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K Pflanzer

Publications and source records attributed to K Pflanzer.

11 recordsLinked to original sources

[The consistency of thermographic findings in the breast (with a proposal for lowering the radiation load in repeated mammographies)].

Thermography is a valuable complementary method in breast examination, but is not a suitable screening method. However, the results of control investigations in 200 females who were reexamined after at least two years, showed no change in the thermographic pattern in 87.5% of the women. In 10.5% the change in thermogram was due to pathological changes, whilst no explanation could be found in only 2% of cases. This high stability rate of the thermograms permits an alternative procedure: If, one year after a basic examination which includes clinical investigation, mammography and thermography, the thermographic pattern is identical with the first, no mammography is necessary. On the occasion of the next control, mammography should be carried out again at the time of the subsequent control examination. This schedule permits a reduction in irradiation without reducing the security of diagnosis.

Adult↗

[Value of ultrasonic testing and sonographic differential diagnosis in mammary cysts].

Echography of the breast was performed in 100 women in whom palpation had prompted suspicion of the presence of a cyst. Examination was done with a real-time scanner with a 2.5 or 5 mhz freely mobile soundhead. Cysts were detected in 56 women by this sonographic method. Approximately 9% of these were complicated cysts requiring surgical treatment. Although sonography facilitates identification of, single or of multiple cysts, it will be necessary to perform pneumocystography and x-ray film examination in two projections on first examination in order to exclude complicated cysts, since mere sonographic control after puncture of the cyst is too inaccurate for identifying complicated cysts.

Breast Diseases↗

[Gynaecomastia (author's transl)].

The clinical symptoms and signs of gynaecomastia are reviewed with particular reference to radiological appearance, thermography and therapeutic measures.

Adolescent↗

[The involutional breast in mammography (author's transl)].

There is no uniform image of the involutional breast. Different mechanisms of involution of the breast lead to variable findings on clinical examination, mammography and thermography. A description is given of common findings since it is necessary to recognise the various physiological forms as prerequisite for their differentiation from pathological findings.

Aged↗

Apert's syndrome.

This paper describes two cases of acrocephalosyndactylia (Apert's syndrome). Both very clearly showed the characteristic malformations. In addition, both patients showed synostosis between the calcaneus and the cuboid bone; this synostosis is not a typical feature of Apert's syndrome, but has been described in the literature once before.

Acrocephalosyndactylia↗

[Problems in the diagnosis of breast disease following mammaplasty (author's transl)].

25 patients were followed up after reduction mammaplasty over varying periods of time. The aim was to evaluate the accuracy of postoperative clinical, mammographic and thermographic findings in the detection of breast cancer. In 7 patients who were operated on according to the technique of Lexer-Gohrbandt, the evaluation of the breast findings was practically undisturbed by operative changes. However, in none of the 18 patients operated on by Pitanguy's technique, was a satisfactorily safe interpretation of either the clinical or the mammographic findings possible; only the combination of clinical examination, mammography and thermography, together with a basic understanding of the operative technique allowed the differentiation between iatrogenic tissue changes and spontaneous pathological processes. The detection of breast cancer does not seem to essentially more difficult after plastic surgery for breast hypertrophy so long as all three of the above-mentioned methods of examination are used and carefully evaluated.

Breast↗

[The effect of oral anti-diabetic agents (suphonyle ureas) on the excretion of intravenous biliary contrast media (author's transl)].

Sulphonyle ureas used in the oral treatment of diabetes occupy albumen-binding capacity. Hepatotropic contrast media therefore have difficulty with protein binding and renal excretion is increased. The proportion excreted through the kidneys has been determined in 50 diabetic patients on oral treatment. Demonstration of contrast in the urine was done radiologically, qualitative measurements by a subtraction method. As a control, the same group of patients were examined, having been taken off suphonyle ureas, as well as a group of 50 diabetic patients treated with insulin. While under medication, heteroptropic excretion rose on average to 55% and in some cases to 80%. This results in definite reduction of contrast filling of the biliary tree, occasionally to the extent of preventing a diagnosis. Displacement of sulphonyle urea by contrast was not observed.

Cholangiography↗

[The diagnosis of occult mammarian carcinoma (author's transl)].

The proceeding of dedection of ocult mammarian carcinomas by an effective coordination of mammography and thermography is described. The frequency was 7%o of 2000 examinations and with that higher than given in the literature. The importance of post-operative controls is emphasized.

Breast Neoplasms↗

Diagnosis and treatment of cysts of the breast.

The diagnosis and treatment of cysts of the breast are described. Surgical intervention in the vast majority of affected patients may be avoided by pneumocystography, a procedure involving puncture of the cyst, aspiration of its contents, air insufflation and interpretation of radiographs obtained in at least two planes. A smooth inner wall of the cyst indicates the common benign lesion. Irregularity of the inner wall is an absolute indication for surgical excision of the lesion.

Adult↗

[Contact thermography in assessing inflammatory joint diseases].

Cutaneous hyperthermia represents a symptom of inflammatory joint diseases and "activated" arthroses. Arthritis and arthrosis may be differentiated by the different distribution and extent of hyperthermia. In an equal number of different joint diseases the symptoms and signs and the course of the diseases were investigated with the aid of contact thermography. The results indicate different exact localisations of temperature changes in the affected joints which together with the clinical findings may make it possible to establish differential diagnostic definitions between arthrosis and rheumatoid arthritis. In the authors' opinion contact thermography is, however, not suited for observations of the course of the diseases.

Arthritis↗