PubMed Health⌕ Search

Biomedical subjects

G Fine

Publications and source records attributed to G Fine.

At least 37 records · Page 2Linked to original sources
PubMed1985

Breast lesions examined by digital angiography. Work in progress.

Differentiation of benign from malignant lesions in screening for breast cancer is usually arrived at via surgical biopsy, an invasive and costly procedure. Digital subtraction angiography (DSA) of the breast is a less invasive procedure. DSA imaging patterns from 22 patients with malignant and benign lesions were compared with surgical biopsy findings. DSA examinations were performed with the breast in an immobilization device and contrast medium was injected into the superior vena cava. Images were produced with a low kilovoltage (50 kVp) to enhance contrast, and a technique yielding an average dose to the breast of less than 2 rad (0.02 Gy) was used. Preliminary clinical results demonstrate the potential of DSA for differentiation of benign and malignant lesions and justify further investigations of its use as an alternative to surgical biopsy.

Angiography↗
PubMed1982

Diagnostic accuracy of multiple biopsies from flexible fiberoptic bronchoscopy. A comparison of central versus peripheral carcinoma.

We studied 46 patients, 26 with central visible tumors and 20 with peripheral nodules (in these, biplane fluoroscopic guidance was used), to determine the optimal number of forceps biopsies necessary to establish a diagnosis of carcinoma with the flexible fiberoptic bronchoscope. Overall yield was 96% (25 of 26) for central tumors and 75% (15 of 20) for peripheral nodules, using the combination of forceps biopsies and brushings. The combination of cytologic examinations plus one forceps biopsy produced a 92% diagnostic accuracy for central visible tumors. However, for central tumors the maximal diagnostic yield was not achieved until the fourth forceps biopsy, and for peripheral lesions accuracy continued to increase through the sixth forceps biopsy, and for peripheral lesions accuracy continued to increase through the sixth forceps biopsy in this study. Theoretically, as many as 10 biopsies may be necessary to maximize diagnostic yield for peripheral carcinomas.

Biopsy↗
PubMed1982

Diabetic neuroarthropathy (Charcot's joint).

The pathologic aspects of an uncommon complication of diabetes mellitus, destructive arthropathy (Charcot's joint), were studied. The peripheral nerve demyelination resulting in clinically demonstrable deficits in perception of pain and vibration and in reflexes in the lower extremities reinforces the neurogenic role in this complication.

Ankle Joint↗
PubMed1981

Primary tracheal neurilemoma: report of a case with ultrastructural examination.

A case of tracheal neurilemoma that was removed by segmental tracheal resection was studied. Only seven other cases of benign neurogenic tracheal tumor (three neurofibromas and four neurilemomas) were found in the literature. Failure to consider this rare tracheal tumor as a cause of respiratory distress has frequently resulted in delay of its recognition.

Adult↗
PubMed1980

Paraganglia in the human gallbladder.

Paraganglia found in the subserosa of nine of ten surgically removed gallbladders had morphologic features and staining characteristics similar to those of other sites. Although they were not difficult to locate in subserial sections, their sparseness and smallness explains the rarity with which they have been encountered in the routine histologic gallbladder examination. The strong, finely granular argyrophilia of the chief cell cytoplasm in all of the glomera studied offer a simple means of identifying them when only a portion of the structure is viewed.

Adult↗
PubMed1980

Ultrastructure of the gallbladder paraganglia.

The ultrastructure of the paraganglia in the gallbladder is identical to that of other nonchromaffin paraganglia featuring granule-bearing chief cells with many axons ensheathed by supporting cells. Synapses between axons, chief cells, and axons and chief cells are common. Ultrastructural similarities to the carotid body, proven to be a chemoreceptor, support a similar function for these paraganglia. An endocrine function is also suggested by the partial similarity of their structure to that of Zuckerkandl's organ.

Adult↗
PubMed1979

Benign mixed tumor of the trachea.

A case of mixed tumor, salivary gland type, removed by segmental resection of the trachea is reported. Only thirteen acceptable and five probable tracheal mixed tumors have been found in the world literature. The behavior of this variety of tumor in the trachea appears to be similar to its counterpart in other sites and distinctly different from the more frequently encountered epithelial tumors: squamous cell carcinoma and adenoid cystic carcinoma.

Carcinoma, Adenoid Cystic↗
PubMed1979

Acromegaly associated with a bronchial carcinoid tumor: evidence for ectopic production of growth hormone-releasing activity.

A patient with acromegaly, pituitary enlargement, and elevated plasma GH levels also had a bronchial carcinoid tumor. Signs and symptoms of active acromegaly along with elevated GH levels persisted for 11 yr after hypophysectomy and pituitary stalk section. Resection of the bronchial carcinoid reduced plasma GH to barely detectable levels. Extracts of the frozen carcinoid tumor were devoid of significant GH, but when added to isolated pituitary cells of estrogen-primed male rats in 4-day primary culture exhibited specific GH-releasing activity in vitro. These findings strongly suggest that the patient's acromegaly resulted from continual stimulation of pituitary somatotrophs by a GH-releasing factor secreted by the bronchial carcinoid.

Acromegaly↗
PubMed1979

Ultrastructure of the myocardial fibroma.

The ultrastructure of a myocardial tumor, referred to by a variety of names, which most currently is myocardial fibroma, has been studied. Although the tumor cells did not have the structure associated with protein synthesizing cells or active fibroblasts, there was evidence that they were participating in formation of the abundant stroma rich in collagen and elastic fibers in varying stages of maturity. The morphology of the stromal elements was similar to that in the surrounding myocardium and that described in the "normal" heart but differed from the elastica described in fibroelastosis.

Cell Membrane↗
PubMed1978

Malignant histiocytomas.

During the past ten years, the histiogenesis of malignant histiocytomas and a group of related benign and malignant lesions have been the source of speculation. Although of heterogeneous histological appearance, it is believed that there is a common cell of origin for these neoplasms--the histiocyte. From 1966 to 1974, 16 patients were encountered who had neoplasms that fell into the general group of malignant histiocytomas. These tumors were variously located in the extremities, head, chest wall, retroperitoneum, lung, spermatic cord, and lower abdomen. Surgical treatment included radical amputations, wide local excision, pulmonary lobectomy, and nephrectomy. Cobalt therapy and chemotherapy with vincristine sulfate, cyclophosphamide, doxorubicin hydrochloride, and chlorambucil were also used. Ten of 16 patients are alive after treatment, two are alive with metastatic disease, but four have died of malignant disease.

Adolescent↗
PubMed1978

Bilateral acinous cell tumors of the parotid gland.

Acinous cell tumors are uncommon neoplasms which arise either from the secretory cells of the salivary gland acini or from pluripotential duct cells and occur almost exclusively in the parotid gland. Nine previous instances of the bilateral occurrence of this tumor in the parotid gland have been reported. We present a tenth case and illustrate several aspects of the clinical behavior of this unique tumor. The histological pattern of this type of tumor was considered universally to be benign until 1953 when attention was called to a malignant variant. It is difficult to find reference to a benign form after that time. It is, in fact, impossible to forecast the clinical behavior of an individual specimen based upon its histopathology. In order to recognize this unpredictability, the World Health Organization Classification of Epithelial Tumors of Salivary Gland Origin proposed a category, "Acinic Cell Tumors," separate from clearly benign or malignant neoplasms. Later, attention was called to the grammatical designation, "acinous cell tumor." Because acinous cell tumors are uncommon, numerically significant series are gathered from several institutions or over several decades during which treatment methods vary widely. This makes it difficult to accept the validity of conclusions based upon the reported data. There is, however, a clearly documented tendency of the tumor to recur after long symptomless intervals so that extended follow-up is necessary before "cure" is established. Treatment of acinous cell tumors is surgical. The value of radiation therapy in the management of recurrent tumors is not firmly established.

Carcinoma↗
PubMed1976

Ultrastructure of the esthesioneuroblastoma.

A tumor in the anatomic location and with the light microscopic appearance of an esthesioneuroblastoma was examined with the electron microscope. Secretory-type granules, cytoplasmic fibrils, and microtubules similar to those described in neuroblastomas were found in many of the tumor cells, which supports an origin from the sympathetic autonomic nervous system. Similar organelles were found in three other nasal tumors considered to be esthesioneuroblastomas, but their detail was obscured because they were examined after being initially processed in paraffin.

Aged↗
PubMed1976

Degenerative changes in aortic root allografts placed in the right ventricular outflow tract of growing puppies.

Differently prepared aortic root allografts were implanted in the right ventricular outflow tract of growing puppies to determine the site of origin and progress of degenerative changes in these conduits. The three preparations assessed were as follows: group A, fresh and sterile grafts; group B, antibiotic sterilized grafts in nutrient medium; and group C, beta-propiolactone sterilized grafts. Although calcification of the aortic wall occurred in all groups, the aortic leaflets were minimally affected. A correlation between viability and lack of calcification and between viability and long-term function is emphasized.

Animals↗