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Biomedical subjects

K J Cho

Publications and source records attributed to K J Cho.

At least 145 records · Page 8Linked to original sources

Pelvic abscess complicating embolic therapy for control of bleeding cervical carcinoma and simultaneous radiation therapy.

Embolization therapy for control of bleeding has an important therapeutic role in gynecologic malignancies. This is the first report of a pelvic abscess as a sequela of embolic treatment for bleeding cervical cancer in a patient simultaneously receiving radiotherapy. Other complications of transcatheter embolizationare reviewed. Methods of preventing complications when embolization and radiation are combined are discussed.

Abscess↗

Adrenal medullary disease in multiple endocrine neoplasia type II.

The diagnosis of multiple endocrine neoplasia type II (MEN-II) was made in 18 patients from 1966 through 1978 at the University of Michigan Medical Center. Eight patients had adrenal medullary disease. Seven had bilateral adrenal pheocyromocytomas (two with concomitant medullary hyperplasia) and one had a unilateral pheochromocytoma with contralateral medullary hyperplasia. No malignant or extraadrenal pheochromocytomas were found. Pheochromocytomas in patients with MEN-II are multiple and involve both adrenal glands. Adrenal venography is advocated as the primary diagnostic tool for localization of adrenal medullary disease in MEN-II patients.

Adolescent↗

Pulmonary artery constriction by mediastinal lymphoma simulating pulmonary embolus.

Two cases of constriction of the pulmonary artery secondary to mediastinal lymphoma are reported. Both patients had clinical symptoms of pulmonary embolism. Radionuclide lung scans showed no perfusion of the right lung in one patient, and diminished perfusion of the right lung in the other. Pulmonary angiography revealed diffuse concentric narrowing of right main pulmonary arteries in both patients and of lobar branches in one, in whom severe encasement of the right pulmonary artery by a lymphomatous mass confirmed at autopsy. The decisive role of pulmonary angiography in determining the underlying pathology in patients with abnormal perfusion scans is illustrated.

Adult↗

Angiography of duodenal leiomyomas and leiomyosarcomas.

Five duodenal smooth muscle neoplasms (two leiomyomas and three leiomyosarcomas) are reported. All occurred in the lower second part of the duodenum, and the angiographic findings were similar to those of myomatous tumors occurring elsewhere in the gastrointestinal tract. The leiomyomas were hypervascular with sharply demarcated margins. The leiomyosarcomas were hypervascular with sharply demarcated margins. The leiomyosarcomas were larger and less vascular than the leiomyomas and had indistinct margins. However, local invasion and metastases were definite signs of malignancy. One of the patients with a leiomyoma was examined because of active bleeding, and the hemorrhage was controlled by selective embolization.

Angiography↗

Biliary cystadenomas: sonographic-angiographic-pathologic correlations.

Three biliary cystadenomas are reported. Two occurred in the left lobe of the liver and the third involved the right lobe and the medial segment of the left lobe. All three patients had gray scale sonography of the liver and two underwent hepatic angiography. The sonographic features were similar to those of cystadenoma of the ovary or pancreas, that is, multilocular cystic lesions with septations and papillary projections. Angiographically the lesions were hypovascular with a faint rim of contrast-material accumulation in the wall and septa of the mass.

Adult↗

Arterial impressions on the stomach.

The splenic artery frequently produces a contour defect on the posteromedial aspect of the stomach, particularly in elderly individuals. When the artery is tortuous or aneurysmal, the impression is prominent and may simulate a neoplasm. Similarly, the aorta can produce a gastric impression. Recognition of these impressions on the stomach wall avoids erroneous diagnosis and unnecessary exploratory surgery.

Aged↗

Localized cystic disease of the kidney: angiographic-pathologic correlation.

Each of the three patients with a type of unilateral, localized cystic disease of the kidney that did not fit into a specific category of existing classifications had numerous cysts involving a part of one kidney. Selective angiography showed stretching of arteries around cysts that remained radiolucent in the nephrographic phase, and microscopic examination demonstrated that septa among the cysts contained compressed renal elements. The condition appeared to be neither progressive nor familial. All three had hypertension. Two patients who had nephrectomy for the cystic lesion became normotensive postnephrectomy. Despite some morphologic resemblances, this condition is believed to be different from adult type polycystic kidney disease in its clinical and genetic aspects.

Angiography↗

Non-neoplastic congenital and acquired renal arteriovenous malformations and fistulas.

Abnormal renal arteriovenous communications were documented by renal angiography in 21 patients. Included were congenital malformations, traumatic fistulas and spontaneous fistulas associated with renal arterial disease. Each type exhibited characteristic angiographic features. Overt clinical manifestations were observed in more than half the cases. Specific treatment depended upon type, location and size of the arteriovenous communication. Small, covert renal fistulas and malformations were managed conservatively. Five medium size symptomatic intrarenal arteriovenous fistulas and one malformation were successfully treated by transcatheter embolization. Large lesions, especially when associated with renal arterial disease, may be more appropriately treated by surgery.

Adolescent↗

Recognition of splenic vein occlusion.

Radiologic findings and medical records of 27 patients with angiographic documentation of splenic vein occlusion were reviewed. The most common causes were pancreatic carcinoma, pancreatitis, and malignant lymphoma. Radiographic findings which suggest splenic vein occlusion are gastric varices without esophageal varices and collateral veins in the left upper abdomen during the vascular phase of rapid sequence pyelography. Additional features may be associated with the underlying disease, such as pancreatic calcification and upper abdominal mass lesions. The diagnosis is usually confirmed by high dose celiac or splenic angiography. Examination of the stomach with barium for the detection of gastric varices is more sensitive than has been previusly recognized; features which suggest them are described. Isolated gastric varices may be a clue to isolated splenic vein occlusion and its underlying causes.

Adult↗

Ultrasonic characterization of solid renal lesions: echographic, angiographic and pathologic correlation.

Seventy-two patients with solid renal lesions were studied by renal echography and the echography and the results were correlated with angiography and pathologic examination of excised specimens. Thirty-one tumors were diagnosed by echography and were proved by angiography and pathology. Renal tumors are either more echo-producing or less echogenic than adjacent normal renal parenchyma. All angiographically hypervascular tumors and hypovascular tumors with areas of hemorrhage and necrosis are more echo-producing. Hypovascular homogenous renal carcinomas, transitional cell carcinoma invading the kidney, and metastases are less echo-producing. Pseudo-tumors have the same echo characteristics as surrounding and adjacent normal renal parenchyma.

Adenocarcinoma↗

Angiography of massive hemorrhage secondary to pancreatic diseases.

Twenty patients with massive abdominal hemorrhage related to chronic pancreatitis, pancreatic neoplasms and arteriovenous malformations were studied angiographically. Abdominal hemorrhage drained most frequently into the gastrointestinal tract, but also flowed through cutaneous drain sites and fistulas, intraperitoneally, into pseudocysts and once into a large pancreatic tumor. The most common angiographic observation in pancreatitis was pseudoaneurysm formation. Both patients with arteriovenous malformation had dilated, racemose feeding arteries and early dense filling of the draining veins. Three patients had pancreatic carcinoma and documented bleeding from gastroesophageal varices related to portal or splenic vein occlusion by the tumor. Five patients were treated by vasopressin infusion, balloon tamponade, or therapeutic embolization.

Adult↗