ATTIVITA' EDITORIALE
PUBBLICAZIONI
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PROF. G.TROISI
Principali pubblicazioni degli ultimi anni
Prof. G. TROISI
Neoplastic inflammation: role of capillary electrophoresis
AMICI A, MARIANO A, SCALISE C, PICCHI L, TROISI G.
Two electrophoretical methods have been compared, in order to evaluate the most precise and sensitive one as to recognize initial inflammatory conditions also of tumoral nature. Consequently, among 5,000 patients observed during one year, only 500 cases have been considered with pathologic electrophoretic diagram and, among those, 245 cases of which alteration of the electrophoretic diagram concerned the alfa 1 band and the alfa 2 band; among the latter only 127 cases were diagnosed various tumors. It is deduced from the obtained results that there is better sensitiveness with the capillary method, which is evidenced in the more substantial increase of the alfa 1. Such method allows, precociously, to put in evidence a possible presence of inflammation, induced by any kind of tumor, even in absence of positiveness of the specific tumoral markers, in 38% of examined cases.
Recenti Prog Med 2001 Oct;92(10):588-93PMID: 11695302
An investigation on behavioral problems in centenarians.
TAFARO L, CICCONETTI P, MARTELLA S, TEDESCHI G, ZANNINO G, TROISI G, PASTENA I, FIORAVANTI M, MARIGLIANO V.
Arch Gerontol Geriatr 2001 Jan;33 Suppl 1:375-
Role of 99mTc-Sestamibi scintimammography by SPEM camera in the management of breast cancer in the elderly.
DE VINCENTIS G, GIANNI W, PANI R, CACCIAFESTA M, PELLEGRINI R, SOLURI A, TROISI G, MARIGLIANO V, SCOPINARO F.
The incidence of breast cancer in the elderly is 10 fold higher than in the population younger than 65 years. Moreover, in this segment of the population there are not defined clear practice guidelines regarding patient management. X-ray mammography, the most widely used diagnostic technique, is often inadequate to differentiate benign from malignant lesions. 99mTc Sestamibi scintimammography plays an important role as complement to mammography; in fact it is a very sensitive and specific method for breast cancer detection, when cancers > 1 cm diameter are considered. However, sensitivity values fall to 50-60% in the case of small tumors (T1a and T1b). In this study we present the results of a new Small Field Of View (SFOV) Gamma Camera with very high spatial resolution that allows the first Single Photon Emission Mammography (SPEM). Eighteen patients aged 71 +/- 6 years with mammographically detected breast lesions were submitted to a Prone Scinti Mammography (PSM) by conventional Gamma Camera and to a SPEM on craniocaudal view. A final diagnosis was reached by histopathology. SPEM correctly diagnosed 15 of 16 cancers, while PSM was not able to recognize 5 malignant lesions with subcentimeter size. Both the techniques provided normal findings in the case of benign lesions. The 99mTc Sestamibi scintimammography, particularly when performed by SPEM camera, is a sensitive, specific, and non invasive method to define the nature of radiologically described breast masses and would be very useful as a complement to X-ray mammography in screening programs for breast cancer.
Breast Cancer Res Treat 1998 Mar;48(2):159-63PMID: 9596487
Infective endocarditis. Recent progress in its epidemiology, clinical picture and therapy. Comments on cases
Morelli S, De Marzio P, Voci P, Troisi G.
Infective endocarditis (IE) may be considered as a disease in evolution because of changes occurred in the last decades in epidemiologic and clinical aspects. M-mode, two-dimensional, Doppler and color Doppler echocardiography allowed major advances in diagnosis and management of patients with IE. More recently, transesophageal echocardiography has been introduced in clinical practice with excellent results, because of unsurpassed quality of images able to early recognize small vegetations and complications of infective process. The authors report 13 cases of IE observed from March 1991 to March 1993. Streptococcus viridans was detected in 46% of cases and enterococcus species in 23%. Culture negative endocarditis represented 31% of total cases. Mitral valve was most frequently involved (67% of cases of native valves), followed by aortic valve (22%) and tricuspid valve (11%). In 30% of cases a prosthetic valve was involved. A presumed portal of entry has been identified, in 69% of cases, in oral cavity during dental procedures; in 2 cases an asymptomatic colonic carcinoma was detected. Diagnostic sensitivity of transesophageal echocardiography was 100%. Only 1 patient died during hospitalization. Cardiac surgery was performed in 4 patients (33%). The antibiotic drug teicoplanine has been successfully employed in 54% of cases.
Recenti Prog Med 1994 Jul-Aug;85(7-8):368-74
Ultrasonographic changes in the abdominal organs in the 10th decade of life
CAPUANO R, ROSSI R, LANDI N, SOLDO A, TROISI G, CACCIAFESTA M.
10 patients in perfect health, aged between 90 and 101 (mean age: 93 +/- 3), have been studied with echography in order to investigate the possible changes in volume and echo-pattern of abdominal organs, linked to the "physiological" aging. Our resulting data (reduced volume of liver and kidneys, changes in echo-pattern of pancreatic parenchyma, reduced thickness of renal cortical-medullary) seem to confirm the well known data of an atrophic change interesting the parenchyma of abdominal organs in aging: this latter, however, remains compatible with function preservation.
Recenti Prog Med 1993 Mar;84(3):199-202
Neuro-vegetative regulation of the cardiovascular system. Role of the functional independence of the right and left hemisections
BALSANO F, MARIGLIANO V, LEGGIO F, MUSCA A, CORDOVA C, TROISI G.
G Ital Cardiol 1978 Jun;8(6):670-82
Experimental study of the different actions of right and left neurovegetative hemisections on the cardiovascular system. Demonstration of 2 types of reflexes, common and specialized. Stimulation of the right and left pericarotid plexus in subjects with atrioventricular block of grade II, type II
MARIGLIANO V, CACCIAFESTA M, TROISI G, MUSCA A, CORDOVA C.
Boll Soc Ital Cardiol 1978;23(11):1911-4
The importance of vagal hemisectorial stimulation in the distinction between nodal and left atrial ectopic rhythms
MARIGLIANO V, DE MARZIO P, CACCIAFESTA M, TROISI G, MUSCA A, CORDOVA C.
Boll Soc Ital Cardiol 1978;23(11):1897-909
The concept of normality and electrocardiographic problems in the age
MARIGLIANO V, ALESSANDRI C, SCHMIDT MC, CACCIAFESTA M, TROISI G, GIORDANO M.
Boll Soc Ital Cardiol 1978;23(11):1877-95
Electrocardiographic problems of the tenth decade of life
MARIGLIANO V, SCHMIDT MC, ALESSANDRI C, TAGLIACCICA G, CACCIAFESTA M, TROISI G.
Boll Soc Ital Cardiol 1978;23(11):1869-76
Atrial fibrillation in the aged and the problem of normality in medicine
MARIGLIANO V, CACCIAFESTA M, TROISI G, MEZZA A, TOMASSINI M, GIORDANO M.
Boll Soc Ital Cardiol 1978;23(11):1841-67
Experimental studies on the different action of right and left neurovegetative hemisections on the cardiovascular system. Demonstration of 2 types of reflexes, common and specialized. Stimulation of the right and left pericarotid plexus in subjects with left branch block
MARIGLIANO V, MUSCA A, CORDOVA C, TROISI G, TAGLIACCICA G.
Boll Soc Ital Cardiol 1978;23(5):909-12]
Experimental studies on the different action of right and left neurovegetative hemisections on the cardiovascular system. Demonstration of 2 types of reflexes, common and specialized. Stimulation of the right and left pericarotid plexus in subjects with grade II atrioventricular block
MARIGLIANO V, MUSCA A, CORDOVA C, TROISI G, TAGLIACCICA G.
Boll Soc Ital Cardiol 1978;23(5):901-4
Experimental studies on the different action of right and left neurovegetative hemisections on the cardiovascular system. Demonstration of 2 types of reflexes, common and specialized. Stimulation of the right and left pericarotid plexus in subjects with atrial fibrillation
MARIGLIANO V, MUSCA A, CORDOVA C, TROISI G, TAGLIACCICA G.
Boll Soc Ital Cardiol 1978;23(5):893-6
Experimental studies on the different action of right and left neurovegetative hemisections on the cardiovascular system. Demonstration of 2 types of reflexes, common and specialized. Stimulation of the right and left pericarotid plexus in subjects with atrial flutter
MARIGLIANO V, MUSCA A, CORDOVA C, TROISI G, CAMMARELLA I.
Boll Soc Ital Cardiol 1978;23(5):889-92
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