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I Glambek

Publications and source records attributed to I Glambek.

5 recordsLinked to original sources

[Fine needle aspiration cytology of the breast. A simple method?].

During the period 1981-85, 3,743 fine-needle aspiration cytologies of breast tissue from 3,188 patients were reported by the Gade Institute, Department of pathology. Subsequent histologic examination was performed in the case of 798 patients. Among 421 histologically proven carcinomas after previous fine-needle aspiration, there were no false positive and 13 false negative cytological diagnoses. The specificity was 100% and, depending on the criteria used, the sensitivity 77.9 or 96.4%. Altogether 223 doctors performed the aspirations. This high number was probably the main reason for an unacceptably high proportion of inadequate smears. In experienced hands the proportion of inadequate smears was less than 4-7% in patients with carcinomas.

Adult↗

Correlation between gallstones and abdominal symptoms in a random population. Results from a screening study.

A population sample of 2464 persons between 20 and 70 years of age was included in a screening study designed for establishing gallstone prevalence rates and the frequency distribution of abdominal symptoms in groups with and without gallstone(s). The response rate was 55.6%. Two hundred and eighty-five persons had unoperated gallstone disease, as diagnosed by ultrasound. They were compared with 1044 individuals without ultrasonographically detected gallstones. The frequency distribution of epigastric and/or substernal burning, upper or lower abdominal pain, intolerance to fatty food, nausea and/or vomiting, and jaundice was similar for the two groups. Of the screened population 35% have had to see a physician for abdominal symptoms, with no difference between the two groups. In conclusion, abdominal symptoms are common in individuals with and without gallstone(s), but no differences were found in frequency distribution of symptoms between the groups. Consequently, gallstone disease is asymptomatic in the vast majority of individuals. The high proportion of abdominal symptoms in the population with gallstone(s) combined with increasing ultrasonographic activities may lead to unjustifiable cholecystectomies.

Abdomen↗

Prevalence of gallstones in a Norwegian population.

A population sample of 2464 persons between 20 and 70 years of age was invited to participate in a screening study designed for establishing gallstone prevalence rates. The diagnosis of gallstones was based on an ultrasonographic examination. The overall response rate after the primary invitation was 55.6%. Gallbladder stones were diagnosed in 300 persons, giving a crude prevalence of 21.9%. Total age-adjusted prevalence rates were 17.7% in men and 21.2% in women. From age group 20-29 years to age group 60-69 years the prevalence rates increased from 4.9% to 37.0% in men and from 6.0% to 41.3% in women. The age- and sex-specific rates are comparable to those of more recent studies from Scandinavia but are markedly higher than prevalence rates in a Norwegian study from 1960.

Adult↗