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Biomedical subjects

W L Barker

Publications and source records attributed to W L Barker.

18 recordsLinked to original sources

Management of major or massive hemoptysis in active pulmonary tuberculosis by bronchial arterial embolization.

Management of massive hemoptysis in patients with active pulmonary tuberculosis is complicated. Transcatheter hemostatic embolization of bleeding vessels with absorbable material has been reported to be useful in controlling this problem. Twelve patients with active pulmonary tuberculosis who had major or massive hemoptysis were managed at Cook County Hospital, Chicago, from 1982 to 1986. Various methods of treatment have been evaluated. The technique of angiographic embolization and the criteria for selection of patients for its use constitute the basis of this report.

Adult

Granular cell myoblastoma: rare localization in the trachea. Report of a case and review of the literature.

Granular cell myoblastoma is an uncommon tumor in the respiratory tract. It usually occurs in the tongue, skin, breast, or subcutaneous tissue. When it occurs in the respiratory tract, it is usually located in the bronchus or larynx. Primary tracheal location is rare with only nine such cases reported in the literature. This report describes a 26-year-old woman with granular cell myoblastoma of the trachea. She presented with a four-year history of bronchial asthma. The tumor was surgically excised by tracheal resection and reconstruction. The patient has remained well and free of obstructive airway symptoms, without recurrence of the tumor for more than one year.

Adult

Simulated paraspinal tumor or abscess by rounded atelectasis of the lower lobe.

Lower lobe atelectasis may simulate paraspinal tumor or abscess when margins of the completely collapsed lobe become rounded laterally and the inferior edge separates from the diaphragm. We believe this unusual appearance relates to (1) influence of the pulmonary ligament and (2) total collapse of the lobe to its minimum possible volume. Three cases of different etiologies are herein presented.

Adenoma