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Biomedical subjects

M Laus

Publications and source records attributed to M Laus.

At least 55 records · Page 3Linked to original sources
PubMed1980

Giant cell reaction of bone.

Six cases of giant cell reaction of bone are presented. These are osteolytic lesions that affect the bones of the hand and foot. They are characterised by fibroblastic proliferation with the production of osteoid substance and bone, with abundant giant cells but no atypical cells. After describing the cases anatomically and clinically, the writers consider the differential diagnosis in bony lesions of the hand and foot containing giant cells. Giant cell reactions always heal after marginal excision. The most important differential diagnosis is with giant cell tumours and the bone lesions of primary hyperparathyroidism.

Adolescent↗
PubMed1980

Clear cell chondrosarcoma.

Three cases of clear cell chondrosarcoma are presented. This variety of chondrosarcoma should be differentiated most of all from chondroblastoma and osteoblastoma.

Adult↗
PubMed1979

Sarcoma in Paget's disease (11 cases).

Eleven cases of sarcoma in Paget's disease of bone are presented, together with an extensive review of the literature. These neoplasms are rare but not exceptional, and mostly affect male subjects in the seventh decade of life. The sites most frequently affected are the pelvis, femur and humerus. In 30 per cent of cases these neoplasms are multifocal. Radiographically the lesions are nearly always osteolytic. The radiographic diagnosis may, however, be quite difficult, especially in the presence of the severe (but benign) osteolyic lesions that sometimes occur in Paget's disease. Morphologically these tumours are mostly highly polymorphic sarcomas. The cases in this series were diagnosed histologically as osteosarcoma, grade 3 fibrosarcoma, and malignant fibrous histiocytoma; but there are no prognostic differences between the various histological types. The prognosis is very serious, only about 3 per cent of patients surviving for five years from the time of diagnosis. Therapy, unfortunately nearly always palliative, is based on amputation or disarticulation after sections biopsy in cases where the disease is localised to the limbs, and on radiotherapy in cases not amenable to surgery.

Adult↗
PubMed1979

Resection of the distal end of the radius.

Resection of the distal end of the radius is indicated in the treatment of locally aggressive primary bone tumours, such as giant cell tumour. This requires reconstruction of the resected segment. Various techniques are examined and the one using an autoplastic fibular graft is described in detail. This method preserves good function of the wrist joint.

Arthrodesis↗
PubMed1979

Ewing's sarcoma (a review of 195 cases).

The authors discuss their findings resulting from an analysis of a large series (195 cases) of Ewing's sarcoma. In particular they compare the clinical and radiographic pictures and prognosis prior to and after the introduction of adjuvant chemotherapy. This reveals such marked differences in the past and present features of this neoplasm that some of our previous criteria and attitudes to diagnosis and treatment have undergone radical reappraisal.

Adolescent↗
PubMed1979

Therapeutic problems in the treatment of cartilaginous tumours of bone.

Two cases of solitary cartilaginous bone tumours are presented. They were slow growing and the radiographs never showed any certain evidence of malignancy. The writers emphasize the difficulties in planning treatment, in view of the tendency towards malignancy shown by these tumours.

Adolescent↗
PubMed1979

Leontiasis ossea.

A case of leontiasis ossea, observed over a period of fifty years, is described with particular reference to certain similarities and differences as compared with Paget's disease of bone (osteitis deformans) and fibrous dysplasia. The differential diagnosis is discussed and it is concluded that leontiasis ossea is an entity in its own right.

Adult↗
PubMed1979

Histiocytic fibroma of bone (a study of 170 cases).

This study is based on 170 cases of histiocytic fibroma of bone. This is a metaphyseal hamartoma composed of histio-fibroblasts; it is completely benign, and affects children and adolescents. Because of their benign nature and characteristic radiographic appearance, which is almost always diagnostic, these tumours do not require surgery, except in rare forms that give rise to symptoms, or in which tthe radiographic appearances are atypical and clarification of the diagnosis is called for.

Adolescent↗
PubMed1978

Malignant fibrous histiocytoma of bone.

Eleven cases of malignant fibrous histiocytoma of bone observed during recent years are reported. An analysis is presented with regard to sex, age, site, symptoms, radiography, macroscopic and microscopic aspects. The differential diagnosis is discussed on the basis of these criteria. Because of the small number of cases and limited follow up, it was not possible to come to any definite conclusions concerning prognosis and treatment. Treatment was surgical in almost all the cases.

Adolescent↗
PubMed1978

Primary malignant mesenchymoma of bone (case report).

A case of primary malignant mesenchymoma of bone is reported. It's a very rare kind of tumor of which only four cases were previously reported in the literature. It's a malignant neoplasm where histological aspects of both liposarcoma and osteosarcoma coexist. Prognosis appears to be similar to that of osteosarcoma.

Adolescent↗
PubMed1978

Chondromas and chondromatosis (a study of 265 cases, 200 with long term follow up).

265 cases of solitary chondroma, multiple chondromas and chondromatosis were analysed. Two hundred cases had a long term follow up of 1-50 years (average ten years). Recurrence after surgical removal is rare. It is exceptional for malignancy to develop in chondromas of the hand. Malignant degeneration (chondrosarcoma, fibrosarcoma, etc.) was found in 12 per cent of the solitary chondromas and in 32 per cent of the multiple chondromas and chondromatosis involving the bones elsewhere than in the hand. The first of these figures is probably excessive, since many of the solitary chondromas elsewhere than in the hand remain asymptomatic and unrecognised; but the second figure is probably too low, since the risk of sarcomatous degeneration remains present throughout the patient's life.

Bone Neoplasms↗
PubMedDate not supplied

Specifically designed polymeric nanospheres increase cellular uptake of unmodified antisense ODNs.

The cellular uptake and the inhibitory effect of c-myb unmodified antisense oligonucleotides reversibly bound to new polymeric nanoparticles in HL-60 cellular system have been found to increase by 50 folds if compared with the free ODN. An initial single dose (320 nM) of the nanoparticle bound unmodified antimyb ODN has been able to specifically inhibit HL-60 leukemia cell proliferation for at least 8 days.

Base Sequence↗
PubMedDate not supplied

The treatment of anterior recurrent dislocation of the shoulder: the Bankart-Delitala procedure.

The authors report the results of 110 shoulder capsulorrhaphies performed according to the Bankart-Delitala technique. After a mean period of 104 months +/- 63 the clinical results, evaluated on the basis of the Rowe method were excellent-good in 94.6% of cases, and fair-poor in 5.4%. In 83.6% of cases there was no deficit in motility of the shoulder submitted to surgery, in 16.4%, the shoulder presented deficit in extrarotation (exceeding 15 degrees in only 1 case, equal to 0.9%).

Adolescent↗
PubMedDate not supplied

Disseminated intravascular coagulation during total hip replacement.

Disseminated intravascular coagulation (DIC) is an extremely serious hemorrhagic disorder and one that is potentially lethal. DIC is more frequently observed as a complication of obstetric pathologies, diffused neoplasms, bacterial sepsis, blood transfusions, traumas and adipose embolias. The literature reports very few cases occurring after total hip replacement, two of which the cause of death. In all of the cases described one or boh prosthetic components are cemented. The authors report a case observed after total hip replacement in a patient submitted one year previously to contralateral hip replacement. Severe hypotension, bradychardia and profuse bleeding of the wound and from the drainages one hour after suturing constituted the initial symptom. Recognition of the clinical findings, after exclusion of a iatrogenic lesion, and subsequent treatment in intensive therapy allowed us to save the patient. The syndrome must be suspected and immediately diagnosed when profuse bleeding that cannot be related to vascular lesion is observed immediately postsurgery after cemented or hybrid hip replacement. Confirmation through hematological tests and timely treatment in a specialized center are indispensable requirements to save the life of the patient.

Aged↗
PubMedDate not supplied

The Gamma nail, sliding-compression plate. A comparison between the long-term results obtained in two similar series.

The authors report the results they obtained in a retrospective comparative study conducted on two systems of osteosynthesis used to treat trochanteric fractures: the sliding-compression screw-plate (CHS), and the Gamma nail. Two series were included in the study, each of which was made up of 50 cases; these were comparable in terms of fracture type, age of the patients, associated pathologies, and minimum follow-ups of 6 months. The parameters compared were: surgical trauma, average amount of time before a standing position could be resumed, resumption of motor activity previous to trauma, mechanical behavior of the instrumentation. The results show that both of the means of synthesis are capable of effectively stabilizing pertrochanteric fractures, avoiding the mechanical complications instead observed when more dated instrumentation, such as the screw-plate or nail-plate, are used, systems which are not characterized by a sliding cervico-cephalic screw. The amount of time before walking is resumed is quicker when the Gamma nail is used. There was no significant difference in terms of resumption of motor activity. Surgical trauma was the same in both series when the instrumentation was applied after reduction of the fracture in closed surgery, while blood loss was greater when fracture reduction required by application of the plate was performed in open surgery.

Adult↗