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T B Harvald

Publications and source records attributed to T B Harvald.

4 recordsLinked to original sources
PubMed1999

[The connection between delayed diagnosis of lung cancer and the intraoperative stage].

The five-year survival after surgery for non-small cell lung cancer is good with respect to Stage I and Stage II and poor with respect to higher stages. The aim of this retrospective study of 172 patients was to detect a connection between the intraoperative stage and the pre-operative delay. Concerning the intervals from first symptom to operation and from first contact with the healthcare system to operation, the delay was significantly shorter for the patients in Stage I and II compared to Stage III and IV. The fraction of lung cancers detected by coincidence was significantly higher in Stage I and II compared with Stage III and IV. In conclusion, a few months' delay before final treatment of a non small-cell lung cancer has an impact on the perioperative stage, and thereby on the patient's prognosis. Screening asymptomatic risk-group patients will result in recognition of early lung cancer.

Carcinoma, Non-Small-Cell Lung↗
PubMed1996

Impalpable breast lesions diagnosed by mammography: incidence of histologically confirmed malignancy.

OBJECTIVE: To evaluate the suitability of currently applied mammographic criteria for the early diagnosis of subclinical tumours by comparing radiological findings with the final histological diagnosis. DESIGN: Open study. SETTING: District hospital, Denmark. SUBJECTS: 151 Women who underwent needle biopsy of 161 occult breast lesions that had been diagnosed by mammography during the period 1986-90. INTERVENTIONS: Definitive operation if frozen section at the time of needle biopsy indicated malignancy. Radiographic examination of the specimen ensured that the abnormal area had been excised. MAIN OUTCOME MEASURES: Correlation of mammographic and histological findings. RESULTS: Eight foci showed carcinoma in situ and 33 invasive carcinoma; 10 of the 33 had lymph node metastases. Foci with mammographic masses had a significantly higher risk of malignancy than those without (25/70, 37%, compared with 8/91, 17%, p = 0.005). Spiculated foci with clustered calcifications had the highest risk of malignancy (6/11, 54%). 16/87 foci in women less than 50 years old contained malignant disease compared with 25/74 in women aged 50 or more (p = 0.04). A fifth of the frozen sections contributed nothing to the diagnosis. The incidence of malignant disease in impalpable lesions of a quarter is similar to the reported incidence in palpable mammary tumours, but metastases at the time of diagnosis are appreciably less common (30% compared with 50%). CONCLUSION: The currently applied mammographic criteria are particularly helpful to patients under the age of 50.

Adult↗
PubMed1994

[Vasectomy using the Li method].

The no-scalpel vasectomy is described and evaluated. Nineteen out of 21 consecutive patients could be operated with this technique. The median operating time was 16 minutes, range 9-50 minutes. There were no complications and the scar was barely visible after ten days. The median score for pain was 0.4 cm (range 0.0-5.0 cm) and for discomfort 0.7 cm (range 0.0-5.0 cm) on a 10 cm long visual analogue scale. The method is minimally invasive and well-tolerated by the patients. When some routine is gained the operating time is short.

Adult↗