saunders, 1991.
1355
ABSTRACTS
involvement with tumor and reactive changes, and preoperative CT was inaccurate in predicting liver invasion in 4 cases. -Amir
agement of children with NHL is a multidisciplinary -Thomas
approach.
A. Angerpoitztner
Azmy
Staging Systems for Neuroblastoma: A Look at the Old and the New. G.M. Huase. Pediatr Surg Int 6:14-18, January 1991.
The author discusses the disadvantages of many currently used staging systems for neuroblastoma. A new international neuroblastoma staging system (IN%) is proposed, which combines components of initial distribution of disease as well as surgical resectability. The author believes that the flexibility of the INSS proposal will allow incorporation of new biological staging and response criteria into the overall classification when they are more standardized and readily available.-Prem Pun’ Neuroblastoma:
A 1990 Overview.
J.L. Grosfeld. Pediatr Surg
Int 6:9-13, January 1991. This is an up-to-date overview on the pathophysiology, diagnosis, treatment and prognosis of the most common solid tumor of infancy.-Prem Pun’ Abdominal Manifestations of Non-Hodgkin’s Lymphomas. C. M. Kullendorff; E. AmbjBmsson, and T. Wiebe. Eur J Pediatr Surg
1:21-23, (February), 1991. Twenty-five children (18 boys, 7 girls) were treated for nonHodgkin’s lymphomas (NHL) from 1982 to 1990. Age at time of diagnosis was 2 to 1.5 years. Five of the 25 children died. Six patients presented with intraabdominal NHL. Abdominal symptoms were pain (4), nausea (3), abdominal distention (2), icterus (1) and diarrhea (1). Four of the six patients with abdominal NHL underwent laparotomy, but the diagnosis was unknown before surgery. Indication for laparotomy was a tumor of unknown etiology combined with ascites in 2 cases and icterus in 1. At laparotomy, there was a localized tumor around the porta hepatis in one case and in the right ovary in another. Diffuse infiltration was found in 3 cases. A specimen for frozen section was taken and gave a conclusive diagnosis of NHL in 4 of 6 cases. Staging laparotomy, palliative tumor resection, or radical surgery should be avoided. An adequate biopsy is decisive for postoperative treatment. The man-
Papillary Cystic Neoplasm of the Pancreas: Radiological and Pathological Characteristics in 11 Cases. Y. Yumuguchi, R. Hirukatu. and K. Kitamura. Br J Surg 77:1000-1003. (September),
1990. Five of 11 patients with papillary cystic neoplasm of the pancreas (PCNP) occurred in girls aged 13 to 17 years old. The mean size of the tumors was 7.5 cm, 6 of which were located in the tail of the pancreas, 2 in the body, and 3 in the head. Most patients complained of abdominal pain or a mass. Ultrasonography and/or computed tomography showed 5 solid, 4 mixed, and 2 cystic types of tumour. Macroscopically all 11 tumors consisted of a welldefined solid mass with degerative changes including hemorrhage, necrosis, or dystrophic calcification. Patients with PCNP have an inherently good prognosis and should be explored with the intention of resection.-Lewis Spitz Mesenchymal Hamartoma of the Chest Wall in Infancy. XL Gwyfherand C.M. Hall. Clin Radio1 43:24-25, (January), 1991.
The clinical presentations and radiological and histological features of two cases of mesenchymal hamartoma of the chest wall are reported. The tumor is benign and conservative treatment is desirable. Surgery is recommended to relieve respiratory distress or if the lesion is causing deformity. Radical surgery is curative but leaves a large defect that is disfiguring and may lead to future scoliosis.-Amir Azmy The Radiology of a Skin Tumour. A. Saifuddin, R.J.H. Robertson. and SE. W Smith. Clin Radio1 43:19-23, (January), 1991.
The authors describe the clinical and radiologic features of a highly malignant primitive neuroectodermal tumor of the chest wall in three children. They state that it should be considered in the differential diagnosis of chest wall masses in children and young adults. The tumor presents as a chest wall mass with pain and constitutional symptoms. Radiologically, it appears as a large, soft tissue tumor mass of the chest wall with erosion of the ribs and pleural effusion. The tumor tends to recur locally to lungs or bones and has a poor prognosis.-AmirAzmy
BOOKS OF INTEREST
Rudolph’s Pediatrics (ed 19). By A.M. Rudolph. 2,006 pages, illustrated. $80.00. Norwalk, CT, Appleton & Lange, 1991. Tracheal Reconstruction in Infancy. Edited by T.E. Lobe. 218 pages, illustrated. $80.00. Philadelphia, PA, Saunders, 1991. Neuropathic Bladder in Childhood. Edited by M. Bonyskowski and A.R. Mundy. 115 pages, illustrated. $39.50. New York, NY, Cambridge University Press, 1990. Kendig’s Disorders of the Respiratory Tract in Children (ed 5). Edited by K Chernick and E.L. Kendig.
1,077 pages, 971 illustrations. $185.00. Philadelphia, PA, Saunders, 1990. Textbook of Surgery (ed 14). Edited by D. C. Sabiston. 2,270 pages, 1,725 illustrations. $75.00 (limited time offer). Philadelphia, PA, Saunders, 1991. Woodward’s Postgastrectomy Syndromes. By M. P. Hocking and S.B. Vogel. 195 pages, illustrated. $50.00. Philadelphia, PA, Saunders, 1991. Pediatric Surgery of the Liver, Pancreas, and Spleen. Edited by M Schiller, 285 pages, illustrated. $89.00. Philadelphia, PA, Saunders, 1991.