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  • 1
    ISSN: 1432-1963
    Keywords: Schlüsselwörter Schilddrüse ; Dünndarm ; Leiomyosarkom ; unbekannter Primärtumor ; Key words Thyroid gland ; Small intestine ; Leiomyosarcoma ; Unknown primary tumour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In a 69-year-old female patient a moderately pleomorphic spindle-cell thyroid tumour measuring 5 cm in diameter was initially misinterpreted as primary anaplastic thyroid carcinoma. During clinical investigations to elucidate the cause of severe anaemia, 17 months later an ulcerated duodenal leiomyosarcoma was detected and removed by duodenopancreatectomy. Reevaluation of the thyroid nodule led to revision of the initial diagnosis to metastatic leiomyosarcoma. Six months later the patient died from cerebral stroke. Autopsy findings confirmed the diagnosis of primary leiomyosarcoma of the duodenum with initial manifestation as thyroid metastasis.
    Notes: Zusammenfassung Bei einer 69 jährigen Patientin wurde ein 5 cm großer, mäßig pleomorpher spindelzelliger Schilddrüsentumor zunächst als primäres anaplastisches Schilddrüsenkarzinom verkannt. Erst im Rahmen einer 17 Monate später durchgeführten Anämieabklärung wurde ein 7 cm durchmessendes duodenales Leiomyosarkom entdeckt und mittels Duodenopankreatektomie reseziert. Die erneute Beurteilung der Primärhistologie führte zur Revision der initialen Diagnose und zur Einstufung des Schilddrüsentumors als metastatisches Leiomyosarkom. Die Patientin verstarb weitere 6 Monate später an einem apoplektischen Insult. Die Autopsiebefunde bestätigten die Einschätzung des Tumorleidens als ein initial durch die Schilddrüsenmetastase manifest gewordenes intestinales Sarkom.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of applied physiology 69 (1994), S. 402-407 
    ISSN: 1439-6327
    Keywords: White blood cells ; Erythrocytes ; Hyperventilation ; Adrenaline ; Noradrenaline
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Voluntary hyperventilation for 20 mm causes haemoconcentration and an increase of white blood cell and thrombocyte numbers. In this study, we investigated whether these changes depend on the changes of blood gases or on the muscle work of breathing. A group of 12 healthy medical students breathed 36 l· min−1 of air, or air with 5% CO2 for a period of 20 min. The partial pressure of CO2 decreased by 21.4 mmHg (2.85 kPa;P 〈 0.001) with air and by 4.1 mmHg (0.55 kPa;P 〈 0.005) with CO2 enriched air. This was accompanied by haemoconcentration of 8.9% with air (P 〈 0.01) and of 1.6% with CO2 enriched air (P 〈 0.05), an increase in the lymphocyte count of 42% with air (P 〈 0.001) and no change with CO2 enriched air, and an increase of the platelet number of 8.4% with air (P 〈 0.01) and no change with CO2 enriched air. The number of neutrophil granulocytes did not change during the experiments, but 75 min after deep breathing of air, band-formed neutrophils had increased by 82% (P 〈 0.025), whereas they were unchanged 75 min after the experiment with CO2 enriched air. Adrenaline and noradrenaline increased by 360% and 151% during the experiment with air, but remained unchanged with CO2 enriched air. It was concluded that the changes in the white blood cell and platelet counts and of the plasma catecholamine concentrations during and after voluntary hyperventilation for 20 min were consequences of marked hypocapnic alkalosis. It was found that minimal changes of the blood gases, the muscle work of breathing, the chest movements or mechanical influences on the spleen did not contribute to hyperventilation-induced changes of these variables.
    Type of Medium: Electronic Resource
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