Existe-t-il un macondo et des buendía québécois dans le roman historique à la fin du XX siècle au Québec?

[FR]Dans cet article, la notion de réalisme magique est appliquée à la littérature québécoise. D’abord l’auteure présente le concept afin de bien préciser ses traits caractéristiques. Ensuite, elle analyse le roman historique La tribu de l’écrivain québécois François Barceloen essayant de mettre en lumière son appartenance à cette tendance latino-américaine. Cet examen permet d’enrichir de nouveaux aspectsl’analyse des lettres du Québec.

Metachronic malignant transformation of small bowel and rectal endometriosis in the same patient

[ES] Background: Malignant transformation of intestinal endometriosis is a rare event with an unknown rate of incidence. Metachronous progression of endometriosis to adenocarcinoma from two distant intestinal foci happening in the same patient has not been previously reported. Case presentation: We describe a case of metachronic transformation of ileal and rectal endometriosis into an adenocarcinoma occurring in a 45-year-old female without macroscopic pelvic involvement of her endometriosis. First, a right colectomy was performed due to intestinal obstruction by an ileal mass. Pathological examination revealed an ileal endometrioid adenocarcinoma and contiguous microscopic endometriotic foci. Twenty months later, a rectal mass was discovered. An endoscopic biopsy revealed an adenocarcinoma. En bloc anterior rectum resection, hysterectomy and bilateral salpingectomy were performed. A second endometrioid adenocarcinoma arising from a focus of endometriosis within the wall of the rectum was diagnosed. Conclusion: Intestinal endometriosis should be considered a premalignant condition in premenopausal women.