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Biomedical subjects

J Drewes

Publications and source records attributed to J Drewes.

At least 19 recordsLinked to original sources

[The differential diagnosis of tumors of the mamilla and the areola of the breast].

Tumourous changes of the mamilla and the areola of the breast are rare compared to tumours of the glands of the breast. Although these tumours are rare a large number of possible tumours occur in this area. The differential diagnosis is therefore difficult. A survey of the possible tumours is given in tables and macroscopic pictures. The macroscopic similarity of the adenoma of the mamilla with primary cancer of the mamilla and pagets disease of the mamilla are stressed. The possibility of tumour like swellings which are not neoplastic is described. Among these pseudotumours locally infected conditions are predominant. Any tumour in the mamilla or areola which cannot be diagnosed with certainty must be subjected to microscopic tissue diagnosis.

Adult↗

[Friedrich disease].

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Diagnosis, Differential↗

[Cancer metastases of the hand].

The distribution of metastases in the skeleton corresponds to the presence of active hemato-poetic bone marrow. Osseous metastases distal to the elbow and knee joints are therefore rare. 67 patients with metastatic tumors of the hand were analyzed in a bibliographical review and two cases are added. A hypernephroid carcinoma and a bronchogenic carcinoma had both metastasized to the distal phalanx of the thumb and had simulated a whitlow in both cases. The distal phalanx is the most common site of metastases. The most frequent primary lesions are, in order, lung, kidney and breast. Not only clinically but also radiologically and peripheral bone metastasis can be taken for a whitlow. In most cases the X-ray shows a lytic lesion, often ruptured into the soft tissues. Benign and malignant neoplasms must be considered in the differential diagnosis of such lytic lesions, but mostly they are metastatis. X-ray and chemo therapy in this situation may at least reduce pain otherwise exstirpation of the appropriate fingers or part of the hand is indicated. As a rule survival is short.

Adenocarcinoma↗

[Aneurysma of the portal vein. A case report (author's transl)].

Case report of one case of aneurysma of the portal vein observed by us with a review of the eight similar cases published in the world literature. Clinical and radiographic findings and the problems of diagnosis and therapy are pointed out. There was no indication for surgical intervention in any of the patients who had their condition diagnosed while alive. All authors conclude a portocaval shunt or a similar decompression to be the therapy of choice.

Aneurysm↗