Necrosis of the humeral head following postoperative supervoltage irradiation and chemotherapy in carcinoma of the breast.
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Biomedical subjects
Publications and source records attributed to P B Bricout.
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P6modification of the non-looping afterloading interstitial technique for tongue-cancer therapy is described. The subsequent risk of tearing or breaking of the tubes, resulting in radioactive sources left as foreign bodies in soft tissues, is reduced. In addition, evaluation of implant position is simplified by the use of radioopaque tubes.
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Two cases of biopsy-proven mycosis fungoides are described. Case 1 appears to be the first reported instance of mycosis fungoides in the maxillary sinus. Case 2 involves persistently recurring lesions within the oral cavity, which appear to have been placed in a long-term remission by a full course of cobalt irradiation therapy to the entire oral cavity.
Metastases to the small bones of the hands and feet are a rare occurrence. The author reports five cases from his personal experience and reviews the literature. Bronchogenic carcinoma appears to be the principal contributor to hand metastases. Although there are approximately 150 reported cases, the true incidence is probably greater due to lack of reporting and lack of attention to the extremities in routine screening procedures. X-ray appearance is uniformly lytic. Local radiotherapy gives palliation.
Epidural metastasis is potentially one of the most disabling complications encountered in oncology. Once paraplegia has been established, only one patient in ten responds to treatment. A series of 16 patients is presented in which early diagnosis and treatment led to improvement in 13 of 16 patients. Most patients present with pain for varying periods (mean 2.2 months) before neurological signs appear. Myelography alone establishes the diagnosis. Spinal radiography correlates well with the block level in two thirds of cases. Radiotherapy, alone or with steroids, increasingly is used in the management of this condition.
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