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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Supportive care in cancer 3 (1995), S. 313-316 
    ISSN: 1433-7339
    Keywords: Percutaneous endoscopic gastrostomy (PEG) ; Abdominal wall metastasis ; Complication
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Percutaneous endoscopic gastrostomy (PEG) has become a widely used method for nutritional support, particularly in patients with advanced head and neck carcinomas. Since the method is easy and widely established it is necessary to assess possible complications, even rare ones. In this paper we report on two patients with vaccination metastasis following PEG insertion. Both patients had advanced squamous cell carcinoma of the head and neck or the upper esophagus. In three patients previous bougienage was performed, because of considerable stenosis of the pharynx and/or esophagus. Fast-growing metastases were found at the site of PEG insertion, with and without involvement of the gastric wall. In neither case was abdominal wall metastasis the cause of death. There is a small but definite risk of tumor seeding into the abdominal wall after PEG insertion for obstructive malignant tumors. The clinical impact of this finding, however, is still undefined and needs further investigation.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of neural transmission 99 (1995), S. 7-54 
    ISSN: 1435-1463
    Keywords: Computed tomography (CT) ; functional magnetic resonance imaging (fMRI) ; late-onset depression ; late-onset paranoid disorder ; magnetic resonance imaging (MRI) ; magnetic resonance spectroscopy (MRS) ; normal pressure hydrocephalus (NPH) ; primary degenerative dementia ; psychiatry ; ultrasound ; vascular dementia ; white matter hyperintensities
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary An outline is given of some of the methodological issues discussed in neuroradiological research on psychiatric illness. Strengths and shortcomings of magnetic resonance imaging (MRI) in depicting and quantifying brain structures are described. Temporal lobe anatomy and pathology are easily accessible to MRI, whereas limits on anatomical delineation hamper approaches to frontal lobe study. White matter hyperintense lesions are sensitively depicted by MRI, but specificity is limited. Distinction of vascular and primary degenerative dementia is considerably improved by CT and MRI analysis. Computed tomography (CT) and MRI have enhanced the understanding of treatable organic psychiatric disorders, e.g., normal pressure hydrocephalus. Subcortical and white matter pathology has been replicated in CT and MRI studies of late-onset psychiatric disorders, clinical overlap with cerebrovascular disease or neurodegeneration may be of import. Transcranial sonography findings of brainstem structural change specific to unipolar depression may contribute to the understanding of affective psychoses. Magnetic resonance spectroscopy and functional MRI are likely to stimulate psychiatric research in the future.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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