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Biomedical subjects

S Berger

Publications and source records attributed to S Berger.

At least 397 records · Page 22Linked to original sources

[Osteochondrosis dissecans of the hip in adults--differential diagnosis of free joint bodies--case report].

The causes of hip pain in adults can vary greatly. We present the case of a 44-year-old woman with recurrent hip pain over a period of years. Medical history and clinical examination did not provide any decisive information. The X-rays revealed a loose body in the cavity of the hip joint. The MRI scan made the following differential diagnosis plausible: osteochondrosis dissecans coxae, osteochondroma and chondromatosis. The final diagnosis of osteochondrosis dissecans coxae was confirmed by surgical dislocation of the hip as modified by Ganz and histological examination of the loose body. This case supports the importance of including rare lesions in the differential diagnostic work-up of joint pain. The advantages of the offset operation as modified by Ganz versus arthroscopy of the hip are outlined.

Adult↗

Attracting good managed-care plans that deliver on promises.

Imagine it's the year 2000. Managed care accounts for nearly 50% of your hospital's patient revenues. Are you prepared? Are you pursuing the more desirable managed-care organizations while staying clear of those that fail to deliver on promises? Consultants Sally Berger and Diane Millikan offer advice to help facilities woo top-notch managed-care plans and thereby increase their market shares.

Decision Making, Organizational↗

[Malignant fibrous histiocytoma of the bone].

Five cases of malignant bone fibrous histiocytoma diagnosed by bioptic material are presented. The authors state that the diagnosis of these rare bone malignant neoplasms do not present a larger diagnostical problem. However, some differential diagnostic problems are often met compared to other bone neoplasms, especially in osteosarcoma, so in these cases are recommended that together with routine histologic examinations in establishment of diagnosis should be also used enzymohistochemical methods, especially alkaline and acid phosphatase. Also, it is necessary to use immunohistochemical methods with corresponding markers which the authors have used in establishment of diagnosis of their cases. Based on the analysis of the presented cases the authors support the theory of J. Brooks on the histogenesis of these tumours within his theory of differentiation of the mesenchimal tissue which is easily recognized in recidives and metastases of soft tissue sarcomas by phenotypes organized at the lower level of differentiation.

Adolescent↗

[Castleman's tumor in the retroperitoneal space].

A patient, aged 28, was admitted to the Department of Urology of the Military Medical Academy in Belgrade, for the operation of the right adrenal gland tumour. The adrenal gland tumour was first diagnosed as an inactive hormonal tumour. Intraoperatively it was found in retroperitoneal area, over the right adrenal gland and the right kidney, near the Cava inferior and under the liver it was extirpated. It was a Castleman's tumour of hyaline-vascular type.

Adult↗