[Surgical intervention in drepanocytemia].
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Sonography of the spleen allows exact measurements of this organ. There are typical pictures in cysts or hematomas. Diffuse changes of the spleen however are hardly distinguishable in regard to differential diagnosis. Retroperitoneal masses can easily be recognized. Lymph-nodes can be identified and the results of therapeutic interventions can be judged. Hematomas or abscesses can be seen easily. Guided needle biopsy offers the possibility for histologic examinations.
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Investigators have statistically linked the occurrence of certain conditions to sickle cell trait (hemoglobin AS). Other associations between hemoglobin AS and morbid conditions have been reported with reliable documentation, although these reports have lacked a statistical base. The need for continued, careful, and clear documentation of such associations is emphasized because physicians caring for patients with sickle cell trait will continue to question such associations. An approach to counseling patients with sickle cell trait is suggested.
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