Search PubMed⌕ Search

Biomedical subjects

H A Mitty

Publications and source records attributed to H A Mitty.

At least 109 records · Page 6Linked to original sources

Ultrasonography of adrenal masses: usual features.

Gray-scale B-scan was successful in delineating adrenal masses in 40 patients, all confirmed pathologically. Two patients with extra-adrenal pheochromocytomas, two calcified cysts, and two patients with bilateral adrenal hyperplasia are demonstrated. The usual ultrasonographic features are presented in this paper; they correlated well with urographic, angiographic, CT, and pathological findings. The smallest mass demonstrated was an aldosteronoma (1.3 cm in size).

Adenocarcinoma↗

Ultrasonography of adrenal masses: unusual manifestations.

Forty patients with pathologically-proved adrenal masses, and two patients with extra-adrenal pheochromocytomas, were examined with gray scale B-scan. The authors describe unusual echo patterns of adrenal masses due to necrosis or hemorrhage, variations in the effects of large adrenal masses on surrounding organs and vessels, and the differential diagnosis. The complementary role of computed tomography is also discussed.

Adolescent↗

Partial embolization of large peripheral hemangioma for pain control.

Pain associated with a large hemangioma of the thigh was relieved by embolization of a portion of the lesion with Gelfoam. The branch to be occluded was selected when the distribution of the heat associated with the injection of contrast material corresponded to the distribution of the patient's pain.

Adult↗

Renal vein thrombosis: a cause of intrarenal calcification in the newborn.

The calcification which may follow renal vein thrombosis (RVT) has a virtually diagnostic radiographic pattern. Previous examples have been noted mainly in follow-up examinations of infants with a history of neonatal RVT. The case reported herein, with pathologic confirmation, illustrates that such calcification may be present even on the first day of life as a result of RVT occurring in utero.

Calcinosis↗

Ureterocele and pseudoureterocele: cobra versus cancer.

The cobra-shaped distal ureter is not pathognomonic of a ureterocele. It may be seen with incomplete distal ureteral obstruction owing to tumor or calculus. The appearance of the wall surrounding the dilated distal ureteral segment is a more important finding to differentiate a ureterocele and a pseudoureterocele. The wall of a ureterocele is thin, while the lucency surrounding a pseudoureterocele is thicker and poorly defined.

Diagnosis, Differential↗

Ultrasonography of renal sinus lipomatosis.

Gray scale B-scans in renal sinus lipomatosis show a variety of features which must be differentiated from clinically significant pathological processes. Normal kidneys show dense homogeneous central echoes. In renal sinus lipomatosis, however, the central echoes are divided and become more sparse (Type I), interspersed with small relatively echo-free areas (Type II), or outline a single relatively echo-free area resembling a mass (Type III). In contrast to similar features in hydronephrosis or multiple cysts, the relatively echo-free areas in lipomatosis are ill-defined and do present several weak internal echoes.

Humans↗

Virilizing adrenocortical adenoma studied by selective adrenal venography.

A 15-year-old girl with primary amenorrhea, hirsutism, and enlargement of the clitoris was found to have an increased titer of the urinary neutral 17-ketosteroids which failed to decrease after the administration of dexamethasone and an adrenal tumor was demonstrable on venography. Analysis of the adrenal venous effluent revealed gradients on the side of the tumor for testosterone, androstenedione, estradiol, and dehydroepiandrosterone sulfate. Following removal of the tumor, the hirsutism improved markedly, the menses returned, and sexual maturation progressed.

Adenoma↗

A simple ultrasound guide for needle puncture.

A method of ultrasound directed needle puncture using a clamp and a guide block is described. It eliminates the need for an aspiration biopsy transducer and has proved to be simple, accurate, and inexpensive.

Biopsy, Needle↗

Feminizing interstitial cell tumor of the testis: personal observations and a review of the literature.

A 28-year-old man with evidence of feminization was demonstrated after 4 years of investigation to have a estrogen-secreting interstitial cell tumor. Such feminizing neoplasms are uncommon, only 37 having been described. They are usually benign and are characterized by gynecomastia, a testicular mass and, with lesser frequency, by decreased libido and potency and poor semen quality. The urinary excretion and plasma levels of estrogen are increased and, by selective testicular catheterization, the site of increased estrogen production can be localized. Secondary histologic changes occur in the nontumorous portions of the testis as well as in the contralateral testis; they are most marked in the area immediately adjacent to the tumor. Postoperatively, the gynecomastia regresses, the excessive levels of estrogen return to normal, libido improves, and the sperm count increases to normal.

17-Hydroxycorticosteroids↗

Circumaortic renal collar. A potentially hazardous anomaly of the left renal vein.

The circumaortic renal collar is a potentially hazardous anomaly of the left renal vein. Failure to recognize the dorsal component during retroperitoneal surgery may lead to hemorrhage, nephrectomy or death. The angiographer can make a significant contribution in documenting this anomally in patients who are candidates for surgery in this area.

Female↗