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Biomedical subjects

L Weatherbee

Publications and source records attributed to L Weatherbee.

At least 19 recordsLinked to original sources
PubMed1995

Hodgkin's disease and Vietnam service.

Earlier studies that showed an association between exposure to phenoxy herbicides and the risk of malignant lymphomas have sparked concerns among Vietnam veterans over Agent Orange exposure. The Department of Veterans Affairs (VA) undertook a hospital-based case-control study to examine the association between military service in Vietnam and several histologic types of malignant lymphomas. This is a report of 283 Vietnam-era veteran patients who were treated in one of 172 VA hospitals from 1969 to 1985 with a diagnosis of Hodgkin's Disease (HD). Four hundred and four Vietnam-era veteran patients with diagnosis other than malignant lymphoma served as a comparison group. Military service in Vietnam was not associated with any significant increase in the risk of HD (adjusted odds ratio = 1.28; 95% confidence interval = 0.94, 1.76). Surrogate measures of potential Agent Orange exposure such as service in a specific military branch, in a certain region within Vietnam, in a combat role, or extended Vietnam service time were not associated with any significant increased risk of HD.

2,4,5-Trichlorophenoxyacetic Acid↗
PubMed1993

Primary mucinous adenocarcinoma of renal pelvis in solitary pelvic kidney.

Mucinous adenocarcinoma of the renal pelvis is a rare tumor. We report the case of a fifty-three-year-old man with this unusual cancer and review the literature. Usual features of this tumor include long duration of symptoms, an association with calculi and hydronephrosis, and a preoperative appearance of an inflammatory condition.

Adenocarcinoma, Mucinous↗
PubMed1991

Non-Hodgkin's lymphoma among Vietnam veterans.

In light of findings suggesting an increase in the risk for non-Hodgkin's lymphoma among men exposed to phenoxyherbicides and concerns among veterans over Agent Orange exposure, a hospital-based case-control study was undertaken to examine the association between military service in Vietnam and non-Hodgkin's lymphoma. The cases consisted of 201 Vietnam-era veteran patients who were treated in one of 172 Department of Veterans Affairs hospitals from 1969 through 1985 with a diagnosis of non-Hodgkin's lymphoma. 358 Vietnam-era veteran patients with a diagnosis other than malignant lymphoma served as a comparison group. Military service information was obtained from a review of the veteran's military personnel records. Service in Vietnam did not increase the risk of non-Hodgkin's lymphoma either in general (branch adjusted odds ratio = 1.03, 95% confidence interval = 0.70-1.50) or with increased latency period as defined as the duration in years from first service in Vietnam to hospital discharge. Surrogate measures of potential Agent Orange exposure such as service in a specific military branch, in a certain region within Vietnam, or in a combat role as determined by military occupational speciality were not associated with any increased risk of non-Hodgkin's lymphoma.

2,4,5-Trichlorophenoxyacetic Acid↗
PubMed1988

Radiologic features of well-differentiated osteosarcoma.

Eight cases of well-differentiated, intramedullary osteosarcoma were studied. In three cases, the lesions previously had been diagnosed, pathologically and radiologically, as benign. The distal femur was the most frequent site. Radiographically, the tumor margins were poorly defined in five cases and were well defined in three. In seven cases, the bone response pattern was both lytic and blastic; in one case, it was purely lytic. Tumor matrix patterns were mostly homogeneous and cloudlike. Four of the lesions were expansile. All cases had cortical thinning and discontinuity. Extraosseous involvement of the soft tissues was present in six cases, and active periosteal response was present in two. High-grade malignancies subsequently developed in two patients--one was a local recurrence and the other was a distant metastasis. A broad spectrum of radiologic features was observed in well-differentiated intramedullary osteosarcomas, but all cases had at least two of three radiographic findings (cortical discontinuity, poorly marginated soft-tissue extension, or cloudlike tumor matrix pattern) that strongly suggested malignancy.

Adolescent↗
PubMed1988

Squamous cell cancer of the liver arising from a solitary benign nonparasitic hepatic cyst.

A case of squamous cell carcinoma arising from a solitary benign nonparasitic hepatic cyst (SBNHC) causing bile duct obstruction is presented. A review of the literature regarding SBNHC suggests that, although these lesions may appear benign, they may also undergo metaplastic and subsequent malignant transformation. This appears to be particularly true when the SBNHC is lined with squamous epithelium. Once squamous cell carcinoma arises from one of these lesions, the prognosis is extremely grave, despite all forms of surgical and medical management.

Carcinoma, Squamous Cell↗
PubMed1987

Invasive aspergillosis: an unusual cause of hemorrhagic pancreatitis.

Advances in chemotherapy have improved survival in patients with hematological malignancies, solid tumors, and have allowed for rapid progress in the field of organ transplantation. However, the frequency of opportunistic, specifically mycotic, infections has risen and provides a new challenge in the treatment of these patients. The following case report illustrates the need for early diagnosis and treatment and is the first known case reported of fatal hemorrhagic pancreatitis secondary to disseminated aspergillosis.

Aged↗
PubMed1986

Gnotobiotic models for study of the microbial ecology of Clostridium difficile and Escherichia coli.

Hamster flora introduced into germfree mice reduced the cecum to conventional size, suppressed populations of Escherichia coli and Clostridium difficile to the same degree that mouse flora did, and corrected the hypocellularity that is characteristic of the small bowel of germfree mice. A highly toxigenic strain of C. difficile readily induced cecitis in germfree and antibiotic-treated conventional mice, and histological examination frequently revealed pseudomembranes. Toxins A and B were both detected in ceca of animals with colitis. Gnotobiotic mice provide a model in which to study the role of the indigenous microflora in protecting against antibiotic-associated colitis.

Animals↗
PubMed1986

Pseudomyxoma peritonei. Radiologic features.

Diagnostic radiologic features of pseudomyxoma peritonei consist of diffusely scattered plaques of calcifications in the abdomen, poorly defined soft tissue masses and ascites on plain abdominal radiographs, characteristic scalloping of the hepatic margin, numerous multilocular cystic masses with rims of curvilinear calcifications and compression of abdominal viscera without evidence of invasion at computed tomography, and an echogenic mantle with ascitic septations at ultrasonography. In an appropriate clinical setting, this spectrum of radiologic features is highly specific for the diagnosis of pseudomyxoma peritonei.

Humans↗
PubMed1986

Ectopic prolactinoma in a patient with hyperparathyroidism and abnormal sellar radiography.

In a patient with hyperparathyroidism and chronic renal failure due to polycystic kidney disease, a finding of destroyed sellar and parasellar structures and hyperprolactinemia suggested the diagnosis of invasive pituitary prolactinoma. At surgery no tumor was found, and pathological examination of the sphenoid bone revealed a parathyroid bone lesion (brown tumor) as well as ectopic prolactinoma in the clivus. This patient demonstrates that a tumor may develop in ectopic pituitary tissue. The combination of radiographically abnormal sellar structures with pituitary hormone hypersecretion should not be regarded as absolute proof of a pituitary adenoma.

Choristoma↗
PubMed1986

Soft tissue sarcomas and military service in Vietnam: a case comparison group analysis of hospital patients.

The possibility that exposure to Agent Orange or phenoxy herbicides may have increased the risk of soft tissue sarcomas has been of genuine concern to Vietnam veterans and their families. A hospital-based case comparison group study was undertaken to examine, through a comprehensive review of medical records and military personnel records, the association between previous military service in Vietnam and soft tissue sarcomas. The case group comprised 234 Vietnam-era veteran patients who served in the US military between 1964 and 1975 and were treated in one of the 172 VA hospitals between 1969 and 1983 with a diagnosis of soft tissue sarcomas. The comparison group consisted of 13,496 patients who were systematically sampled from the same Vietnam-era veteran patient population from which the cases were drawn. Military service information, in particular Vietnam service status, for each case and control patient was obtained from a review of the patient's military personnel records archived at the National Personnel Records Center in St Louis, Missouri. No significant association of soft tissue sarcomas and previous military service in Vietnam was observed: odds ratio was 0.83 with a 95% confidence interval of 0.63 to 1.09.

2,4,5-Trichlorophenoxyacetic Acid↗
PubMed1983

Pseudolymphoma of colon.

A case of pseudolymphoma of the colon is reported. Radiographically and endoscopically the lesion could not be conclusively distinguished from malignant neoplasm, particularly lymphoma or segmental colitis, thus necessitating right hemicolectomy. Careful histological examination established the diagnosis of pseudolymphoma with pathologic features identical to the focal form of pseudolymphoma more commonly observed in the stomach.

Colonic Diseases↗
PubMed1983

Myositis ossificans circumscripta: computed tomographic diagnosis.

Computed tomography was performed in five patients with myositis ossificans circumscripta. In three cases, and possibly four, CT scans obtained during the active stage of the pathologic process demonstrated findings that in general corresponded to the "zone phenomenon" seen on histology, although a distinct peripheral ring of ossification was not always present. In these patients, CT was useful in limiting the differential diagnosis and obviating surgery. In the fifth patient, with long-standing myositis ossificans, CT showed complete ossification indicative of the mature phase of the pathologic process and was helpful in planning surgical resection.

Adolescent↗