[Giant bleeding angiomyolipoma of the kidney in tuberous sclerosis].
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Biomedical subjects
Publications and source records attributed to O Hallwachs.
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The new disposable plastic device, called Multitest, presents 7 standardized microbial antigens. In this way 558 urological patients and healthy subjects were skin-tested. We obtained a statistically decrease in generalization of tumor disease and in perioperative complications. So the test battery may be of interest for monitoring cancer patients and to define high-risk patients.
Due to an advanced prostatic carcinoma 166 patients were given a massive dose of oestrogen over a period of 10 days (6 g Honvan i.v.). A retrospective comparison of a control group of 94 patients without prophylaxis against thrombosis and a control group of 36 patients having received Heparin-Dihydergot did not show a significant difference of cardiovascular complications. Therefore, further 36 patients received a thrombocyte aggregation inhibitor (Godamed) as prophylaxis against embolic thrombosis. At the same time lung perfusion scintigraphy (99m Tc-Microspheres) was made directly before and after oestrogen therapy. Clinically and lung scintigraphically there was no different thromboembolic incidence compared to the patients given a Heparin-Dihydergot prophylaxis.
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Since 1972 in the Urology Department at Darmstadt Hospital the Honvan-high-dose-therapy of 130 patients with metastatic prostatic carcinoma has been carried out under standardizing condition. The analysis shows that there is no significant difference between the patients with prophylaxis against thrombosis (Macrodex and Dihydergot-Heparin) and without prophylaxis. The patients with anti-thrombotic prophylaxis demonstrated significantly higher incidence of reversible elevation of transaminases. The effect of Heparin is probably responsible for this.
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A 66 year old female patient was successfully operated following complete obstruction of the inferior vena cava and left renal vein by tumor thrombi from a right sided hypernephroma. The effect of the compensatory development of venous collaterals of the left kidney and the therapeutic consequences of a thrombectomy following long standing thrombosis of the left vein are discussed.
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