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At least 919 records · Page 51Linked to original sources

[The role of radiotherapy in small cell lung cancer].

From 1974 to 1984, we have treated 70 patients with SCLC using radiotherapy (RT) alone or in combination with chemotherapy (CT). It was demonstrated that a heavy CT regimen causing a severe toxicity did not always cause good results. On the other hand, there was a long-term survivor in those patients who were treated with RT alone. Considering from our results as well as from reviews of literatures, it is evident that RT can reduce a significant number of local relapses but has little effect on systemic disease. Therefore, RT added to CT seems to improve a long-term survival specifically in those patients in whom CR is induced from CT. The characteristics of the long-term survivors treated with combined treatment are: limited disease, thoracic RT, good PS, only single site of metastases. In conclusion, there is no doubt that CT plays an important role in the management of SCLC. However, its efficacy is still far from desired, and a new type of CT is warranted.

Carcinoma, Small Cell↗

Chest MRI in children.

MRI of the pediatric chest appears useful in evaluating the mediastinum, the bony thorax, and the lung parenchyma. MR seems to be more useful than other imaging modalities in evaluation of the mediastinum, particularly in defining the extent of the lesions. Coronal images provide additional information to those obtained axially. MR can in a selected number of cases replace x-ray CT in evaluation of the pediatric chest.

Child↗

The radiologic evaluation of chest pain in the athlete.

Chest pain in the athlete may arise from any one of a number of diverse etiologies. Many of these entities are discussed using an organ system approach. The pathophysiology and clinical characteristics of these processes are described and imaging studies that may aid in establishing their diagnosis are discussed.

Athletic Injuries↗

[Initial experiences with the use of the surgical CO2 laser scalpel].

Reported in this paper is the surgical applicability, as established from 35 operations, of the Type TLS 61 laser scalpel of Tungsram Rt, 60 Watt in output. Useful experience has been recorded from surgical approaches to thorax cavity as well as from general, gastro-enterological, vascular, and dermatological surgery. Minimised bleeding and sterile incisions are benefits of laser operations. The above model has proved to be applicable to skin, muscles, lung, stomach, intestines, bones, and other tissues. Wound healing was absolutely okay. After-bleeding or other complications did not occur.

Humans↗

[Ultrasound diagnosis: principles of application].

Continuous technical development, more and more users of ultrasound and increasing experience in investigating various organs and regions of the human body have contributed to the fact that diagnostic ultrasound even in children today is a method of choice in many cases. The purpose of this report is to show the various indications and possibilities of ultrasound and to discuss the significance and value in comparison with other imaging modalities.

Adrenal Gland Diseases↗

The broken wire suture.

The body is a hostile environment for wire sutures. Although the problems of electrochemical corrosion, direct chemical attack on the suture, and inflammation produced in reaction to the suture have been largley eliminated by the use of austenitic stainless steel wires, failure of the wires may still occur due to mechano-chemical cracking -- the combined effect of insignificant stresses, usually from cold working, and insignificant chemical potentials produced by body fluids. Although stainless steel wire remains a satisfactory material for sternotomy closure or for reattaching costal cartilages, the two spectacular complications of a broken wire point out the need for care in using wire sutures. Bending, twisting, kinking and knotting must be avoided as much as possible.

Adult↗

Thoracostomy.

Tube thoracostomy in the Emergency Department is an integral part of trauma and care and treatment of nontraumatic intrapleural collections. An understanding of pleuropulmonary anatomy, physiology, and pathophysiology forms the basis for appropriate and safe application of this procedure. Rapid diagnosis and treatment of intrapleural collections in the trauma patient is essential when one considers the grave prognosis of untreated tension pneumothorax or massive hemothorax. Prior knowledge of possible procedural complications with particular attention to thoracostomy site, sterile technique, and careful blunt dissection makes chest tube placement straightforward and safe. Most post-procedural complications can be avoided through a thorough understanding of the collection system and careful monitoring of the patient.

Drainage↗