ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01491.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01492.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01493.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01494.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01495.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThe inaccuracy of palpation to detect cervical metastatic lymph node disease is emphasised. Approximately one third of patients with head and neck carcinoma will be diagnosed incorrectly with respect to metastatic disease in the neck regardless of the presence or not of palpable nodes. Normal but palpable nodes or anatomical prominences may cause difficulty in interpretation.This report gives details of experience with67Gallium citrate scanning in 14 patients with cervical masses, which were initially assumed to be metastatic in origin.The primary lesion was well demonstrated in two cases, and in four other cases positivee7Ga scans corresponding with metastatic cervical lymph nodes were obtained. In six cases however the scan was negative; moreover there were two instances where chronically‐inflamed submandibular salivary glands gave “false positive” scans. On the basis of this experience, thef, TGa scan appears to be of no help in staging head and neck malig

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01496.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

Summary80 cases with blocked bronchi, demonstrated bronchographically, have been reviewed. A high degree of association with bronchogenic carcinoma has been demonstrated but, contrary to the findings of other workers, bronchial occlusion due to non‐neoplastic causes was relatively frequent. In the present series a blocked bronchus was due to carcinoma in 88% of patients who were smokers over the age of 45 years. Bronchography features highly suggestive of carcinoma are reviewed and a “flooding technique”, which is described, is advocated in the performance of the examination. It is strongly recommended that bronchography precede bronchoscopy for this latter investigation to be fully effective.In the centres where bronchography has been widely employed in the assessment of bronchogenic carcinoma, the discovery of a blocked bronchus has been accorded great diagnostic significance. For example, one study of 1,408 bronchograms showed a blocked bronchus in 89% of 236 histologically proven lung cancers and only 3 false positive cases (Wiltet al.,1959). Similarly, in a review of 262 bronchograms a blocked bronchus was associated with bronchogenic carcinoma in 94.2% of a series which contained 97 proven cases of carcinoma (Rinkeret al.,1968).The first objective of this paper is to review the experience of the Royal Melbourne Hospital with the so‐called “block bronchus sign” over recent years and to assess its significance in the diagnosis of bronchogenic carcinoma.Furthermore, it has been pointed out that, whereas respiratory movement plays a large part in the filling of normal bronchi with contrast medium, a bronchus involved by carcinoma loses its flexibility and distensibility and:an fill only by gravity (Molnar and Riebel, 1964). In recognition of this assertion, a technique of bronchography in which the bronchi 3n the side of the lesion are flooded with contrast medium has been used for at least 10 years at the Royal Melbourne Hospital and a nigh degree of significance has been attached to the finding of a blocked bronchus (Hare and Bennett, 1962).The second objective of this paper is to evaluate the contribution made by the “flooding” technique o

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01497.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThree cases of primary neoplasm of the liver are presented. The first patient, with a tumour mass in the right lobe, showed a small area of calcification within the tumour.The second patient, with a tumour in the left lobe showed radiological features simulating enlargement of the spleen.A third patient, whose tumour was discovered at post‐mortem is presented briefly.Evaluation of the pattern of liver calcification in the diagnosis of hepatoma is stressed and the role of Alpha‐fetoprotein estimation is also discus

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01498.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThis paper presents the findings of a morphological and metrical study, based on 107 adult human columns, of the variations which occur in the last lumbar spinous process and laminae in association withupperorcomplete defectof the posterior wall of the sacral canal.When there is a defect of the upper sacral arches or complete defect of the posterior wall of the sacral canal, several types of variations may occur in the arch and the spinous process of the last lumbar vertebra. One such variation of clinical significance is a marked hyperplasia of the spinous process (spina magna) which occurred in 1.9% in the present series. It is suggested that in the differential diagnosis of low midline backache this condition should be considered as one of several possible causes of low midline backache. It is further suggested that appropriate radiological techniques should be developed to show the entire spinous process of the last lumbar vertebra and the extent of defect of the posterior wall of the sacral canal.

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01499.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryA 14½‐year‐old boy with undifferentiated osteochondrodysplasia was described.Shortening of the long bones with metaphyseal flaring were the most important radiographic findings in the newborn period.The dynamic nature of the changes–regression of the metaphyseal flaring and development of other deformities with age (uneven shortening of the long bones, platyspondyly of the thoracic spine, narrowing of the inter‐pedicular distances in the lower thoracic and lumbar spine, hypoplasia of the knee epiphyses with valgus deformity and peculiar shape of pelvis and jaw) have been stressed.This case represents well the unpredictability of bone changes in undifferentiated osteochondrodysplasia of the

ISSN:0004-8461    

DOI:10.1111/j.1440-1673.1974.tb01500.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY