Pancreatic large mucinous cystoadenoma with invasive ductal carcinoma in pregnancy. Case report

Background. Cystic tumour of the pancreas are infrequent and malignancy of the pancreas during pregnancy is extremely rare. Mucinous cystoadenomas is the most frequent cystic pancreatic neoplasm and it is seen mainly in women suggesting a sex hormone influence. Its presentation during pregnancy is extremely rare and entails difficulties in diagnosis and therapy. Case report. A 28 year old woman was referred to our service for abdominal mass. She had given birth to her second child two weeks previously. Ultrasound and CT scan showed a large cystic lesion, with sepitation and inner solid growth portions, involved mainly the left sovramesocolic space. An ultrasound-guided aspiration of the cystic fluid showed high level of CEA and CA. 19-9. The patient underwent laparotomic body-tail pancreatectomy and splenectomy. The histological examination showed mucinous cystoadenoma with associated invasive ductal carcinoma, with ovarian-like stroma and a well delimited fibrous capsule. Hystochemical study revealed a strong positivity for progesterone receptors. Conclusions. To our knowledge this is the eighth case of mucinous cystoadenoma reported in English literature and the forth with an invasive adenocarcinoma associated. This pathological entity should always be kept in mind in case of patient with an hepigastric mass during or soon after pregnancy. Aggressive approach is mandatory.

The New Scots: Migration and Diaspora in Scottish Poetry.

This chapter examines the poetry of Scottish South Asians, the "New Scots" who bring a whole history of displacement, dislocation and relocation with them, as their memory of the "elsewhere" enters their writing. Their voices are significant as they embody multicultural Scotland with postcolonial dialects that signify an encounter in the Third Space where they are affected by and affect the "host" community. This chapter will question whether the writing of "New Scots" has added more than just "colour" to Scottish Poetry, as it traces the recent migrant history and analyses the lives and "voices" of diasporic communities as evident in their poetry. The objective is to assess how the new "voices" have blended in, expanded and/or challenged the boundaries of what defines Scottish Poetry, and determine whether they form a "community" of poets distinguished by the complexity of their regional allegiances, both past and present.

Writing disenchantment: British First World War Prose, 1914-30.

This book argues that disenchantment is not only a response to wartime experience, but a condition of modernity with a language that finds extreme expression in First World War literature. The objects of disenchantment are often the very same as the enchantments of scientific progress: bureaucracy, homogenisation and capitalism. Older beliefs such as religion, courage and honour are kept in view, and endure longer than often is realised. Social critics, theorists and commentators of the late nineteenth and early twentieth centuries provide a rich and previously unexplored context for wartime and post-war literature. The rise of the disenchanted narrative to its predominance in the War Books Boom of 1928 – 1930 is charted from the turn of the century in texts, archival material, sales and review data. Rarely-studied popular and middlebrow novels are analysed alongside well-known highbrow texts: D. H. Lawrence, Virginia Woolf, H. G. Wells and Rebecca West rub shoulders with forgotten figures such as Gilbert Frankau and Ernest Raymond. These sometimes jarring juxtapositions show the strained relationship between enchantment and disenchantment in the war and the post-war decade.

Richard Aldington’s Images, the Metropolis and the Masses.

Richard Aldington’s city poems in the latter part of his 1915 collection Images are concerned with the masses who inhabit the modern city. Aldington is at pains to stress his distinction from those he perceives as an increasingly homogenized crowd. This paper examines the literary, linguistic and rhetorical strategies by which Aldington ‘others’ the masses, and sets them in the context of contemporary studies of the crowd, focusing on the work of Gustave Le Bon and C. F. G. Masterman. Aldington’s poetry is a product of the environment he sees as unsatisfactory, but he searches for solutions in a range of literary traditions which write the city.

What a victory it might have been”: C. E. Montague and the First World War.

Discusses Montague's post-war prose work in terms of peace and silence.

The Museum of Atheism.

It is Christmas Eve in a mountainous, isolated prison community, the day of the baby beauty pageant. Ava is the star attraction. She's six years old. Ava's older brother Jonny hears strange noises in the attic and sees his father go out late at night with a gun with their lodger, prison warden Leo. Daniel, a man who repairs sex dolls for a living, has just moved into the area and he is Ava's biggest fan. There are rabid, wild foxes roaming the area, terrorising the community. The action culminates in a bizarre fetish party at the local strip club, a fox cull and the death of Ava. Finally, the secrets of her life are revealed.