Biomedical subjects
Publications and source records attributed to A J Yates-Bell.
Malignant mesothelioma is a rare, often aggressive tumor of the tunica vaginalis. We report 2 cases and review the literature concerning current management strategies. It appears that, although adjuvant chemotherapy and radiotherapy have little value, local and nodal recurrence may be successfully treated by local excision.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The clinical, radiological and ultrasound features of 3 patients presenting with tuberculous epididymo-orchitis are described and the relevant literature reviewed. Scrotal swelling, pain and sinuses are common features at presentation. The presence of a sterile pyuria is a useful sign, but intravenous urography may fail to identify active renal disease. Ultrasound examination revealed testicular involvement in 2 patients. Differentiation from tumour may not be possible, but the presence of epididymal involvement strongly suggests an infective cause. Early surgical biopsy may prove helpful if acid-fast bacilli are not initially identified in early morning urine samples.
Superficial lesions of the glans penis can pose diagnostic difficulties. Plasma cell balanitis is such a condition and it may be confused clinically with erythroplasia of Queyrat. It is unresponsive to topical medication and curable only by circumcision.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A retrospective study of 56 patients with penile injuries showed that 28 injuries were sustained during coitus and a further 12 in other sexual practices. Four different types of injury to the erectile mechanism are described and the management of each discussed. A modified phalloplasty technique is described for patients who have sustained a complete loss of the phallus.
Two rare cases are reported, both known to have solitary kidneys, that had ureteric obstruction caused by iliac artery aneurysms. Iliac aneurysms have a high mortality and may present to the urologist as an uncommon cause of ureteric obstruction. When the ureter of a solitary kidney is obstructed it is recommended that both ureterolysis and a temporary proximal diversion be performed. A common iliac aneurysm should be excised and grafted where possible; an internal iliac aneurysm is best treated by simple ligation or partial excision only.
In a retrospective review of 81 patients with renal carcinoma 34 (42%) had abnormalities of one or more liver function tests. Fifteen patients (18.5%) had abnormalities of 3 or more liver function tests but without evidence of hepatic metastases. There was a significant association between these patients and the presence of fever, anaemia, weight loss and a raised ESR (P less than 0.001) compared with those whose liver function was normal. Following nephrectomy, liver function returned to normal in 5 patients. Median survival in these patients was 35 months, whilst in those whose liver function remained abnormal the median survival was 8 months (P less than 0.01).
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.