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Biomedical subjects

M A Bosniak

Publications and source records attributed to M A Bosniak.

15 recordsLinked to original sources
PubMed1979

Blood flow to the kidney via the gonadal-renal capsular artery.

The gonadal artery is an important collateral pathway of blood flow to the kidney. Collateral routes may be from the gonadal artery to the inferior capsular artery (gonadal-renal capsular artery) or to the periureteric arteries. These pathways develop in cases of renal artery stenosis, or when a vascular renal tumor increases the kidneys need for blood. We present five cases in which the gonadal artery served as a source of blood supply to the kidney.

Adenocarcinoma↗
PubMed1979

Ureteral involvement by metastatic disease.

Ureteral obstruction secondary to metastases from distant primary tumors may be studied by urography, pyelography, venography and lymphagiography. An added dimension to the study of this disease process is obtained by the use of sonography and computed tomography since these techniques are better able to demonstrate the extent of the disease in the retroperitoneum.

Adenocarcinoma↗
PubMed1979

Involvement of the inferior vena cava in patients with renal cell carcinoma.

Inferior vena cavography plays an important role in the staging of renal cell carcinoma. The renal angiograms and inferior vena cavograms in a series of patients with renal cell carcinoma were reviewed to determine which patients require cavography. Our findings show that renal angiography is of great value in suggesting tumor involvement of the renal vein or vena cava, and that the decision to do cavography can be made from the angiographic findings. In the series of 172 patients with renal carcinoma, 15 or 9% had inferior vena cava involvement.

Adenocarcinoma↗
PubMed1978

Hemangiomas of the liver in patients with renal cell carcinoma.

Five patients with renal cell carcinoma were noted at angiography to have vascular hepatic lesions which resembled metastatic renal cell carcinoma but which proved to be benign hepatic hemangiomas. The angiographic differentiation between small hemangiomas and metastatic vascular neoplasms of the liver can be difficult; angiographic characteristics may not be definitive. Surgery to remove the renal tumor should not be deferred solely on the basis of vascular hepatic lesions found at angiography.

Adenocarcinoma↗
PubMed1978

Angiographic patterns in renal oncocytomas.

Renal oncocytomas are benign tumors arising from proximal tubular epithelial cells. They appear radiographically as solid masses which are vascular on angiography. Angiograms of 13 cases of renal oncocytomas were reviewed, as well as those of 155 renal-cell carcinomas. The classic angiographic findings for the oncocytoma include a spoke-wheel pattern, a homogeneous nephrogram, and a sharp, smooth rim. The finding of a homogenous blush and/or a spoke-wheel pattern greatly increases the possibility of an oncocytoma, though a renal-cell carcinoma may have any or all of the classical findings described for an oncocytoma.

Adenocarcinoma↗
PubMed1978

Replacement lipomatosis of the kidney.

Replacement lipomatosis and renal sinus lipomatosis are parts of a spectrum of fatty replacement of destroyed or atrophic renal tissue. When long-standing inflammation exists in a kidney, especially with calculus disease, replacement lipomatosis may be the end result. Awareness of this process along with the specific radiologic findings will allow a correct preoperative diagnosis.

Aged↗
PubMed1977

The pear-shaped bladder.

The tear-drop or pear-shaped bladder was originally described in cases of pelvic hematoma. It may also be seen, however, with a variety of other entities, including pelvic lipomatosis, inferior vena cava occlusion, lymphocysts, and enlarged pelvic lymph nodes. Pertinent radiographic findings of these conditions are reviewed.

Adult↗
PubMed1977

Epinephrine-enhanced renal angiography in renal mass lesions: is it worth performing?

In our experience, properly performed epinephrine-enhanced angiography is a useful technique to improve accuracy in the angiographic diagnosis of renal masses. This pharmacologic enhancement is helpful in establishing the benignity of some lesions, clearly establishing malignancy in those questionable by routine angiography, and actually detecting malignant lesions not seen at all on unenhanced angiograms. Six examples of these situations are illustrated. The basic principles and pitfalls in the performance of the technique as well as its limitations are discussed.

Adult↗
PubMed1977

Infiltrating neoplasms of the kidney.

Some neoplastic processes which involve the kidney develop not as a distinct localized mass, but rather as an infiltrating process which replaces the renal parenchyma, causes little or no mass effect, and contains little if any neovascularity. These neoplasms include (1) carcinoma of the renal pelvis when it invades the parenchyma (transitional cell and squamous cell); (2) blood-borne metastatic squamous cell carcinoma to the kidney (most frequently from the lung): (3) renal lymphoma of the infiltrating variety; and (4) infiltrating sarcomatous type of hypernephroma. While the urographic and angiographic appearance of these infiltrating lesions can be similar, clinical aspects are usually sufficient to differentiate them. Radiographic findings include amputation of portions of the collecting system on urography and encasement of vessels with a loss of nephrogram on angiography.

Adenocarcinoma↗
PubMed1975

Tomography of the kidney bed as an aid in differentiating renal pelvic tumor and stone.

Plain film tomography is of value in detecting small amounts of calcium in "non-opaque" stones. The use of this technique to help differentiate renal pelvic tumor from stone in patients presenting with a filling defect in the renal pelvis is suggested. Four cases in which plain film tomography detected calcium in a renal pelvic stone that could not be seen on routine roentgenograms are presented.

Aged↗
PubMedDate not supplied

Computed tomographic diagnosis of ureteral obstruction secondary to aneurysmal disease.

Three cases of ureteral obstruction associated with aortoiliac aneurysms were studied with computed tomography. CT was able to document the presence of aneurysm and display the perianeurysmal, fibrotic, contrast-enhancing mass accounting for ureteral obstruction. The value of computed tomography in the diagnosis and evaluation of these cases is described.

Aged↗