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Biomedical subjects

A Langlands

Publications and source records attributed to A Langlands.

6 recordsLinked to original sources
PubMed1991

"Doctor, what are my chances"?

There can be no more difficult consultation than one in which the clinician has to explain a diagnosis of cancer and provide information on likely outcomes. The considerable skills in communication that are necessary are not usually part of medical training and the generalisations of the textbooks are of little value.

Communication↗
PubMed1989

Bone metastases in hypernephroma. Frequency of scapular involvement.

A consecutive series of 95 patients with hypernephroma was studied retrospectively after it was clinically suspected that there was a propensity for this tumor to metastasize to the scapula. Fifteen patients (15.8%) have developed scapular metastases which account for 36.6% of all bone metastases in this series, the majority of which required radiotherapy for pain relief. The scapula was a solitary site of bone metastasis in the majority of patients, and, even when associated with other bone lesions, was frequently an isolated site of pain. A comparative series of 40 consecutive patients with breast cancer metastatic to bone was retrospectively studied. Twenty-five percent of these showed scapular metastases but these were all in association with multiple (greater than 3) other bone metastases; none was symptomatic or required treatment. There was a suggestion that hypernephromas spread more often to the ipsilateral scapula, but the trend did not reach statistical significance. Scapular metastasis in hypernephroma is a common and clinically significant problem, sometimes giving a clue to the primary site. The cause for this predilection is not known.

Adult↗