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Biomedical subjects

C A Heiskell

Publications and source records attributed to C A Heiskell.

7 recordsLinked to original sources

The incidence of solitary pulmonary metastasis from carcinoma of the large intestine.

Two hundred and two consecutive patients who underwent resection of an adenocarcinoma of the colon or rectum from January 1958 to December 1972 were evaluated for the development of a metastatic tumor in the lungs. In the 185 patients who survived the 30 day postoperative period, 30 malignant pulmonary lesions were subsequently recognized. Six of these were a solitary lesion and 24 were multiple lesions. Three of these malignant lesions were proved to be other than metastatic disease. Metastatic adenocarcinoma from the colon or rectum was proved to be present in 27 patients, an incidence of 14.5 per cent. Only four of these lesions were solitary, 14.8 per cent of the metastatic pulmonary lesions. The solitary metastatic tumors represented an incidence of 2.1 per cent in this patient population, but long term tumor-free survival was possible with appropriate pulmonary resection of the metastatic disease. It is suggested that periodic roentgenographic examination of the chest, every four to six months, be an integral part of the postoperative follow-up study carried out on these patients.

Adenocarcinoma↗

A study of experimental colovesical fistula.

An experimental study of colovesical fistulas in dogs was undertaken to gain insight into the clinical implications of such a fistula. The fistula itself was well tolerated by the animals. However, distal urinary tract or gastrointestinal obstruction led to sepsis and death.

Animals↗

Guidelines for the use of blood transfusions.

Over 11 million units of red blood cells are transfused each year in the United States at a cost of over $2 billion. This paper reviews the indications for and the risks of red blood cell transfusions, and provides guidelines for transfusions in both surgical and non-surgical settings.

Anemia↗