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  • Electronic Resource  (5)
  • Cell & Developmental Biology  (3)
  • Prognostische Faktoren  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 813-819 
    ISSN: 1435-2451
    Keywords: Lung metastasis ; Chest wall resection ; Chemotherapy ; Prognostic parameters ; Lungenmetastasen ; Brustwandresektion ; Chemotherapie ; Prognostische Faktoren
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Bei 21 Patienten fand sich nach Resektion von Lungenmetastasen und befallener Brustwand unabhängig von der Grösse der Brustwandinfiltration eine mediane Überlebenszeit von 11 Monaten. Nur 1 Patient mit Hodenteratom-Metastasen überlebte 5 Jahre und ist tumorfrei. Die 30-Tage-Letalität betrug 0%. Hauptindikation sind Komplikationen, wie Exulceration und Schmerz. Trotz schlechter Prognose kann eine Lebensverlängerung bei verbesserter Lebensqualität erreicht werden. In seltenen Fällen ist nach Tumorreduktion bei chemotherapiesensiblen Tumoren eine Heilung möglich.
    Notes: Summary In 21 patients after combined chest wall and lung metastasis resection a median survival time of 11 months was found independent of the degree of the chest wall infiltration. Only 1 patient with metastasis from a testicular teratoma survived 5 years and is tumor free. There was no 30-day-lethality. The main indications are complications such as exulceration and pain. In spite of the poor prognosis a prolongation of survival time with improved quality of life may be achieved. In rare cases cure is possible by combined tumor reductive surgery and chemotherapy.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 891-891 
    ISSN: 1435-2451
    Keywords: Liver metastasis ; Natural history ; Prognostic parameters ; Evaluation of therapeutic results ; Lebermetastasen ; Spontanverlauf ; Prognostische Faktoren
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Ergebnisse therapeutischer Massnahmen bei Lebermetastasen können nur unter Berücksichtigung des Spontanverlaufes dieser Erkrankung beurteilt werden. Dazu bedarf es einer Prognoseberechnung therapeutisch relevanter Gruppen. Für Patienten, die nach heute gültigen Kriterien für eine Therapie in Frage kommen, fand sich eine mediane Überlebenszeit von 11 Monaten und eine drei-Jahres-Überlebensrate von 17%. Hieran wird die Effektivität therapeutischer Verfahren zu messen sein.
    Notes: Summary The therapeutic results in treatment of liver metastasis can only be judged with regard to the natural history of the disease for which the prognosis of therapeutically relevant groups must be evaluated. The median survival time was 11 months and the probability of 3-year survival 17% for patients who today are potential candidates for the various therapeutic procedures available. These results must be taken into consideration as a measure of the effectiveness of the therapies applied.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    The @Anatomical Record 232 (1992), S. 612-619 
    ISSN: 0003-276X
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The first appearance and early development of two circumventricular organs, the area postrema (AP) and the subfornical organ (SFO), were investigated in human embryos and fetuses from the 4th to the 40th gestational weeks (GW). The AP appears very early in development, during the GW 10; its high vascularization can be seen from GW14, and differentiated neurons are observed from GW 16. The SFO is characterized by a late onset of development. It can first be distinguished at GW 17, but it does not attain cytological differentiation until the last weeks of gestation. It is suggested that the AP has important functions during fetal life, which are related to normal fetal weight and growth; in contrast the SFO, which is connected with drinking behavior and salt/water balance, seems to play a less essential role in early fetal life.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    American Journal of Anatomy 172 (1985), S. 87-99 
    ISSN: 0002-9106
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The synthesis and secretion of progesterone by the corpus luteum (CL) may be limited or controlled by transport mechanisms operating between circulating blood and luteal cell cytoplasm. To examine this possibility, the structural features involved in transport, including membrane surface areas and diffusion distances, were quantitated in the CL of 16-day pregnant rats. One ovary from each of eight rats was fixed by perfusion via a cannula inserted into the parametrial artery, and two CL from each ovary were processed for electron microscopy and examined with standard morphometric techniques. For comparison, one CL from each of a further eight ovaries was diced into small cubes, fixed by immersion, and analyzed similarly. In perfusion-fixed CL, there was a substantial volume of vascular space (20% of the total) and interstitial space (5%) and an extensive surface area of capillaries (441 mm2 per CL). The luteal-cell membrane had numerous projections which increased its surface area by a factor of 3.08. Almost 60% of the luteal-cell surface directly faced a capillary, and a further 37% faced interstitial space which probably extended to a capillary surface. Only 3% was in direct contact with a neighboring luteal cell. Despite the extensive interstitial space the harmonic mean thickness, an estimate of likely effective diffusion distance between luteal cell cytoplasm and blood, was only 0.42 μm. This was less than half of the calculated arithmetic mean thickness owing to the presence of surface projections and an uneven capillary endothelium. Results from immersion-fixed CL were qualitatively similar; but the proportion of interstitial space was only 59% of that in perfusion-fixed CL, and the contribution of surface projections to the total area of luteal-cell membranes was significantly reduced. Collectively, these results suggest that membranes and spaces between blood and luteal-cell cytoplasm are structured so as to minimize transport distances.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 0002-9106
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The volumes of the major tissue compartments, vascular space, interstitial space, and luteal cells, in the corpus luteum (CL) of 16-day pregnant rats were determined morphometrically after different fixation procedures. Ovaries were fixed by perfusion at physiologic pressures (PF), by immersion directly in fixative (IF), by immersion after clamping blood vessels to prevent escape of blood (IFC), or by immersion after administration of heparin to prevent blood clotting (IFH). Three CL in each of eight ovaries were examined for each fixation method. Total volumes were significantly larger in CL fixed by PF and IFC, and approximated physiologic volumes as assessed from frozen ovaries. Perfusion-fixed CL had significantly larger vascular and interstitial spaces and smaller cell volumes than immersion-fixed CL. Capillary surface area varied significantly between the four groups in accordance with absolute volume of vascular space. Estimated numbers of endothelial cells and amounts of connective tissue differed significantly, presumably due to difficulties in identifying these components in immersion-fixed CL with collapsed vessels. The fixation methods used caused substantial fluid shifts between the three major compartments. A theoretical approach for considering these shifts and the likely physiologic situation was developed.
    Additional Material: 5 Ill.
    Type of Medium: Electronic Resource
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