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Biomedical subjects

P Falappa

Publications and source records attributed to P Falappa.

At least 37 records · Page 2Linked to original sources

Thoracic extramedullary hematopoiesis: evaluation by conventional radiology and computed tomography.

4 cases of extramedullary hematopoiesis (EH) in the posterior mediastinum in patients affected with serious chronic anemia are presented. The contribution of conventional radiology and computed tomography (CT) to the assessment of an exact diagnosis, is discussed. The CT images are above all characterized by the presence of typical bilateral, asymmetrical paravertebral hyperdense masses (about 45 HU). Besides, a striated aspect of the vertebral bodies is common. For a rather sure diagnosis of EH in patients with chronic anemia, a conventional chest X-ray and CT of the thorax is sufficient. Biopsy and thoracotomy should be avoided.

Adult↗

Advanced carcinoma of the cervix treated by continuous pelvic arterial infusion with cytostatics and radiation therapy.

Regional chemotherapy by infusion of cytostatic drugs (methotrexate and adriamycin) into the hypogastric arteries has been used in 25 cases of advanced carcinoma of the cervix (IIIB and IV stage). A method for the percutaneous introduction of catheters into these arteries and their permanence for a period of time of 8-12 days is described. After chemotherapy there was such a satisfactory reduction in size of the tumour that patients could then be treated with radiotherapy and/or surgery.

Doxorubicin↗

[Uncommon locations of celomic cysts: a possible cause of error in mediastinal radiology (author's transl)].

Five cases of uncommon locations of mediastinal celomic cysts are presented. All cases were surgically proved. The importance of these locations in the differential diagnosis of mediastinal masses is stressed. The evaluation of their inner structure by computerized tomography is, without doubt, the best progress in radiological diagnosis of the mediastinum. This method allows, atraumatically, to confirm or exclude the cystic nature of the lesion in one with its precise spatial localization.

Adult↗

Portosystemic arteriovenous fistulas.

The authors report the angiographic demonstration of arteriovenous fistulas in three patients. The fistula was believed to be spontaneous in one case, related to abdominal surgery and to abdominal trauma in the other two cases. The importance of angiography in the diagnosis and evaluation of this disease has been emphasized in the literature. Early diagnosis is valuable, either to prevent hepatic damage or to give an opportunity for recovery once it has taken place. Follow-up of the three patients has shown that hepatic function notably improved after surgery.

Adult↗

Bilateral pseudocystic pheochromocytoma.

A case of bilateral pheochromocytoma presenting as primarily cystic suprarenal masses is reported. The computed tomographic manifestations, possible etiology, and differential diagnosis of these cystic suprarenal lesions are discussed.

Adrenal Gland Diseases↗

[Lumbar epidural anesthesia in peripheral arteriography].

A brief survey of the difficulties associated with the intra-arterial administration of contrast media during peripheral arteriography is followed by an assessment of anaesthesiological and arteriographic results obtained with lumbar peridural anaesthesia in a group of patients. Complete analgesia, block of the sympathic, and motor block gave particular assistance in the securing of optimum definition of the radiographical picture of the peripheral circulation. These and other advantages offered by peridural anaesthesia suggest that it is a valid technique for peripheral arteriography.

Anesthesia, Epidural↗

[Computerized tomography of lymphomas: a simple method in the control of abdominal localization after treatment].

The authors, according to their experience of repeated controls of abdominal computed tomography (CT) in 10 patients with Hodgkin's and non Hodgkin's lymphomas, obtained a clear demonstration of therapy response and disease evolution. The reduction or enlargement after therapy of periaortic, pericaval, hepatic, splenic and pancreatic lymph nodes not always opacified from lymphographic contrast medium is evaluated. It was possible, during the same examination, to evaluate liver, spleen, kidneys parenchyma and regional bone. CT results were always well correlated with clinical findings.

Hodgkin Disease↗

[Value of CT and lymphography in the staging of lymphomas (author's transl)].

The contribution of CT is evaluated in association with conventional diagnostic investigations in the staging of lymphomas. The data obtained by means of CT are an integration of those obtained by means of lymphography. On the other hand CT offers elements which cannot be obtained by others methods, especially concerning the retroperitoneal region. This diminishes the average of patients who must undergo laparoscopy and laparotomy. Moreover CT allows to follow the evolution of the disease and to control the results of the treatment.

Adolescent↗