[Prognosis of biliary and liver changes in cholelithiasis].
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Biomedical subjects
Publications and source records attributed to A Buchholz.
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On the basis of a case of radiation myelopathy after irradiation of a larynx carcinoma, the morphological characteristics and the clinical phenomena are demonstrated. In spite of constant improvement of the radiation therapy, the occurrence of a radiation damage of the central nervous system must be expected and included in the differential-diagnostic considerations.
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A bronchogenic carcinoma was found in the sphere of the scar in a fifty-years-old man who suffered in 1945, 27 years before his death, from a pulmonary bullet wound caused by war influence. The histological examination furthermore disclosed considerable autoradiographic secured deposits of thorotrast in the carcinoma and scar sphere. One may suppose that in connection with the treatment of the results of this injury a bronchography or a preparation of the fistula followed. All available cases of a beginning of carcinoma after a pulmonary bullet wound as well as all cases of carcinoma of the lungs after thorotrast incorporation found in literature were collected, critically sorted out and represented in schedules. A summary of questions of the causes and pathogenesis is given.
The clinical signs as well as the pathological-anatomical and histological peculiarities of a case of fibrosarcoma of the right ventricle of the heart in a fifty-years-old women are described. Examining of all cases described in literature it becomes evident that when ascertaining the starting points, there is a fluent transition from the sarcoma of the endocardium to the sarcoma of the pulmonary arteries. Four types become evident. The morphological pecularities of the appearance of Anitschkow-cells are described. Origin and importance of these cells are not known yet in all their details. The Survey over the single observations speaks in favour of their affiliation to the cellular defence system of the heart.
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A case is reported on the joint presence of chronic lymphatic leukaemia and lymphogranulomatosis in a 58 years old patient. 5 years after diagnosis and therapy of lymphadenosis a lymphogranulomatosis existing in addition to lymphadenosis was discovered by autopsy. Previously a change of symptoms had occurred. This became evident in the regression of palpable lymph node swellings as well as leukocytosis and lymphocytosis, in a change of the differential blood picture and the presence of periodic subfebrile temperatures. Problems connected with these double neoplasias are briefly outlined and discussed.
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PURPOSE: To assess long-term corneal stability of self-sealing clear corneal stretch incisions with implantation of 5 mm polymethylmethacrylate (PMMA) intraocular lenses. METHODS: Two hundred consecutive eyes of 3500 cataract patients who had capsulorhexis, phacoemulsification, and preparation of a 1.5 to 2.0 mm corneal tunnel that had an external width of 4.0 to 4.1 mm and an internal width of 6.5 to 7.0 mm (stretch incision), and implantation of a 5 mm PMMA intraocular lens were evaluated clinically and statistically. Slit-lamp microscopy, keratometry, and corneal topography were performed preoperatively and postoperatively after 1 week, 1, 2, and 3 years. RESULTS: The mean surgically induced astigmatism following superior corneal incision amounted to 1.59 +/- 1.06 D after 3 years; following lateral corneal incision, mean surgically induced astigmatism was 0.84 +/- 0.68 D. There were no corneal complications in the long-term follow-up study. CONCLUSION: Our 5-year experience shows that the self-sealing clear corneal stretch incision in connection with implantation of a 5 mm polymethylmethacrylate intraocular lens induces approximately 1.00 D of astigmatism. We prefer the lateral incision and recommend the superior incision only for high preoperative with-the-rule astigmatism.