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Biomedical subjects

L Garel

Publications and source records attributed to L Garel.

At least 73 records · Page 4Linked to original sources

Breast disease in the male: galactographic evaluation.

Seven men with unilateral nipple discharge underwent galactography. In two patients the diagnosis was carcinoma, two were benign papillomas, one was a breast abscess, and two were ductal ectasia. Galactography is useful in men and women with nipple discharge, especially when the discharge is bloody and there is no palpable tumor. The precise location of an intraductal lesion through the use of galactography guides the biopsy and makes conservative surgery easier.

Adult↗

[Diffuse arterial calcified elastopathy].

Diffuse arterial calcified elastopathy was observed in 6 pediatric patients presenting with severe renovascular hypertension. Renal ultrasonography showed a characteristic pattern, the dotted corticomedullary junction, related to the increased echogenicity of the interlobar and/or arcuate arteries. Superficial temporal artery biopsy demonstrated the presence and the extension of the calcifying process involving the elastic layers of the muscular arteries. This clinicopathological syndrome may be heterogeneous from an etiological point of view: etiologic investigations led to the diagnosis of pseudoxanthoma elasticum in 2 patients; no etiology could be found in the others.

Arteries↗

Pseudocysts of the pancreas in children: which cases require surgery?

The need for surgery in pancreatic pseudocysts in children is directly related to the status of the duct of Wirsung. Clinical deterioration was often the factor leading to surgery. The retrospective study of ten cases of pancreatic pseudocyst pointed to the value of ultrasound as an indicator of pancreatic duct involvement. CT was also of help in one case. ERCP, performed only in one patient before surgery, may be indicated in difficult cases.

Adolescent↗

Echographic aspects of hepatic metastases of nephroblastomas.

We report a retrospective study of 293 cases of nephroblastoma treated at the Gustave Roussy Institute (I.G.R.) from 1971 to 1980, and 39 similar cases treated at the Curie Institute (I.C), from June 1977 to June 1981. Twenty-two cases of hepatic metastases were found. We were primarily interested in the echographic aspects of the lesions and particularly in their evolution. Despite the fact that the patients came from different centers with varying types of work-up, ten cases were fully documented and are presented in detail. They show the use to which ultrasound may be put.

Adolescent↗

Pulmonary vascular nodules: new sign of left lower lobe collapse in children.

Left lower lobe collapse can be suspected in children on a frontal chest film when three or more peripheral left upper lobe vessels are seen end-on along the left heart border. The peripheral vascular changes are mainly due to the backward and downward displacement of the hilus. This "vascular nodule sign" was evident in 25 (70%) of 36 cases of left lower lobe collapse. Its frequency in normals is less than 10% and may be accounted for by lordotic projection. Although not entirely specific, this sign, easily noticeable even on an underexposed film, should raise the possibility of left lower lobe collapse.

Adolescent↗