Archives of Surgery

Our medical research library holds 5 studies published in Archives of Surgery (1982–2007). Each entry links to the study's record on PubMed and, where there is one, to the publisher's page and a free full text. 3 have an abstract, the authors' own summary as PubMed records it: open "Abstract" to read it.

About the journal

• Publisher: American Medical Association
• Published: 1960–2012, United States
• Language: English
• ISSN: 0004-0010 (print), 1538-3644 (electronic)
• Continues: A.M.A. Archives of Surgery
• Continued by: JAMA Surgery
• Its record in the NLM Catalog

2000s

• Image of the month. Cystic mesothelioma. G. Portale, E. Guirroli, M. Costantini, et al. 2007;142(4):401-2. Case report PubMed · Publisher

1990s

• Primary malignant peritoneal mesothelioma. A report of seven cases and a review of the literature. J.A. Asensio, P. Goldblatt, N.R. Thomford. 1990;125(11):1477-81. Review PubMed · Publisher

  Abstract

  Mesothelioma of the peritoneum is a rare malignant neoplasm easily mistaken by both surgeon and pathologist for one of the more common neoplasms of the abdomen. Review of our records from metropolitan-area hospitals for the past 15 years identified seven patients with primary peritoneal mesotheliomas. Their diagnosis, management, and survival is analyzed. We report a case of an extended survivor (7 years) and one of a long-term survivor (15 years), as well as what we believe to be the only case in the literature presenting with a coexistent malignant neoplasm. Prevention of this commonly fatal neoplasm is linked to avoiding occupational exposure to asbestos; long-term survival for a few patients may be achieved with correct identification of the neoplasm and aggressive management. This report includes a review of the literature.

1980s

• Treatment of peritoneal mesothelioma. J.S. Spratt. 1989;124(2):256. Letter PubMed · Publisher

• Peritoneal mesothelioma. W.J. Plaus. 1988;123(6):763-6. Case report PubMed · Publisher

  Abstract

  Peritoneal mesothelioma is a rare neoplasm often related to previous asbestos exposure. In 14 cases the diagnosis before surgery was virtually impossible, as patients presented with vague abdominal complaints and nonspecific physical examination findings. Laboratory testing (including computed tomography) was of no added diagnostic help. Widespread peritoneal neoplastic growth was the common finding at laparotomy. The tumor was grossly indistinguishable from other types of abdominal carcinomatosis. Electron microscopy proved to be the diagnostic tool of choice. Routine histologic techniques often gave nondiagnostic results. Intraperitoneal asbestos fibers were not observed. Treatment with radiation, chemotherapy, or both produced a 50% partial response rate, but survival was not affected. Malignant ascites was effectively palliated without complication in two of three patients with peritoneovenous shunting. An unusual case occurred in which histologic material from a second-look laparotomy documented complete response to a new regimen of intraperitoneal chemotherapy.

• Causes and evaluation of tumor-induced hypoglycemia. S.C. Immerman, S.F. Sener, J.D. Khandekar. 1982;117(7):905-8. Case report PubMed · Publisher

  Abstract

  We treated four patients who had hypoglycemia and nonpancreatic tumors. Two had pleural mesothelioma, one had primary fibrosarcoma of the liver, and one had pheochromocytoma metastatic to the liver. We propose four mechanisms for this syndrome: (1) insulin or insulin-like activity produced by the tumor, (2) decreased gluconeogenesis, (3) disruption of glucagon metabolism, and (4) increased utilization of glucose by the tumor. The local effects of the tumor in hepatic parenchyma may also play an important role. The important diagnostic tests are an insulin-glucose ratio, to rule out insulinoma, and fasting glucose levels. An assay of nonsuppressible insulin-like activity can be performed and is of investigative interest, but does not aid in individual patient therapy. Treatment consists of control of the tumor.

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