Biomedical subjects

E D Rutland

Publications and source records attributed to E D Rutland.

3 recordsLinked to original sources

PubMed1989

Peripheral in-continuity tissue examination.

When treating skin cancers, it is essential to remove the entire neoplasm if possible. Immediate reconstruction is most helpful in returning the patient to a useful and satisfactory life. The Mohs histologic technique can be time-consuming and cumbersome. Reconstruction can be delayed. A modification of Mohs technique, peripheral in-continuity tissue examination (PITE), is described in which the surgeon and the pathologist combine their talents to remove the tumor. All margins are evaluated, and the surgical defect is closed primarily. Larger and more complex tumors can be removed and defects immediately reconstructed using this efficient technique, obviating the inconvenience, pain, and expense of multiple, separate procedures.

Adult↗

PubMed1988

Liver tumor in long-term user of oral contraceptives.

Oral contraceptives are implicated in the development of some liver tumors. Paralleling the widespread use of these drugs has been an increase in reported cases of hepatic cell adenomas. Large, multiple tumors, often manifested by spontaneous rupture and hemoperitoneum, have been associated with prolonged use of oral contraceptives. When use of oral contraceptives is discontinued, the hepatic cell adenoma regresses.

Adult↗

PubMed1985

Parathyroid cyst.

Although parathyroid cyst has been infrequently reported until the past decade, its presumed rarity is attributed to nonrecognition. First reported in 1905, only 58 cases of parathyroid cyst had been documented in the world literature by 1967. Since then, however, substantial literature about this entity has been accumulating. The three cases we are reporting bring the cumulative total to 149. All three have been examined histologically and treated by aspiration or surgical excision. There is confusion clinically with thyroid cysts, and assay of fluid aspirate for parathormone and thyroxine may not accurately distinguish the origin of the cyst. Tissue diagnosis is confirmatory. Parathyroid cysts may be developmental, arising from vestigial remnants of the third and fourth branchial clefts; or coalescence of microcysts with associated hypersecretion may enlarge into macrocysts; or an adenoma may degenerate into a pseudocyst. Hyperparathyroidism, if present, is associated with only the last two.

Adult↗