A case report is given of a peritoneal pseudomyxoma originating from pseudomucineous cystadenomata of both ovaries. The diagnosis was established by peritoneoscopy and histological examination. Both ovaries were removed surgically and cytostatic treatment initiated thereafter; hyperthermic peritoneal perfusion was done as well. The patient lives after surgery now for more than a year without recurrence of the disease.
An interdisciplinary study was carried out to determine the accuracy of contact thermography in the detection of breast cancer. 200 patients were examined in form of a blind test, the mammographic and clinical findings being listed separately and inaccessible to the thermography team. The findings obtained on contact thermography also were listed separately and afterwards compared with the clinical and mammographic findings. 50 out of these 200 cases required histological clarification, which revealed 24 carcinomas and 26 benign conditions of the breast. Mammography and contact thermography both failed to detect 3 out of the 24 carcinomas, clinical examination gave a false negative result in 2 cases. Therefore, in the present case material, the accuracy of mammography and contact thermography is equal and enables us to state that the combination of clinical examination and contact thermography of the breast is of high accuracy and suited for routine mass screening programmes to enable the detection of breast disease without radiation exposure.
Patienten mit isolierter Peritonealkarzinose wurde (32P)-Thiotepa in therapeutischer Dosis intraperitoneal oder intravenös appliziert und die Radioaktivität der Peritonealflüssigkeit und des Blutes in Abhängigkeit von der Zeit gemessen. Die intraperitoneal verabreichte Substanz wird nur mit Verzögerung aus dem Peritoneum resorbiert. Somit erscheint bei der Peritonealkarzinose die intrakavitäre Applikation sinnvoll.
Two cases are presented of the paraneoplastic syndrome in patients with a malignant tumour of the thyroid gland. The first case presented with a pseudomyasthenic syndrome (in conjunction with a haemangio endothelioma) and the second case with a form of neuromyopathy (in conjunction with a partly solid and partly hormone-producing thyroid carcinoma). The pathogenesis and classification of the so-called carcinomatous neuropathies is briefly outlined and the initially atypical course taken by the first case is discussed.
Es werden Merkmale des Magencarcinoms mit den Elektrophoresewerten von 350 Patienten korreliert. Bei folgenden Kriterien sind die Albumine vermindert, die α-Globuline vermehrt: Höheres Alter, größerer Gewichtsverlust, zunehmende Penetration, Fernmetastasen (gegenüber Metastasenfreiheit). Hohe β-Globuline finden sich beim Ulcuscarcinom und niedrige bei Lymphknotenmetastasen. Mit größerem Tumordurchmesser steigt nur das α2-Globulin, nicht das α1-Globulin. γ-Globuline zeigen ein divergierendes Verhalten. Auf die prognostische Bedeutung der Proteinfraktionen beim Magencarcinom wird hingewiesen.