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  • 1
    Electronic Resource
    Electronic Resource
    Intramyocardial microarteriopathy (1980)
    Springer
    Virchows Archiv 388 (1980), S. 289-311 
    Details
    ISSN: 1432-2307
    Keywords: Intramyocardial microarteriopathy ; Age ; Frequency ; Risk factors ; Functional significance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. Two basic types of arterial vessels can be distinguished in the myocardium. a) Compacta or Ventricular Wall Type. Intramyocardial microarteries with ring musculature of the media. b) Papillary Muscle Type. Arteries with longitudinal musculature arranged as bundles in the broad media. 2. The manifestation of intramyocardial microarteriopathy differs in these vessel types. PAS-positive and elastica-rich cushion-like thickening of the intima mainly occurs in the compacta type. Arterial vessels of the trabecular portion additionally show hyperelastosis of intima and media. The degenerative lesions of the papillary muscle type are characterized by early degeneration of the smooth muscle cells and hyperfibroelastosis of intima and media. 3. Pathological vascular lesions in the compacta and papillary muscle type occur more frequently in the left ventricle, and increase with age. 4. Slight and medium lesions are in the majority. Severe vascular changes are seen in the 7th to 9th decade in about 5–10% (compacta type) and in 30–35% (papillary muscle type) respectively. 5. Hypertension seemed to raise the frequency of slight and medium lesions in the compacta type vessels. In the papillary muscle type the degenerative lesions frequently extend from the top to the bottom of the papillary muscles. 6. No significant difference between frequency and severity of vascular lesions in diabetics and in the control group could be demonstrated. 7. It appears that pathological vascular lesions occur less frequently in compacta type vessels in cases of high-grade stenosis due to extramural coronary artery sclerosis. 8. Impairment of the quality of myocardial circulation is only encountered in the presence of severe pathological vascular lesions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00430860
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    2. Pathologische Anatomie des Mammacarcinoms (1977)
    Springer
    Langenbeck's archives of surgery 345 (1977), S. 39-44 
    Details
    ISSN: 1435-2451
    Keywords: Lesions, precancerous ; Carcinoma, lobular ; Papilloma ; Carcinoma, mammary ; Staging ; Präcancerose ; Carcinoma lobulare in situ ; Papillom ; Mammacarcinom ; Staging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: ZusammenfaBung Die Morphologie und das Entartungsrisiko präcanceröser Veränderungen der Brustdrüse (intraduktale atypische Epithelproliferation, papillomatöse Proliferationen, Carcinoma lobulare in situ) werden besprochen. Das jeweils geeignetste therapeutische Vorgehen (kurzfristige Kontrolle, s. c. Mastektomie, einfache Mastektomie) wird mitgeteilt. Ein kombiniertes intraoperatives histologisches und cytologisches “staging” durch Untersuchung der axillären Lymphknoten wurde entwickelt. Ergibt sich dabei ein Stadium I, so wird lediglich die einfache Mastektomie durchgeführt. Im Stadium II wird nach Rotter-Halsted mit präziser Ausräumung auch der Apex und der interpektoralen Lymphknoten operiert.
    Notes: Summary The morphology and the risk of precancerous lesions (intraductal atypical epithelial proliferation, papillary proliferation, and carcinoma lobulare in situ) of mammary carcinoma are demonstrated and discuBed. According to the type of lesion, the surgery of choice based on short-term observation is subcutaneous mastectomy or simple mastectomy. Combined intraoperative histologic and cytologic staging, based on the investigation of the axillary lymph nodes has been developed. We prefer simple mastectomy for stage I and ablatio mammae (method of Rotter-Halsted) for stage II to extirpate as precisely as poBible the lymph nodes of the apex and the interpectoral nodes.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01305441
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    Paper (German National Licenses)
    Fulltext
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