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Biomedical subjects

A Majewski

Publications and source records attributed to A Majewski.

At least 37 records · Page 2Linked to original sources
PubMed1987

[Roentgen diagnosis of colorectal endometriosis].

Preoperative diagnosis of symptomatic colorectal endometriosis is often difficult. Hence, the x-ray findings of eight woman patients with confirmed affection of the colon with endometriosis foci were evaluated together with the clinical, surgical and histological findings. In 50% of the cases rectal haemorrhages were the most frequently occurring sign. In three-quarters of the cases the colon sigmoideum was involved. Radiologically it was possible to prove in 37.5% each of the cases that there was a polypoid lesion and an irregular concentric stenosis of the intestinal lumen. In 25% of the cases we found a complete stenosis of the intestinal lumen combined with ileus. X-ray sign pattern of colorectal endometriosis, however, is not pathognomonic.

Adult↗
PubMed1987

[Experiences with selective catheter embolization of the internal iliac artery in life-threatening hemorrhage from uterine cancers].

Patients with heavily bleeding cervical or endometrial carcinomas were treated by embolisation. A catheter was placed into the internal iliac artery via the femoral artery. By the use of Gianturco-Anderson-Wallace springs, selective embolisation was performed distally to the superior gluteal or iliolumbar artery. Five patients between the age of 42 to 86 years (four cervical carcinomas, one endometrial carcinoma) were treated by embolisation. In four patients bleeding stopped after treatment. One patient died after further haemorrhage. Only minor side effects were seen. Thus, surgical ligature of the internal iliac arteries seems to be a thing of the past. Nevertheless, catheter embolisation should be performed only after alternative methods had been tried.

Adult↗
PubMed1986

[Therapy and results of the treatment of breast cancer. A report on 1,003 cases 1970 to 1978].

1003 women with invasive breast carcinoma were treated in the Department of Obstetrics and Gynecology, Medical School Hannover, between 1970 and 1978. In 787 patients modified radical mastectomy was combined with postoperative radiation therapy. In 797 patients, who were observed for at least 5 years, the 5 year survival rate was 63.0%, depending on tumor stage. In spite of intensive loco-regional treatment, local recurrence occurred in 18.0%. For us, that was one among other reasons to discontinue routine postoperative radiation therapy.

Adolescent↗
PubMed1986

[Therapy and results of the treatment of vulvar cancer. A review of 234 cases 1951-1976].

From 1951 to 1976 234 patients with invasive carcinoma of the vulva were treated at the Department of Obstetrics and Gynaecology, Medical School Hannover. 53.3% of these patients underwent simple vulvectomy. Radical vulvectomy and lymphadenectomy was performed in 17.9%. 45.7% received postoperative radiotherapy. -213 patients were followed up 5 years or more. After surgery alone the 5-year-survival rate was 56.9%, after operation and radiotherapy 43.4%, after exclusive radiation 14.2%. The 5-year-survival rate of all patients was 42.7%.

Adenocarcinoma↗
PubMed1986

[Results of real-time sonography and raster mammography of 200 breast cancers].

The article reports on 200 patients with histologically verified carcinomas of the breast in whom both real time mammasonography and grid mammography were performed. The indications for additional use of real time sonography in the diagnosis of malignant diseases of the female breast were a palpable node or a suspicious finding in mammography. All patients were examined with a high resolution realtime scanner with a 7.5 MHz transducer. The diagnostic criteria of sound deep to the mass (type I-IV), the regularity of the conteur of the mass, and the presence or absence of internal echoes. The typical sonographic features of histologically different types of carcinoma of the female breast are demonstrated by means of case examples. Mammasonography offers a high degree of accuracy in preoperative differential diagnostic assessment of tumour status in malignant processes of the breast. The combined mammographic-sonographic evaluation is the method of choice in clinical evaluation of masses of the female breast.

Adult↗
PubMed1986

[Radiologic diagnosis of thoracic outlet syndrome and its vascular complications].

The term "Thoracic Outlet Syndrome" (TOS) applies to all neurological and vascular symptoms caused by compression of the nerves and vessels situated in the outlet (inlet) of the thorax and the costoclavicular area. The clinical and radiological results of 20 patients with acquired and congenital TOS are presented and the relevant literature is reviewed. The different radiological findings of plain chest X-ray, phlebography, intravenous DSA and arteriography are demonstrated with special emphasis on the vascular complications of TOS.

Adolescent↗
PubMed1986

[Asymptomatic subcapsular splenic hematoma in infectious mononucleosis (Pfeiffer disease)].

Splenic rupture in infectious mononucleosis (Pfeiffer disease, or glandular fever) is a rare but life-threatening complication. The exact mechanism of rupture of the spleen is unknown to date. A case of a spontaneous, asymptomatic, subcapsular haematoma of the spleen of an eighteen-year old female with infectious mononucleosis is presented with special reference to the echographic findings. A complete remission without any complication was obtained. The contribution of the sonographic examination and follow-up in the diagnosis of infectious mononucleosis is emphasised.

Adolescent↗
PubMed1985

[Changes in the orientation in indications for hysterectomy--presented with the example of prolapse].

Hysterectomies, as well as conservative surgery of the uterus (where indication might have been in favour of hysterectomy), were analysed according to case records during two periods, from 1960 to 1963 and from 1978 to 1980, at the Department of Obstetrics and Gynaecology at Hannover University. In the second period the average number of hysterectomies pro year doubled, whereas the conservative uterine surgery showed a definite decline. Descensus was diagnosed in 48.5% of the hysterectomies performed during the second period compared to 13.6% during first period. Prolapse frequency was about the same in both groups. In the second period, 97.7% of the descensus operations were combined with hysterectomy, whereas this applied in the first period to only 24.3%. The results show a definite tendency towards extending the indication for hysterectomy. In the second period, sterilisation and carcinoma prophylaxis were additionally considered as indications for surgery.

Female↗
PubMed1985

[Dysgerminoma of the ovary in pregnancy. A case report].

A case of dysgerminoma of the ovary in a 36-year-old woman in her 10th week of gestation is reported. Hysterectomy, bilateral adnectomy and omentectomy was performed followed by radiation therapy of the pelvis and paraaortic region. Until now only about 60 cases of ovarian dysgerminoma during pregnancy have been described in literature. The tumour was rarely detected within the first trimester. In these cases the safety of the patient should rank higher than the pregnancy itself.

Dysgerminoma↗
PubMed1984

[Extended indication for hysterectomy. Changes in the incidence and indications in hysterectomy within 2 decades].

At the Gynaecological Department of the Medical Hospital of the University of Hannover, the medical reports of two periods (1960 to 1963 and 1978 to 1980) were employed to investigate hysterectomies and a number of uterus-preserving procedures, the indications for which could also have served as an indication for hysterectomy. As compared with the first period, the average hysterectomy rate per age group was almost twice as high in the second period, while uterus-preserving surgery was virtually insignificant in the later period. In the second period, patients were younger and had less severe complaints. In the second period, sterilization and carcinoma prophylaxis represented major secondary indications for the operation. Overall, the result point to a considerable expansion of indications in the second period. However, owing to the fact that the operation carries a risk that cannot be neglected, sterilization of carcinoma prophylaxis alone cannot be considered a sufficient reason for hysterectomy.

Female↗
PubMed1984

[Ossifying fibroma of the bone].

In the spectrum of the fibroosseous bone tumours the ossifying fibroma of the bone (OF) is situated as a not yet clearly defined entity with many names. The present paper deals with the question wether a term innovation brings elucidation to clinical management. Therefore 811 previously published and 16 additional cases have been analysed with respect to their clinical and radiological behavior. In addition a simplificated histological reclassification was performed on 284 well documented literature cases. It was found that there are no great differences between these tumours according to their localisation, their clinical behavior, and their prognosis. All tumours of this group are suitable to different categories of histological maturation of the same tumour best called "ossifying fibroma".

Adolescent↗
PubMed1984

[Radiological findings in malignant lymphoma of the stomach].

A retrospective review is presented of the clinical and roentgenographic findings of 40 patients with malignant lymphomas of the stomach treated at the Medical University Hannover during the period from 1971-1983. All cases of Non-Hodgkin-Lymphoma (35 primary and 5 secondary) were classified by modified Kiel classification. All patients were staged retrospectively, using modified Ann Arbor staging. In 33 patients the primary choice of treatment were operation, in 4 chemotherapy, and in three patients primary radiation therapy. The male-female ratio was 1:1, the average age at the moment of diagnosis was 58 years. The majority of the tumors were located in the corpus and the antrum with an average diameter of 8 cm. The evaluation of the roentgenographic presentation of gastric lymphoma showed in 75% a combination of different radiologic patterns. According to the main radiologic feature the ulcerating form was found in 11, the polypoid type in 10, the disruption of the mucosal picture (area, folds) in 12, and the gastric wall infiltration was found in 7 of all patients. The 5-year survival rate of all cases with primary lymphoma of the stomach was 55%.

Actuarial Analysis↗
PubMed1984

[Cholescintigraphy for determining focal nodular hyperplasia of the liver?].

The preoperative diagnosis of a focal nodular hyperplasia (FNH) is of special interest as in case of non-malignancy of this tumor no extirpation has to be carried out. 86 patients - 19 of them suffered from FNH - have been examined by 3 phasecholescintigraphy. There were no false positive findings (specifity 100 per cent). 2 out of 23 examined FNH were not recognized as such (sensitivity 87 per cent) because the tumor had been changed regressive largely. Cholescintigraphy is an excellent method to prove FNH not bothering the patient too much. Cholescintigraphy should be the first measure of differential diagnostic clarification whenever a benign tumor is suspected.

Adolescent↗