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Biomedical subjects

C W Hanke

Publications and source records attributed to C W Hanke.

At least 91 records · Page 5Linked to original sources

Basal cell carcinoma with eccrine differentiation (eccrine epithelioma).

Basal cell carcinoma with eccrine differentiation is an invasive, slow-growing tumor that usually occurs on the scalp. The histopathologic findings include basaloid epithelial elements, cystic spaces, and a fibrous or myxomatous stroma. The patient described in this report demonstrated epithelial elements with marked similarity to eccrine ducts. Mohs micrographic surgery, by virtue of the large number of frozen sections that are examined, provides an ideal way to study the characteristics of this unusual tumor.

Basal Cell Carcinoma↗

Invasion of parotid gland by basal cell carcinoma: implications for therapy.

A review of 1,146 cases of basal cell carcinoma of the head and neck revealed that twelve (1.05%) involved the parotid gland by direct extension. The male to female ratio was 5:1 and the average age was 70.1 years. Tumor size, site of origin, and duration prior to treatment were factors influencing secondary parotid involvement by these neoplasms. Mohs micrographic surgery was found to be an effective method of treatment with a high cure rate.

Aged↗

Variables affecting the results of xenogenic collagen implantation in an animal model.

A number of variables that can affect the results of xenogenic collagen implantation were studied by means of the pig model. Zyderm Collagen Implant was analyzed biochemically and was used to study the following variables: injection volume, collagen concentration, injection intervals, and needle gauge. The results of the study revealed the following: Injection volumes of 0.125 to 0.25 ml given at the same site resulted in the appearance of large "pools" of Zyderm Collagen Implant in the subcutaneous fat. However, injection volumes of 0.0625 to 0.1 ml given at the same site resulted in all of the implant's being retained in the dermis. There was no appreciable difference in the results achieved with two different concentrations of implant. Serial reinjections of 0.1 ml at 1-week intervals revealed increased amounts of implant material in the dermis. The use of a 30-gauge needle allowed more superficial placement than was possible with a 27-gauge needle.

Animals↗

Acne, retinoids, and dermabrasion.

A group of nine patients with severe nodulocystic acne vulgaris were treated with oral 13-cis-retinoic acid and their acne cleared. During or after retinoid therapy, all patients underwent full-face dermabrasion. Postoperative healing was normal, and no significant complications were seen.

Acne Vulgaris↗

Congenital smooth muscle hamartoma masquerading as congenital pigmented nevus.

Smooth muscle hamartomas are rare benign tumors of the skin, characterized by proliferation of large interlacing bundles of nonstriated muscle within the reticular dermis. The lesions may masquerade as one of several clinical entities. In this report, we describe two patients with congenital smooth muscle hamartomas masquerading as congenital pigmented nevi. Review of the literature indicates that these cases represent the ninth and tenth reported cases of congenital smooth muscle hamartoma. Our second case represents the largest lesion reported to date.

Biopsy↗

Laboratory evaluation of skin refrigerants used in dermabrasion.

Six skin refrigerants were evaluated for maximum cooling temperature. The temperatures produced correlated well with the chemical components and also the gelatin freeze-thaw times. Freon 114 and Freon 114-ethyl chloride mixtures are time-tested, safe skin refrigerants. Some of the newer skin refrigerants are pure sources of Freon 12 or mixtures of Freon 12 and Freon 11. These newer, colder products have the potential to damage the skin and represent a hazard to successful dermabrasion.

Chlorofluorocarbons, Methane↗

Basal-cell carcinoma resulting from radiation therapy for hypertrophic tonsils.

Benign dermatologic conditions are no longer treated with therapeutic radiation because of the late complications that can result. One of the most serious complications that may occur is the development of skin cancer of various types. In this report, a patient received radiation for hypertrophic tonsils and later developed basal-cell carcinomas in the irradiated areas.

Basal Cell Carcinoma↗

Injectable collagen implant: histopathologic identification and longevity of correction.

This prospective study reports the results of the longevity of the correction achieved in 312 patients receiving injectable collagen implant and the histopathologic identification of the implant in the six who experienced reactions at the treatment sites. In reporting results in cosmetic patients, certain ones can be considered objective or factual, and other must be judged subjective. This study reports both kinds of results and proposes a new theory to explain the duration of the improvement.

Adult↗

Chemosurgical reports: myxoid dermatofibrosarcoma protuberans.

Dermatofibrosarcoma protuberans (DFSP) is a fibroblastic tumor characterized by a high rate of recurrence following conventional surgical treatment. Several different histopathologic patterns exist, with the "cartwheel" pattern the most common. In this report, a patient with the unusual myxoid histopathologic pattern was successfully treated with Mohs surgery.

Adult↗

Chemosurgical reports: super widefield microscopy in Mohs surgery.

The super widefield microscope can increase the efficiency of the Mohs surgeon in evaluating frozen tissue sections. The increased microscopic viewing area allows more of the operator's visual fields to be used. The super widefield microscope is especially useful when multiple and/or large frozen sections are to be examined.

Frozen Sections↗

Glucagonoma syndrome: case report and literature review.

The glucagonoma syndrome is characterized by dermatitis, glucose intolerance, hypoaminoacidemia, and hyperglucagonemia secondary to an alpha-cell tumor of the pancreas. Other clinical features include anemia, glossitis, and weight loss. A 62-year-old woman with the syndrome sought medical attention for a chronic dermatitis. A skin biopsy was suggestive of necrolytic migratory erythema. A glucagonoma was surgically removed from the tail of the pancreas. Review of the literature indicates that 56 proven and 33 probable cases of glucagonoma syndrome have been reported.

Adenoma, Islet Cell↗

High frequency ultrasonic imaging of skin: experimental results.

Experimental results are presented demonstrating the application of pulse echo ultrasound to imaging the skin. A laboratory prototype B-mode mechanical scanner was employed to obtain images of human skin, both in vitro and in vivo, using broadband pulsed ultrasound at 25 MHz. Images were formed by processing digitized A-mode waveforms and displaying the resulting two-dimensional cross sections using a digital imaging system. Images obtained by rectifying the A-modes are compared to those derived using a software-based cross-correlation technique. Scans of test targets demonstrate that an axial resolution of 100 m can be achieved at 25 MHz when the digital correlation method is employed. Lateral resolution is limited by the 0.25 mm half-power focal beamwidth of the transducer. Seventeen in vitro ultrasonic scans of human skin were compared to frozen section histology. Average skin depth was well correlated between the two techniques ( = 0.99, p less than 0.001). Application of cross-correlated processing to 25 MHz in vivo images produced good delineation of epidermis, papillary, and reticular dermis. Conversion to a 50 MHz transducer did not delineate skin layers as well as the 25 MHz transducer due to inherent difficulties with transducer reverberations.

Abdomen↗