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Biomedical subjects

C J Schaefer

Publications and source records attributed to C J Schaefer.

9 recordsLinked to original sources

Hypercalcemia in squamous cell carcinoma of the renal pelvis? Parathyroid or paraendocrine in origin.

Hypercalcemia associated with metastatic cancer may be due to osteolytic invasion or paraendocrine effects of the neoplasm. A patient with refractory hypercalcemia of long duration underwent cervical parathyroid exploration; three glands were found, but hypercalcemia persisted. After localization studies, a fourth gland was uncovered from the mediastinum. Hypercalcemia persisted, and at operation for kidney stones, squamous cell carcinoma of the renal pelvis was discovered, which progressed to cause the patient's death in hypercalcemia.

APUD Cells

Thyroid disorders and steroid receptor proteins.

65 patients with various thyroid disorders were studied for estrogen and progesterone receptor binding proteins. Two-thirds of all patients with both benign and malignant disease demonstrated positive protein receptor assays. No differences were seen among disease processes, sex, or age. While the therapeutic implications of this random association between steroid receptors and thyroid disorders are unknown, the authors recommend that patients with thyroid malignancies be studied for estrogen and progesterone receptor binding proteins and potential inhibitory or therapeutic steroid responses.

Adult

Absorbable ligating clips.

Surgical clips have gained wide spread acceptance because of speed and utility in operative fields with difficult exposure. Certain disadvantages make metallic clips less than optimal for many operative situations. Such problems include difficulty in loading metallic clips into the applier, clips falling from the applier in the transfer from nurse to surgeon or while the surgeon is positioning the clip for application and clips coming off a vessel to which it was applied. The interference which metallic clips produce in computerized tomography and their permanency must be added as factors to be evaluated in comparison with absorbable clips.

Chemical Phenomena

Pulmonary nodules: detection in 1 and 2 cm full lung linear tomography.

Pulmonary nodule detection was evaluated in full lung linear tomography at 1 and 2 cm intervals. Three radiologists independently reviewed 1 and 2 tomograms on 26 patients with 39 pulmonary nodules. Decisions made in each case included: (1) no nodule; (2) definite nodule(s); and (3) suspect nodule(s). The presence of nodules was determined by surgery, radiographic follow-up, or observer consensus. A significantly greater number of nodules was detected by all reviewers on the 1 cm tomograms. Of the 39 nodules, 72%-97% were detected as definite and 82%-100% were identified as definite or suspect. Factors relating to nodule detectability and observer performance are discussed. It is recommended that full lung linear tomography be performed at 1 cm intervals.

Evaluation Studies as Topic