Search PubMed⌕ Search

Biomedical subjects

W A Grunow

Publications and source records attributed to W A Grunow.

10 recordsLinked to original sources
PubMed1989

Perinatal nonimmune hydrops: diagnostic ultrasonography and related aspects of management.

Nonimmune hydrops fetalis may become the commonest form of hydrops seen in Western countries during the perinatal period, and it has at least a 50% mortality. This report describes five infants with nonimmune hydrops associated with maternal hydramnios and with congenital fetal lesions or disorders, ie, mediastinal teratoma, pulmonary leiomyosarcoma, Beckwith-Weidemann syndrome with omphalocele, fetal tachycardia, and Down's syndrome. Three of the infants survived the neonatal period and two of these underwent surgery for resection of their tumors early in the neonatal period. The third had an omphalocele repaired at 6 hours of age. The literature is reviewed with respect to the pathophysiology of nonimmune hydrops. Its diagnosis and treatment are discussed, with special emphasis on the role of ultrasound in its early diagnosis and optimal prenatal and postnatal management, and on the morbidity seen in survivors.

Female↗
PubMed1985

Reliability of Gleason grading system in comparing prostate biopsies with total prostatectomy specimens.

Prostate biopsy and total prostatectomy specimens from 31 patients with adenocarcinoma of the prostate were compared using the Gleason histopathologic grading system. The overall accuracy when grouping the scores into three categories (2-4, 5-7, and 8-10) was 81 per cent. The incidence of critical undergrading was 6 per cent while the incidence of critical overgrading was 13 per cent. Eighty-seven per cent of the biopsy scores were plus or minus 1 Gleason unit of the prostatectomy scores. Intraobserver variation was less than 1 Gleason unit. The mean absolute difference between the biopsy and the total prostatectomy specimen was 0.77 Gleason units. The Gleason category score of the total prostate specimen can be predicted from the biopsy tissue with reasonably good accuracy. The limitation of this grading system in predicting the presence or absence of pelvic node involvement is discussed.

Adenocarcinoma↗
PubMed1985

Primary intracranial immunoblastic lymphoma in infancy.

Primary intracranial lymphoma is uncommon in any age group, but it is especially rare in childhood. This report describes a previously healthy, 14-month-old female infant who developed a primary intracranial immunoblastic (probable B-cell) lymphoma which remained confined to the central nervous system until the time of death, 23 months after diagnosis. She appears to be the youngest patient with documentation of such a diagnosis by light and electron microscopy and by histochemical and immunoperoxidase studies. An immunological investigation was negative. Significant maternal and paternal family histories of malignancy suggest that a genetic predisposition, combined with postzygotic events such as viral infection, may be responsible for this familial cluster of tumors, and for this patient's unusual presentation.

Brain Neoplasms↗
PubMed1984

Serum chemistry of the diamond-backed water snake (Nerodia rhombifera rhombifera) in Arkansas.

Seventeen serum chemistry analyses were performed on blood collected from captive diamond-backed water snakes. Means, standard deviations, and ranges were calculated for each assay. There was no correlation between the chemistry values and sex or size. The reported values for sodium, potassium, glucose, and total protein fell within the ranges found in the present study, but the values for chloride and blood urea nitrogen were higher, and calcium, bicarbonate, and osmolality were lower. Some snakes had unexpectedly very low serum glucose values which could not be explained by technique or methodology. There was a wide range in enzyme measurements which could be partly due to handling prior to death.

Alkaline Phosphatase↗
PubMed1981

Granular cell myoblastoma of the esophagus. Report of two cases.

Granular cell myoblastoma (GCM) of the esophagus is a rare, usually benign tumor, most often discovered incidentally during upper endoscopy, surgery, or autopsy. Although some reports have questioned the safety of endoscopic biopsy of granular cell tumors of the esophagus, we feel that the procedure can be performed safely and accurately. For the unwary, histological examination may lead to a misdiagnosis of squamous cell carcinoma. Although some reports of malignant esophageal tumors can be found, in general, if the histologic appearance of the tumor is benign, malignant transformation or metastasis is unusual. Surgical resection for malignant and for large symptomatic benign tumors is the treatment of choice. In, however, individuals with histologically benign tumors. who are asymptomatic or who are not considered good surgical candidates, careful observation with endoscopic follow-up can be safely done.

Adult↗
PubMed1981

Infective endocarditis and mitral prolapse: a comparison with other types of endocarditis.

We compared clinical features, response to therapy, and outcome of infective endocarditis in ten patients with mitral valve prolapse and 23 patients with endocarditis involving other types of left-sided valvular lesions. Signs of endocarditis were more subtle in patients with mitral valve prolapse, and antimicrobial therapy was instituted later in those patients. Nevertheless, nine of ten patients with mitral valve prolapse and endocarditis responded optimally to antimicrobials; only five of 23 patients with other types of endocarditis responded similarly. Four patients with mitral valve prolapse experienced increasing valvular dysfunction during the year after treatment of endocarditis; one died. We conclude that endocarditis in patients with mitral valve prolapse is more responsive to antimicrobial therapy even though recognition of the infection often is delayed. However, mitral valve prolapse endocarditis is not a benign infection, because progressive valvular dysfunction is a frequent sequel.

Adolescent↗