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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    HNO 47 (1999), S. 821-824 
    ISSN: 1433-0458
    Schlagwort(e): Schlüsselwörter Zervikale Thymuszyste ; Differentialdiagnose zervikaler Zysten ; Resektion lateraler Halstumore ; Key words Cervical thymic cyst ; Cervical cyst differential diagnosis ; Lateral neck mass resections
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Summary Cervical thymic cysts belong to the rare causes of neck masses and therefore are frequently not included in a preoperative differental diagnosis. Here we report our experience in managing a 7-year-old boy who presented with a three-month history of a lateral neck mass causing stridor during sleep. Clinical findings and macroscopic and histopathological features are described and reviewed with respect to the available literature. The inclusion of a cervical thymic cyst in a preoperative differential diagnosis is important for determining the extent of the neck mass and planning any surgical procedure.
    Notizen: Zusammenfassung Zervikale Thymuszysten gehören zu den seltenen Ursachen einer Geschwulst im Halsbereich und werden daher häufig in der präoperativen Differentialdiagnostik nicht berücksichtigt. Der folgende Bericht beschreibt den Fall eines 7jährigen Jungen, der sich mit einem lateralen Halstumor vorstellte. Anamnestisch wurde in den vergangenen 3 Monaten eine langsam zunehmende Vergrößerung dieses Tumors mit Entwicklung eines nachts auftretenden Stridors mitgeteilt. Die klinischen, makroskopischen und histopathologischen Befunde werden unter Berücksichtigung der Literatur diskutiert. Unser Fall verdeutlicht, wie wichtig eine adäquate Berücksichtigung zervikaler Thymuszysten in der präoperativen Differentialdiagnostik und eine exakte Bestimmung ihrer Ausdehnung für die Planung des chirurgischen Procedere sind.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    European archives of oto-rhino-laryngology and head & neck 252 (1995), S. 292-297 
    ISSN: 1434-4726
    Schlagwort(e): Endogenous lectins ; Head and neck squamous cell carcinoma ; Oropharynx ; Oral cavity
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Recognition of the carbohydrate part of cellular glycoconjugates by sugar receptors like lectins may contribute to biosignaling and interactions between normal and transformed cells. Such recognitions may be essential for establishing phenotypic characteristics in neoplastic cells, including metastasis-associated properties. To evaluate various glycoconjugates in tumor diagnosis and clinical therapy, a panel of 18 biotinylated neoglycoproteins was prepared. This included conjugates of a histochemically inert carrier protein and crucial sugar moieties such as D-glucuronic acid, α- and β-N-acetyl-galactosamine, β-N-acetyl-glucosamine, melibiose, lactose, maltose, cellobiose, mannose, mannose-6-phosphate, fucose, rhamnose, and xylose. In so doing the diazo derivative of the respective p-aminophenyl glycosides was coupled with galactose, (β-N-acetyl-galactosamine or β-N-acetylglucosamine via an epoxy group-containing aliphatic spacer. Other glycoconjugates used were the proteoglycan heparin and the sulfated fucan fucoidan. Labeling was effected with cyanogen bromide activation and aminoalkylation for specific detection of endogenous sugar receptors, especially lectins. Tissues studied were paraformaldehyde-fixed, paraffin-embedded surgical biopsies from patients with different stages of squamous cell carcinomas (SCCs) of the oral cavity (n = 16) and oropharynx (n = 17), including three lymph node metastases from oropharyngeal primary tumors. Semiquantitative binding differences of probes to tumor stages were evaluated statistically by the Mann-Whitney U-Wilcoxon rank sum W test. Specific binding of a probe to cytoplasmic and nuclear structures was detected with apparent quantitative differences. Overall, the cytoplasmic compartment revealed a higher intensity of histochemical reaction than did nuclear structures, indicating a comparatively higher density of specific carbohydrate receptors. Significant and highly significant two-tailed P values were noted for tissue types and stages of SCCs of the oropharynx but not the oral cavity.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    Digitale Medien
    Digitale Medien
    Springer
    European archives of oto-rhino-laryngology and head & neck 253 (1996), S. 297-300 
    ISSN: 1434-4726
    Schlagwort(e): Herpes simplex ; Vagus nerve ; Palsy
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Infection by neurotropic viruses, as exemplified by the herpes family, is universally accepted as a cause of palsies of the cochleo-vestibular and facial nerve. Palsies of the vagus nerve with a possible viral etiology have been described, although viruses have been identified in only a few selected cases. We report a 52-year-old man with unilateral otalgia, hoarseness and dysphagia. Examination revealed unilateral (left-sided) pharyngeal dysfunction, and paralysis of the left vocal cord fixed in the paramedian position. A barium swallow documented dysfunction of the left pharyngeal constrictor muscles. These findings suggested the lesion to be located either at the inferior ganglion of the vagus nerve or cranially. At direct laryngoscopy a smear was obtained from a 4-mm mucosal ulcer at the region of the left arytenoid cartilage. This smear demonstrated antibodies to herpes simplex virus (HSV) type I by immunofluorescence. On follow-up 19 months after the initial infection there was complete remission of the paralysis of the left vocal cord and normal pharyngeal function. The demonstration of HSV type 1 antibodies from a mucosal lesion in the distribution of the superior laryngeal nerve suggests that reactivation of HSV type I was the most likely explanation for the temporary nerve palsy seen.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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