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Biomedical subjects

P Falappa

Publications and source records attributed to P Falappa.

52 records · Page 3Linked to original sources

[Pleural colonization of thymoma].

Six observations of peculiar pleural implants completely separated from invasive thymomas (examined by conventional chest x-ray and CT) were reviewed. CT was more effective than chest x-ray; number, size and extent of pleural lesions were underestimated by plain film studies. Moreover CT provides a densitometric evaluation of the pleural pathology being useful in differential diagnosis. CT can also be helpful as a guide to needle biopsy.

Adult↗

Surgical approach to renal cell carcinoma extending into the right atrium through the inferior vena cava.

Successful management of a patient with an intracardiac tumor thrombus of renal carcinoma is described. This case and a few others in the literature have led us to consider the clinical signs of cavo-atrial obstruction, frequently silent and unspecific; the diagnostic methodology, especially based upon CAT scan and cavography, and the type of surgery and surgical technique called for, especially as regards the approach and the possible use of extracorporeal circulation (ECC).

Adenocarcinoma↗

[Percutaneous biopsy of the lungs: 136 biopsies in 80 patients (author's transl)].

The authors analyze their experience on 136 percutaneous biopsies of the lung performed on 80 patients during 3 years. Indications are given with particular reference to the technique, to the type of the needles used and the expedients adopted in order to reduce the complications. Patients to be subjected to biopsy should be correctly and carefully selected. To this purpose, the authors present a protocol used for the patients affected by localized or diffused, single or multiple pulmonary lesions. Percutaneous needle biopsy of the lung assumes a precise role in the numerous diagnostic studies on these patients. The technique is considered in some cases essential to the right management of the patient. In other cases, instead, it is considered superfluous or too risky for the presence of contraindications. As demonstrated by authors' experience, supported by others, the method has appeared easy to perform and apt to provide good diagnostic results.

Adult↗

[Computerized tomography in the location of hepato-splenic echinococcal cysts. Presentation of 2 cases].

Computerised tomography (CT) was used in a study of liver and spleen hydatids in two patients. CT is of primary importance, even when such cysts occur in unusual sites, i.e. the spleen, because it clinches the diagnosis in all cases where daughter cysts are present. Scintigraphy, angiography, and conventional radiology may be regarded as of secondary importance. Even when CT is not specific due to the absence of daughter cysts, it offers a panorama of the hydatid territory, its boundaries, and the displacement and compression it imposes on neighbouring organs. It immediately defines the liquid content. In addition, the diagnostic values of CT goes beyond that of ultrasonography, which may be impeded by meteorism and surgical sequelae, such as adhesions and scars.

Adult↗