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Biomedical subjects

D J Pounder

Publications and source records attributed to D J Pounder.

At least 91 records · Page 5Linked to original sources
PubMed1983

The value of the autopsy in medical audit--a combined clinical and pathological assessment of 100 cases.

We retrospectively reviewed 100 consecutive autopsies performed at the Royal Adelaide Hospital in 1979. The review was made jointly by a clinician, surgical pathologist and forensic pathologist. The mean patient age was 64.5 years. Sixteen percent of premortem anatomical diagnoses were not confirmed at autopsy. Autopsy revealed 171 new anatomical diagnoses. Of these, 33 diagnoses in 27 patients were important in relation to the cause of death and if known premortem would have altered therapy and possibly outcome in two patients. In 11 cases the missed major diagnoses should have been entertained on the basis of available clinical data. Of the 19 sudden deaths, the cause of death was not included in the clinical differential diagnosis in seven cases. Autopsy resulted in a substantial change in the death certification of 43 cases. The data indicate that the autopsy has a great deal to offer in correcting clinical diagnoses and effecting scientific discipline for clinicians.

Adult↗
PubMed1983

Hepatic pseudolipoma.

A pseudolipoma of the liver was an incidental finding in a 63-yr-old man. This is the 9th recorded case of hepatic pseudolipoma. Macroscopically these innocent lesions may mimic metastatic carcinoma whilst microscopically they must be distinguished from the equally rare true hepatic lipomas. Hepatic pseudolipomas probably represent trapped, detached appendices epiploicae.

Diagnosis, Differential↗
PubMed1983

RituaL mutilation. Subincision of the penis among Australian Aborigines.

Subincision of the penis is a traditional ritual mutilation unique to the Aborigines, the indigenous people of Australia. The mutilation is a urethrotomy in which the undersurface of the penis is incised and the urethra slit open lengthwise. Subincision is one element in the initiation of Aboriginal youths. In later ceremonies, repeated throughout adult life, the subincised penis is used as a site for ritual bloodletting. There also exists a ritual of penis holding which occurs when a subincised man enters a strange camp. The origin of subincision and the reason for its localization to the Australian continent has not been satisfactorily explained. The mutilation is still performed among tribal Aborigines, and identifies a man as holding a position of status within the tribe.

Australia↗
PubMed1982

Tracheopathia osteoplastica: a study of the minimal lesion.

We describe the pathological findings in a case of tracheopathia osteoplastica (TPO) of minimal extent. Although described clinically such minimal lesions have not been previously studied pathologically. Our observations lend strong support to the view-point that the nodules of TPO develop as ecchondroses of the tracheal cartilage rings. It is anticipated that TPO of minimal extent will be increasingly identified clinically and diagnosed on biopsy specimens.

Humans↗
PubMed1982

Calcification of the mitral annulus and its complications.

Mitral annulus calcification (MAC) is a common cardiac abnormality previously considered to be of little significance. More recently several potentially fatal complications have been recognized and presentation as sudden death described. These complications include cardiac arrhythmias, mitral incompetence, calcific and thromboemboli, bacterial endocarditis, and mitral stenosis. The spectrum of pathological changes seen in MAC, their possible significance, and the features which allow distinction from other mitral valve diseases are reviewed.

Arrhythmias, Cardiac↗
PubMed1982

Hepatic angiomyolipoma.

An angiomyolipoma of the liver was an incidental autopsy finding in a 65-year-old man. This is the third recorded primary hepatic angiomyolipoma. There were no stigmata of tuberose sclerosis but tuberose sclerosis has been reported previously in association with fatty tumors of the liver, suggesting that such lesions, like their renal counterparts, may be choristomas.

Aged↗
PubMed1982

Malignant mixed mesodermal tumour of the uterus initially confined to a polyp.

A malignant mixed mesodermal tumour (MMMT) of the uterus, in a 68-year-old woman, was initially confined to an endometrial polyp. Despite the absence of myometrial invasion, the tumour metastasized to the omentum. This experience conflicts with previously reported cases. An aggressive approach to the management of these tumours is suggested.

Aged↗
PubMed1982

Fatty tumours of the uterus.

Uterine fatty tumours (UFT) are uncommon and have received little attention in the English literature. They have aroused interest as a consequence of occasional diagnostic confusion with sarcomas and the continuing unresolved dispute as to their histogenesis. Three cases of UFT are described and the pathological features of note discussed. The viewpoint that these tumours are hamartomas/choristomas is rejected. UFT most probably represent tumour metaplasia within a leiomyoma. There is no uniform accepted nomenclature for such tumours and it is suggested that they be designated "uterine fatty tumours" and subdivided into "lipoma" and "mixed lipoma/leiomyoma" (synonym lipoleiomyoma).

Adipose Tissue↗