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  • Engineering General  (1)
  • Small intestinal cancer  (1)
  • metachronous cancer  (1)
  • 1
    ISSN: 1436-2813
    Keywords: Key words Carbohydrate antigen 19-9 ; Small intestinal cancer ; Lewis antigen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report herein the case of an 81-year-old woman found to have small intestinal carcinoma producing carbohydrate antigen (CA)19-9, in whom recurrence on the abdominal wall was strongly suspected 4 months after resection. She presented to our hospital with acute abdominal pain with severe anemia. Marked serum elevation of CA19-9 to 164.8 U/ml suggested a progression to malignancy. A fluorography using an ileus tube revealed an abnormal mucosal pattern. An exploratory laparotomy showed an incomplete annular constrictive Borrmann type 2 tumor, located approximately 190 cm from Treitz's ligament, without any signs of peritoneal or hepatic metastases. Histological examination confirmed a diagnosis of papillotubular adenocarcinoma without metastases of the regional lymph nodes. CA19-9 antigenicity was detected in the cytoplasm and on the surface of the cancer cells, using the monoclonal CA19-9 antibody, NS19-9. In this report, we demonstrate the CA19-9 productivity and distribution of the cancer tissues in relation to their prognosis.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-5922
    Keywords: duodenal cancer ; gastric cancer ; metachronous cancer ; adenocarcinoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Adenocarcinoma of the small intestine is uncommon. Due to this paucity and the lack of specificity of symptoms, patients are usually seen late in the course of their illness, when curative therapy, mainly represented by extensive surgical resection, is unlikely. The authors report a case of primary well-differentiated tubular adenocarcinoma (T4N0M0) arising in the duodenal limb of a reconstructed Billroth I gastroduodenostomy, 9 years after a distal gastrectomy for signet-ring cell carcinoma of the stomach (T4N0M0). Evidence for excluding the possibility of a recurrence of the primary gastric cancer was based on the different histologic pattern, the long disease-free interval, and other features of the second neoplasm. Relatively early diagnosis of the neoplasm, followed by curative surgical therapy was made possible by the early onset of the obstructive symptoms and the favorable anatomical location of the tumor.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Chichester [u.a.] : Wiley-Blackwell
    International Journal for Numerical Methods in Engineering 22 (1986), S. 623-635 
    ISSN: 0029-5981
    Keywords: Engineering ; Engineering General
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Mathematics , Technology
    Notes: First, the three-dimensional elasto-plastic analyses of 1CT and 18 mm thick CCT specimens are carried out by using the finite element method, and the thickness effects of both specimens are studied. In elastic states, there is no significant difference between the CT and CCT specimen in the distribution of the J-integral along the straight or curved crack front. However, in elasto-plastic states, quite the contrary tendency is obtained in the distributions of J x and COD along the curved crack front for both specimens. Secondly, elasto-plastic analyses are carried out for CCT specimens of four kinds of thickness (B = 200, 18, 6 and 4 mm). The distributions of the J-integral along the crack front are obtained and compared. Finally, the availability of the JR value is examined, which is evaluated from the load versus displacement curve by using Rice's formula.
    Additional Material: 22 Ill.
    Type of Medium: Electronic Resource
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