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Biomedical subjects

J W Beabout

Publications and source records attributed to J W Beabout.

At least 73 records · Page 4Linked to original sources
PubMed1980

Scintigraphic evaluation of the skeleton in multiple myeloma.

The effectiveness of bone scintigraphy for the detection of skeletal involvement in multiple myeloma was studied in 27 patients. Bone scintigrams and roentgenographic surveys were performed every 6 months for a period of 5 years or less, depending on the final course of the disease. This group was compared with a group of 100 patients with prostatic cancer at the time of initial diagnosis. In the myeloma group, roentgenographic skeletal surveys indicated bone involvement with greater specificity and sensitivity at the time of the initial diagnosis, in follow-up studies, and in the evaluation of bone pain than did scintigrams. In contrast to results in prostatic cancer, the bone scan added little to the management of patients with multiple myeloma.

Adult↗
PubMed1979

Benign tumors.

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Bone Cysts↗
PubMed1979

Osteosarcoma with small cells simulating Ewing's tumor.

Twenty-four patients who had osseous lesions with histological features of both Ewing's sarcoma and osteosarcoma were studied. Because of their appearance, these lesions have been labeled small-cell osteosarcomas. They appear to represent a definite histological entity and the prognosis may be worse for these lesions than for conventional osteosarcomas. It is most important not to misdiagnose this tumor as Ewing's sarcoma because it appears not to be radiosensitive. Radical surgery and modern adjuvant chemotherapy seem to offer the best chance of cure.

Adolescent↗
PubMed1978

The frequency of bone abnormality in patients on anticonvulsant therapy.

Biochemical and bone morphometric measurements were evaluated in 12 patients who were on long-term anticonvulsant therapy with barbiturates. Half of the patients had no symptomatic bone disease, and half presented with bone disease and pain. Serum biochemical values were normal except for a few patients who had an elevated serum level of parathyroid hormone; the concentration of serum 25-hydroxy vitamin D was decreased in the majority of patients in whom it was measured. Bone absorptiometric values were normal but proved to be misleading: the Singh Index and videodensitometric measurements indicated that bone mass was below normal in all patients. Bone morphometric data indicated that bone resorption was 3 times greater than normal, and there was no evidence of osteomalacia. Vitamin D and possibly calcium have been suggested as potentially useful agents in the treatment of the bone disease associated with chronic anticonvulsant therapy.

Adult↗
PubMed1977

Multicentric giant-cell tumor of bone.

The presence of more than one distinct giant-cell tumor in the same patient is rare; seven cases have been reported in the literature. The present series involves eleven patients with thirty-five individual tumors. Multifocal giant-cell tumors may pose a diagnostic problem. It is difficult to distinguish a multicentric giant-cell tumor from a primary giant-cell tumor with metastatic spread. This problem is magnified when the second lesion is not noted at the onset or is metaphyseal in location. Moreover, these lesions present a therapeutic challenge to the surgeon. Multiple lesions tend to exhibit the same aggressive clinical behavior as a solitary giant-cell tumor. A high recurrence rate after curettage indicates that aggressive surgical management is necessary.

Adolescent↗
PubMed1977

Diagnosis of osteoporosis: usefulness of photon absorptiometry at the radius.

The photon-absorption method (Cameron-Sorenson) is commonly used in the diagnosis of osteoporosis to measure bone mineral in appendicular bones. Although this method gives accurate and reproducible results when applied to the distal radius and midradius, separation between osteoporotic patients and age-matched normals was less than satisfactory because of a large overlap. By contrast, a radiographic index based on the pattern of trabecular bone at the proximal femur (Singh index) gave a better separation between the two populations. The Singh index discriminates better, probably because osteoporotic patients have a greater proportion of loss of trabecular bone of the axial skeleton than of cortical bone of the appendicular skeleton.

Age Factors↗
PubMed1976

Parosteal osteogenic sarcoma.

A clinicopathologic study of 79 patients with parosteal osteogenic sarcoma revealed that more females than males were affected and that most of the patients were in the second to the fourth decades of life. Sixty-eight percent of the patients had involvement of the posterior aspect of the lower femoral shaft. The roentgenogram characteristically showed a large, dense lobulated mass attached by a broad base to the underlying bone but with no involvement of bone itself. Microscopically, the tumor presented as well-formed bands of osteoid within a hypocellular spindle cell stroma. Seven of the lesions had foci of high-grade osteogenic sarcoma within an otherwise typical parosteal osteogenic sarcoma. Six of the 79 lesions showed involvement of the medullary cavity at surgery. Thirty-one patients had excision as their initial treatment; four of the 31 required nv further therapy. Ten patients had resection initially; three of the ten had recurrence. Only four of 27 patients who underwent amputation initially developed pulmonary metastasis. The presence of histologically "active" tumor and medullary involvement seemed to affect the prognosis adversely. Our data indicate that complete radical removal of the tumor is the treatment of choice, with resection when feasible and amputation when necessary.

Amputation, Surgical↗
PubMed1976

Periosteal osteogenic sarcoma.

A study of 102 osteogenic sarcomas of the bone surface revealed that 79 were parosteal osteogenic sarcomas. Roentgenographically, these 79 were dense, lobulated lesions attached by a broad base to underlying bone, usually the lower femoral shaft. Histologically, they were low-grade osteosarcomas. The other 23 lesions (periosteal osteogenic sarcoma) usually involved the upper tibial shaft and presented as small radiolucent lesions on the surface, with formation of spicules of bone perpendicular to the bone shaft. Histologically, these 23 were relatively high-grade, predominantly chondroblastic osteogenic sarcomas. Thirteen of the 23 patients were males, and most were in the second decade of life. Of five patients who had excision of the tumor, two had recurrence. Seven of 13 patients who underwent amputation initially were alive without disease at last follow-up. Only 4 of the 23 patients have dies of metastatic disease.

Adolescent↗
PubMed1976

The spectrum of osteoblastoma.

Benign osteoblastoma is a rare tumor, more frequent in males, usually occurring in patients under the age of 30 years, and is seen most frequently in the spine, femur, tibia, and mandible. Its varied roentgenographic appearance may suggest a large osteoid osteoma or an aneurysmal bone cyst, but about one-fourth of cases present a picture consistent with a malignant neoplasm. The roentgen changes in the spine are frequently subtle and require care for identification. Differentiation from osteogenic sarcoma is sometimes difficult even with histological material, because some low grade osteogenic sarcomas contain areas resembling osteoblastoma. Conservative surgery is the treatment of choice for osteoblastoma.

Adolescent↗
PubMed1976

Chondrosarcoma: clear-cell variant. A report of sixteen cases.

Of sixteen adult patients with clear-cell chondrosarcoma, ten were men. The tumor usually involved the proximal part of the femur or humerus. Roentgenographically, the lesion was usually well defined and indistinguishable from chondroblastoma. Serial roentgenograms occasionally showed malignant progression of the lesion. Histologically, benign giant cells and cells with clear cytoplasm were always present, and areas of conventional chondrosarcoma were seen in about half the cases. Excision usually resulted in recurrence; resection seemed to be curative. Four of the sixteen patients died as a result of the tumor. Clear-cell chondrosarcoma should be distinguished from chondroblastoma and treated more aggressively.

Adult↗
PubMed1975

Osteoid-osteoma: diagnostic problems.

The clinical records and roentgenograms of fifty-four patients had the typical features of osteoid-osteoma, but no histological evidence of a nidus was found at initial surgery. The symptoms of thirty-one patients were relieved by initial operation and those of twenty-three were not. In two cases, Brodie's abscess was identified in the surgical specimen. A second operation in eighteen patients brought relief in thirteen, and a nidus was found histologically in seven of these patients. A parosteal osteogenic sarcoma was found in one of the patients who had no relief of symptoms. Three patients underwent a third operation and were relieved of symptoms, a nidus being found in two. Thus, symptoms were relieved in thirty-six of forty-two patients in whom no nidus or other pathological entity was found, indicating the significance of this symptomatic sclerotic osseous lesion.

Abscess↗
PubMed1975

Ewing's sarcoma. A clinicopathological and statistical analysis of patients surviving five years or longer.

Of 229 patients with primary Ewing's sarcoma of bone, thirty-seven survived five years or longer. When the patients who survived five years or longer were compared with the 192 who did not, two factors associated with longer survival were identified in this retrospective study: location of the primary tumor within an extremity and inclusion of surgery as part of the initial treatment. The probability of five-year survival for all 229 patients with primary Ewing's sarcoma was 16 per cent. For those seen since 1950, this probability was 18 per cent, and for patients without metastasis, it was 22 per cent.

Adolescent↗