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Biomedical subjects

C Micheau

Publications and source records attributed to C Micheau.

At least 91 records · Page 5Linked to original sources

Relationship between laryngoceles and laryngeal carcinomas.

Because X-ray evaluation of the larynx is an unreliable method of detecting laryngoceles, a study based on the systematic measurement of the ventricular depth in surgical specimens was carried out to determine the frequency of laryngoceles and their relationship to laryngeal carcinomas. The frequency of laryngoceles was found to be about 2% in the normal larynx. The frequency in laryngeal cancer specimens was about 18%. This difference demonstrated the role of cancer in the genesis of laryngoceles. A close relationship between the ventricular diverticuli and the tumors was observed on microscopic examination in half of the laryngeal carcinomas associated with laryngoceles. These carcinomas can be considered to have developed on the laryngoceles. Depending upon the degree of tumor spread and the number of laryngoceles involved, different types of carcinoma developing in laryngoceles can be recognized. This particular form of tumor can be misinterpreted as an ulcerated vestibular tumor, in which case inappropriate treatment may be tried.

Carcinoma, Squamous Cell↗

A new histochemical approach to olfactory esthesioneuroma. A nasal tumor of neural crest origin.

A close collaboration between E.N.T. surgeons and pathologists permitted us to obtain 6 cases of olfactory esthesioneuroma in which fresh tumor tissue was available. Histochemical and biochemical studies were made in comparison with neuroblastoma. Different reactions and assays performed revealed a similarity with sympathetic tumors. Moreover, the presence of catecholamines in esthesioneuroma provides a great help in diagnostic as does electron microscope examination.

Catecholamines↗

Modes of invasion of cancer of the larynx. A statistical, histological, and radioclinical analysis of 120 cases.

A statistical comparison between histologic and radioclinical data was performed on a series of 120 cases of total laryngectomies in order to study the modes of invasion of laryngeal cancer and to quantify the differences of results as evaluated by pathological and by clinical examinations. The first part of this study deals with the spread of cancer depending on its site of origin; the second part examines spread regardless of the primary location of the laryngeal tumor. The comparative results show that it was difficult to determine the deep invasion of structures such as the preepiglottic space and the cartilages from the radioclinical examination, especially in cases of cancer developed on a laryngocele. This study emphasizes the importance of the histological examination of laryngeal specimens as described here in order to codify the modes of invasion and, as a result, to help the otorhinolarynglologist in the choice of the best treatment.

Carcinoma, Squamous Cell↗

[Granulocyte stem cells in a case of Chediak-Higashi-Steinbrinck syndrome].

Bone marrow from a child with Chediak-Higashi-Steinbrinck disease was cultured. It was found that all cells with granulocytic colony forming ability were affected by the disease. Cytoplasmic vacuoles were identified as lysosomes by their cytochemical staining. The cloning rates suggest that granulopoiesis is largely ineffective.

Acid Phosphatase↗

Dopamine-B-hydroxylase and catecholamines in an olfactory esthesioneuroma.

In a case of olfactory esthesioneuroma, of which an unfixed specimen and blood sample were available, we demonstrated immunohistochemically and biochemically the presence of dopamine-B-hydroxylase and catecholamines in low concentration. This result indicates that this nasal tumor is probably of sympathetic origin, in whole or in part, and provides a new aid in diagnosis. Furthermore, biochemical assay of dopamine, V.M.A., and H.V.A. excretion in urine could perhaps bring information of diagnostic and prognostic value before and after treatment.

Adult↗

[Tissue effects of intra-arterial chemotherapy in pelvilingual cancers and their lymphatic metastases (Apropos of 47 cases)].

Forty-seven patients with pelvi-lingual (mostly T4) cancers treated bAE intra-arteri chemotherapy (I.A.C.) were studied histologiccaly to discover the effects of the chemotherapy. The results observed were classified according to a six degree histological scale ranging from total absence of tumoral regression to complete involution of the cancer. The product used, dosage, time lapse, clinical regression and histological formula were compared with the histological findings. The results were also compared with those obtained with other pelvilingual cancers treated by radiation and primary surgery and with cancers of the facial masse after I.A.C. In the event, 10 tumours remained unchanged after I.A.C., 30 showed more or less marked changes and 7 completely regressed. Furthermore, the metastatic ganglia underwent the same involution as the primary tumour. A survey of survival in relation to tumoral regression, showed that, after a sufficient time lapse, of the 17 patients with considerable tumoral modification, 11 were in a satisfactory condition after 4 or 5 years (65%). Pelvi-lingual cancers are therefore a good indication for I.A.C. which gives very encouraging results.

Antineoplastic Agents↗