As with other imaging methods, EUS can only detect enlarged lymph nodes. International representatives and their role in the global trade fair network To article.
The embedded world is developing brilliantly. The prospects are also excellent for the embedded world Conference and the electronic displays Conference, the programmes of which are already available online. The international range of products and services at the exhibition reflects all aspects of the production and use of the latest in medical technology.
NürnbergMesse is one of the 15 largest exhibition companies in the world. The portfolio covers some national and international exhibitions and congresses and approx. Every year, about 35, exhibitors international share: The group also has a network of about 50 representatives operating in over countries.
From Nuremberg to India. Take a look at the success story of NürnbergMesse India. Church blessing for the new Hall 3C. Read more about the new Hall 3C in the current press release. Read more about the focus topic "Start ups" in the new issue of November Nürnberger Unternehmer-Kongress mit Neujahrsempfang der mittelständischen Wirtschaft.
More events Visit our calendar with an overview of all events. This is where the world meets In Nürnberg and worldwide we offer you the perfect plattform. Our new Hall 3C 10, square metres of exhibition future for Nuremberg. Throughout the first years of the s the Muslim Brotherhood and various other Islamist factions staged hit-and-run and bomb attacks against the government and its officials, including a nearly successful attempt to assassinate President Hafez al-Assad on 26 June , during an official state reception for the president of Mali.
When a machine-gun salvo missed him, al-Assad allegedly ran to kick a hand grenade aside, and his bodyguard who survived and was later promoted to a much higher position smothered the explosion of another one.
Surviving with only light injuries, al-Assad's revenge was swift and merciless: In an incident in , over residents of Hama were killed by security forces, in a revenge attack for an Islamist terror incident. An army unit searching the old city "stumbled on the hideout of the local guerilla commander, Omar Jawwad aka Abu Bakr and were ambushed. Other insurgent cells were alerted by radio and "roof-top snipers killed perhaps a score" of Syrian soldiers. Reinforcements were rushed to besiege Abu Bakr who then "gave the order for a general uprising" in Hama.
Mosque loudspeakers used for the call to prayer called for jihad against the Ba'ath, and hundreds of Islamic insurgents rose to attack the homes of government officials and Baath Party leaders, overrun police posts and ransack armories.
By daybreak of the morning of 3 February some 70 leading Ba'athists had been killed and the Islamist insurgents and other opposition activists proclaimed Hama a "liberated city", urging Syrians to rise up against the "infidel". According to author Patrick Seale , "every party worker, every paratrooper sent to Hama knew that this time Islamic militancy had to be torn out of the city, whatever the cost Before the attack, the Syrian government called for the city's surrender and warned that anyone remaining in the city would be considered a rebel.
Besieged by 12, troops, the fighting in Hama lasted for three weeks — the first week "in regaining control of the town," and the last two "in hunting down the insurgents. He cites reports of high numbers of deaths and shortages of food and water from fleeing civilians and from soldiers. According to Amnesty International , the Syrian military bombed the old city center from the air to facilitate the entry of infantry and tanks through the narrow streets; buildings were demolished by tanks during the first four days of fighting.
Large parts of the old city were destroyed. There are also unsubstantiated reports of use of hydrogen cyanide by the government forces. After the initial attacks, military and internal security personnel were dispatched to comb through the rubble for surviving members of the Muslim Brotherhood and their sympathizers. Initial diplomatic reports from western governments in had stated that were killed in the fighting. Robert Fisk, who was in Hama shortly after the massacre, originally estimated fatalities at 10,, but has since doubled the estimate to 20, Reports by Syrian Human Rights Committee claimed "over 25,"  or between 30, and 40, people were killed.
After the Hama uprising, the Islamist insurrection was broken, and the Brotherhood has since operated in exile while other factions surrendered or slipped into hiding. Relationship between depth of tumor infiltration and consecutive lymph node metastasation in patients with gastric cancer.
Due to the embryonic rotation of the stomach, gastric cancer metastasizes not only into the lymph nodes of the greater and lesser omentum, but also into the lymph nodes around the celiac axis and the retroperitoneal space along the large abdominal vessels.
In female patients metastases at the ovary are a possible additional finding Krukenberg tumors. While the intestinal type metastasizes preferentially to the liver and lymph nodes, the diffuse type spreads into the peritoneum [ 13 ]. Taking these routes of tumor spread into account, CT-examination of the whole abdominal cavity is necessary. However, a very crucial region for distant spread of gastric cancer, the peritoneum, can only be visualized using CT scanning when ascites is present.
However, for the identification of individual lesions the sensitivity of these techniques is considerably lower. About one in three lesions is missed, usually lesions under 1 cm in diameter.
The described pitfalls in staging can be overcome by surgical laparoscopy. Peritoneal spread of a tumor is easily visualized and confirmed by a videoguided biopsy.
In addition, laparoscopy provides the possibility of obtaining an abdominal lavage to detect so called free tumor cells in the abdominal cavity. With the use of immunohistochemical staining, the cytological evaluation of lavage fluid provides even more valuable information. Of particular interest is, that the possibility of lymph node involvement and the prediction of the individual prognosis of gastric cancer, can be predicted with the help of a validated and well established computer program [ 4 ].
Figure 5 displays a diagnostic approach to gastric cancer based on preoperative staging. This approach allows the identification of a group of patients with locally advanced gastric carcinoma who may benefit from preoperative chemotherapy [ 8 ]. Flow diagram illustrates the diagnostic evaluation for patients with gastric cancer in oncologic centers prepared to provide multimodal treatment PF - prognostic factors, CTx - chemotherapy.
Turn recording back on. National Center for Biotechnology Information , U. Preoperative staging for gastric cancer J. Author Information Authors J. Primary tumor, T-category Using endoscopy and biopsy, the location of the tumor and its macroscopic appearance should be clarified.
Figure 1 Endoscopic classification of early gastric cancer according to the Japanese Research Society for Gastric Cancer: Figure 2 Classification of advanced gastric cancer according to Borrmann: Figure 3 Definition of the adenocarcinoma of the esophago-gastric junction AEG. Figure 4 Relationship between depth of tumor infiltration and consecutive lymph node metastasation in patients with gastric cancer.
Distant metastases - M-category Due to the embryonic rotation of the stomach, gastric cancer metastasizes not only into the lymph nodes of the greater and lesser omentum, but also into the lymph nodes around the celiac axis and the retroperitoneal space along the large abdominal vessels. Figure 5 Flow diagram illustrates the diagnostic evaluation for patients with gastric cancer in oncologic centers prepared to provide multimodal treatment PF - prognostic factors, CTx - chemotherapy.
Japanese Research Society for Gastric Cancer. The general rules for the gastric cancer study in surgery and pathology I: Endoscopic ultrasonography in the diagnosis, staging and follow- up of esophageal and gastric cancer.
Lymph node metastases of gastric cancer. General pattern in patients.
Copyright © 2017 · All Rights Reserved · Maine Council of Churches