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Biomedical subjects

S A Belinkie

Publications and source records attributed to S A Belinkie.

6 recordsLinked to original sources

Invasive squamous cell carcinoma of the carpus: malignant transformation of epidermis dysplasia verruciformis.

Epidermodysplasia verruciformis is a rare disease that is characterized by the eruption of wartlike skin lesions. There is a high incidence of malignant transformation of these lesions, especially in areas exposed to the sun, such as the face or the dorsum of the hands. We present a case that demonstrates many aspects of this disease entity, which ultimately required amputation of the hand because of invasive squamous cell carcinoma of the carpal bones.

Amputation, Surgical↗

Splenic abscess associated with Streptococcus bovis septicemia and neoplastic lesions of the colon.

Streptococcus bovis bacteremia is known to be associated with gastrointestinal disease, especially colon lesions. Two patients are presented with a previously unreported syndrome: S. bovis bacteremia, endocarditis, colon neoplasms, and splenic abscess. In one case, the colonic lesion was occult and required colonoscopy for identification (normal barium enema). S. bovis bacteremia is an important marker for occult gastrointestinal neoplasia.

Abscess↗

Management of penetrating neck injuries.

In 44 patients neck wounds penetrating the platysma were evaluated over a 5-year period. Twenty-one patients were admitted and observed; 22 patients were explored immediately. One was dead upon arrival in the emergency room. The decision to explore was based upon initial clinical evaluation using criteria of unstable vital signs, bleeding, hematoma, subcutaneous emphysema, respiratory distress, or neurologic deficits. Of the 21 patients selected for observation, none had complications or required later surgery. There was a negative exploration rate of 23%. Had all patients been explored, the negative exploration rate would have been 60%. We conclude that selective exploration, based upon careful clinical evaluation, is both safe and reasonable in cases of penetrating neck trauma.

Adolescent↗

Pancreatic pseudocyst.

Pancreatic pseudocyst is a relatively rare complication of pancreatitis with a reported incidence of 1 to 5 per cent in patients with pancreatitis. The 5-year experience with pancreatic pseudocyst at Saint Francis Hospital and Medical Center and Mount Sinai Hospital has been reviewed in an effort to determine optimum diagnostic and therapeutic techniques. Twenty-eight patients were treated for this problem during the period of June 1976 through June 1981 with one death. All patients had operative therapy, with internal drainage being the procedure of choice. The most common presenting symptom was abdominal pain. The most useful diagnostic study proved to be ultrasonography. Complications occurred in nine patients (32%). These included bleeding, obstructive jaundice, infection, rupture, and recurrence.

Adult↗