[Experience with anticoagulant and fibrinolytic therapy in deep vein thrombosis of the lower extremities].
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Biomedical subjects
Publications and source records attributed to M Kántor.
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The operated and cured case of fibrous histiocytoma, a retroperitoneal tumour of rare histological structure, unusual localization and size is reported.
After a brief review of renal tumours diagnosed on the basis of metastases, two cases are described in which subcutaneous formations believed to be lipomas were metastases of symptomless hypernephromas. One case was diagnosed early on basis of the histological finding. The primary tumour could be localized only by angiography. After nephrectomy and resection of the contralateral rib and pleura, the patient was free of symptoms for one year. In the subsequent year a pathologic subtrochanteric fracture called attention to a new metastasis. After laminar osteosynthesis function of the hip and knee joints was satisfactory and so has been the general condition ever since the first operation now for three years. In the second case, the knot assumed to be a lipoma was removed but no histological examination was carried out. These experiences have induced the authors to call attention to the importance of histological examination of apparently banal lesions and to the considerable survival which can be achieved in these patients.
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The favourable experience gained with the so-called modified Denis-type method is described. It is stressed that the method has all the advantages which are ensured by the Hencz-type haemostatic thread. In addition, the patient is spared many unpleasantness and post-operative complaints. Post-operative treatment is easier since a separate flow from the loge and from the bladder is provided for. The results of different methods are compared on the basis of 150 prostatectomies performed in the Department of the authors.
A case is described in which pyonephrosis of 21 months standing has caused gluteal fistula by spontaneously breaking through the deep dorsal musculature. Though the patient has been hospitalized in the surgical ward and treated as out-patient in the specialized surgery for gluteal abscess, i.e. fistula, pyonephrosis maintaining of the fistula was detected and treated only after 18 months. After nephrectomy the fistula closed spontaneously and the patient was cured when leaving the hospital.
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