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Biomedical subjects

E H Caldwell

Publications and source records attributed to E H Caldwell.

4 recordsLinked to original sources

Malignant transformation of a Warthin tumor: case report, review of the literature, and discussion of pathology.

Papillary cystadenoma lymphomatosum (Warthin's tumor) is generally considered to be a benign tumor. However, a few well-documented cases of malignant transformation have been reported. In each case, the patient had received radiotherapy to the neck region where the tumor later developed. This paper reports a case of malignant transformation of a papillary cystadenoma lymphomatosum (PCL) in a patient who had not received radiotherapy. Light and electron microscopy documented this transformation and clearly identified the malignant portion of the tumor as having its origin in a benign PCL. The literature is reviewed and a discussion of pathology presented.

Adenolymphoma

Complete scalp avulsion.

Complete scalp avulsion results in serious consequences, including hospitalization, economic loss, devasting disfigurement, and psychological effects on the patient. Three patients suffering complete scalp avulsion are discussed. Each case involved injury from farm tractors and occurred in young girls with long hair. In each of them we successfully employed split thickness skin graft for repair of the extensive scalp loss. Excellent aesthetic results were obtained with the use of a wig. Other reported experiences using replacement of the avulsed scalp have been almost uniformly unsuccessful. With recent advancements in microsurgery, the potential for replantation of a completely avulsed scalp has become a hope for the future.

Adolescent

Desmoid tumor: musculoaponeurotic fibrosis of the abdominal wall.

A 26-year-old woman developed a desmoid tumor of the lower abdominal wall shortly after the birth of her fourth child. It measured 15 by 17 cm. and involved most of the lower abdominal wall of this small-framed woman. Operative removal would have been mutilating and almost surely doomed to failure. No treatment was given. Over a 5 year period, the tumor regressed and has disappeared almost completely. It was and has remained entirely asymptomatic. Desmoid tumors of the abdominal wall never metastasize, are asymptomatic, and may regress spontaneously. Since surgical treatment so often fails, it is felt that extensive or mutilating operations are not justified.

Abdominal Muscles