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Biomedical subjects

I Segal

Publications and source records attributed to I Segal.

208 records · Page 12Linked to original sources

Bile obstruction in hepatocellular carcinoma--visualization by endoscopic retrograde cholangiography. A case report.

Extrahepatic biliary obstruction is a rare presentation in hepatocellular carcinoma (HCC), only 31 cases having been reported in the literature. We describe a patient with extrahepatic biliary obstruction in whom endoscopic retrograde cholangiography was suggestive of cholangiocarcinoma. Laparotomy and subsequent investigation, however, confirmed HCC metastasizing to the common hepatic duct. The cholangiographic appearance of HCC involving extrahepatic bile ducts is emphasized and features differentiating it from cholangiocarcinoma are highlighted. Even though extrahepatic biliary obstruction in HCC is rare, this disorder should be considered in the differential diagnosis of obstructive biliary tract disease.

Carcinoma, Hepatocellular↗

Health/ill-health transition in less privileged populations: what does the future hold?

Changes in health/ill-health in response to alterations in environmental factors are recognised. While the phenomenon has been extensively investigated in Western populations, the extent and sequelae of transitions in less privileged populations are less well appreciated. Examples of changes are given, first for Western populations as a comparison but, more particularly, for rural and urban Africans, for African-Americans, and also for Australian Aboriginals, whose mortality rates for chronic degenerative diseases now exceed those of white Australians. Discussion of the likely future of these populations indicates that a lessening of proneness to Western diseases is unlikely.

Adolescent↗