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  • 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
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    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
    Library Location Call Number Volume/Issue/Year Availability
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