[Diagnosis and therapy of the primary tracheal malignoma].
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Biomedical subjects
Publications and source records attributed to G Hohenberg.
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Although diagnosis of the pancreas carcinoma is only possible in an advanced stage, it is recommendable to try a radiotherapy as long as there are no remote metastases. If the patients are adequately selected, further if the target volume is exactly localized and charged with a high dose, it should be possible to reach considerably longer survival times. Different irradiation methods with ultrahard photons and high energy electrons are compared with regard to their therapeutic value.
On-target and hence successful treatment can be effected only if the diagnosis of a lesion of the meniscus is established beyond doubt. In the present study the authors tested retrospectively the significance of arthrography for the assessment of a meniscus lesion, basing their evaluation on the surgical findings, and examined the diagnostic problems involved in internal lesions of the knee, following knee surgery. The study utilized the results of 279 cases of double-contrast arthrography; 76 of these patients were operated upon. Complete agreement between arthrography and surgical findings was obtained in 73.5% of the patients. This figure increases to 81.5% when we disregard insignificant diagnostic factors. No complications were seen in any of the outpatient examinations.
The differential diagnostic problems of a case of vertebra plana Calvé having a rare location in the cervical spine are discussed. The various theories of aetiology and pathogenesis are considered briefly. The differentiation from inflammatory and tumourous diseases of the vertebral column is of great importance for therapeutic reasons. Skeletal scintigraphy was used for the first time for differential diagnosis in the case presented.
Various diseases which can be associated with hemorrhages are located in the esophagogastral transitional region. Emergency endoscopy can contribute significantly to the detection of an acute source of hemorrhage. Roentgenologic examination can make significant contributions toward the further clarification of acute and especially chronic hemorrhages, by assessment of the topographic, morphologic, functional and angiologic conditions. The relevant diseases in this respect are discussed with regard to clinical pattern and significance of the roentgenologic and endoscopic methods of examination, namely, reflux disease, hiatal hernia, cardial tumors, esophageal varices and Mallory-Weiss syndrome. Differential diagnostic problems are demonstrated by means of relevant cases. Brief reference is also made to "operated cardia" and the associated possibility of hemorrhage.
The value of the suction apparatus used in over 500 examinations as a simple addition to mammography has been convincing in our hands. Suction of 30 mm Hg, produced with a test-rubber bulb, achieves distension or stretching of the mamma. This leads to changes of position, shape and density of normal and pathologic structures and gives further information, compared with routine mammography. It is often possible to distinguish between spaces filled with fluid (cysts, hematomata) and solid tumours, pseudotumours and genuine growths, and between benign and malignant tumours. One essential indication is the "small" breast of various types (constitutional, post-operative and in men), because often suction will enable us to do a mammography. Suction radiographs are added in every 10th patient to previously taken compression radiographs with, of course, large and coned radiographs, which will yield a safe diagnosis in one half of the cases or confirm suspected findings.
Problems concernint the diagnosis and differential diagnosis of odontogenic cystic lesions of the jaw are discussed with reference to a series of patients and some specially selected cases. The use of isotope examination is often of particular significance in coming to a decision. The position and value of scintigraphy has been demonstrated by referring to the literature and to our own investigations. The often difficult differentiation from certain types of odontogenic tumours is also discussed.
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On hand of a few selected cases diagnostic and differential diagnostic problems of the cardia are discussed. Radiological and endoscopical values are presented.
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