Radionuclide scans and lung cancer.
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Biomedical subjects
Publications and source records attributed to S I Schabel.
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Carcinosarcomas are malignant tumors containing both epidermal and mesodermal components. They are rare in the esophagus, but when present frequently have a characteristic radiographic appearance presenting as a bulky, intraluminal, polypoid filling defect. Although capable of metastatic spread, their usual indolent nature offers a relatively favorable prognosis.
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Two cases of duodeno-duodenal fistula complicating carcinoma of the right colon, both presenting with upper gastrointestinal hemorrhage, are presented. The close proximity of the ascending colon and hepatic flexure and their draining lymphatics to the duodenum are discussed.
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The value of various radiological examinations was analysed with reference to 75 renal transplants which had developed complications. If the renal poles are marked with metallic clips, the size of the transplant can be estimated by abdominal x-rays. Abnormal size was found exclusively in severe rejection reactions, but only about 50% of acute rejections showed such a change. Contrast examinations were found to be valuable in the diagnosis or exclusion of anatomically localised lesions such as obstructions or anastomotic leaks. They were unsatisfactory in the diagnosis and differential diagnosis of diffuse parenchymatous abnormalities such as rejection or damage during storage.
Spontaneous urinary extravasation caused by ureteral obstruction is infrequently encountered. A case is described in which bilateral extravasation was observed, confined beneath the renal capsule on one side.
Extramedullary plasmacytoma is a rare form of plasma cell dyscrasia, in which malignant plasma cell tumors arise outside the bone marrow. The tumor may arise in any part of the body but the vast majority occur in the head and neck, primarily in the nasal cavity, paranasal sinuses, or upper airway. Six patients with extramedullary plasmacytoma are presented and the clinical and radiographic findings are reviewed.
Chest radiographs were reviewed in 30 cases of biopsy proven sarcoidosis; posterior mediastinal or para-aortic lymph node enlargement was found in 6 patients (20%) who also had symmetrical hilar and/or paratracheal lymph node enlargement. The radiographic behavior of the hilar, mid- and posterior mediastinal lymph nodes was the same. Posterior mediastinal lymph node enlargement in otherwise typical sarcoidosis is not unusual.
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