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  • Kiel classification  (2)
  • Bile duct examination  (1)
  • Biliary stones  (1)
  • 1
    ISSN: 1432-0584
    Keywords: Non-Hodgkin lymphoma ; Kiel classification ; Rappaport classification
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Using the Kiel and the Rappaport classifications, a comparative histopathological analysis of 486 cases with non-Hodgkin lymphomas from a prospective study of the Kiel Lymphoma Study Group, still in progress, was performed. The greater part of Rappaport's classical lymphoma entities was found to be inhomogeneous and to include tumors of considerable prognostic heterogeneity, as shown by differences in actuarial survival. Some of the Kiel lymphoma entities have been identified in several lymphoma types of the Rappaport classification, indicating that “translation” of one scheme into the other is difficult or impossible. In addition, centrocytic lymphoma of the Kiel classification may not be homogeneous. On the whole, the Kiel classification appears to be superior to the original Rappaport classification in categorizing the various prognostically diverse types of non-Hodgkin lymphomas.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0584
    Keywords: Non-Hodgkin lymphoma ; Kiel classification ; Low-grade malignancy ; High-grade malignancy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary On the basis of the retrospective analysis of 405 patients, suggesting the clinical relevance of the Kiel classification of non-Hodgkin lymphomas (NHL), a prospective multicenter study was started on October 1st, 1975, by the Kiel Lymphoma Study Group in order to further clarify the clinical and prognostic features of the different lymphoma entities defined by this histopathologic scheme. Diagnostic protocol provides initial staging evaluation according to a modification of the Ann Arbor classification. Therapeutic approach is based on the hypothesis that, like Hodgkin's disease, NHL originate, at least in part, as localized lymphatic or extralymphatic tumors. Thus, extended field irradiation is performed in stages I and II (except for lymphoblastic lymphoma in children and young adults) whereas in the more advanced stages III and IV (except for stage III of centroblastic-centrocytic lymphoma) chemotherapy with additional radiotherapy is applied. Until June 1979, 815 patients entered the study (69.7% with NHL of low-grade malignancy). For the interim evaluation underlying the present and the other papers of this series data of 511 patients were available. Survival of patients with NHL of low-grade malignancy significantly exceeds that of patients with NHL of high-grade malignancy. NHL with good prognosis such as chronic lymphocytic leukaemia and centroblastic-centrocytic lymphoma can be differentiated from NHL with a poor course such as lymphoblastic and immunoblastic lymphomas. In addition, the existence of a third group with an intermediate prognosis comprising centrocytic and centroblastic lymphomas and, possibly, also LP immunocytoma is suggested. However, different initial slope of survival curves shows that this latter group of NHL is not homogeneous with regard to prognosis.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 51-54 
    ISSN: 1432-2218
    Keywords: Choledochoscopy ; Choledochoscope ; Bile duct examination
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The use of intraoperative choledochoscopy represents a significant advance in biliary surgery. Flexible instruments are ideal for examining the intrahepatic bile ducts, while rigid instruments are best suited for the extrahepatic ductal system. The cystic duct stump may be occasionally used for access, but, as a rule, a supraduodenal choledochotomy is necessary. Our experience with 776 examinations is reported. A total of 348 patients (44.8%) had ductal stones. In 10 patients (2.8%), a stone was overlooked. Equivocal cholangiograms, ductal stones, and obstructive tumors constitute the most important indications for endoscopic examination.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 345 (1977), S. 582-582 
    ISSN: 1435-2451
    Keywords: Choledochoscopy ; Endoscopy, operative biliary ; Biliary stones ; Choledochoskopie ; intraoperative Gallengangsendoskopie ; GallengangBteine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: ZusammenfaBung Erfahrungsbericht von 189 intraoperativen Gallengangsendoskopien mit einem neuen starren Kaltlichtinstrument (Herst.: Fa. Storz, Tuttlingen). Folgende ErgebniBe wurden gewonnen: 91mal (= 48,7%) Nachweis von 1-27 Konkrementen im Gallengang, 77mal (= 40,7%) kein pathologischer Befund, 15mal (= 7,9%) mittlere bis schwere Cholangitis und 7mal Gallengangs- bzw. Pankreaskopftumor. Die wesentlichen Vorteile bestehen in der ungefährlichen Handhabung, in der Kontrolle des Choledochus auf Steinfreiheit und in der Möglichkeit der Biopsieentnah me unter Sicht.
    Notes: Summary Report of 189 operative biliary endoscopies with a new rigid endoscope (Storz, Tuttlingen, FR Germany). Results: In 91 patients (= 48.7%) we found 1-27 stones in the choledochus, in 77 (= 40.7%) no pathologic changes in the choledochus, in 15 (= 7.92%) a cholangitis of medium to severe degree and in 7 (= 3.7%) a tumor of the choledochus or pancreas. The main advantages of the new operative biliary endoscopy are harmleB management, supervision of the choledochus in terms of stones, and the poBibility of taking a biopsy under control of the eye.
    Type of Medium: Electronic Resource
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