SMJ // January 1979, Volume 72 - Issue 1
Editorial
WHAT THIS PATIENT NEEDS IS A DOCTOR
Article
Scapulectomy for the Treatment of Maligna Tumors of the Scapula
ABSTRACTTwo cases of Tikhor-Linberg resection for rhabdomyosarcoma and malignant chondromyxoid fibroma and two cases of scapulectomy for metastatic disease of the shoulder girdle are reviewed. After resection of the scapula, active motion of the shoulder will be severely restricted, but normal function of elbow, wrist, and hand permit use of…
Article
Radiation Therapy for Early Stage Carcinor of the Glottic Larynx
ABSTRACTThe results of radiation therapy of 79 patients with early carcinoma of the vocal cord are reported. Nine (13%) of the 69 patients with stage I disease had local recurrence, and two (20%) of the ten patients with stage II disease had local recurrence without local node metastasis. Subsequent control…
Article
Renal Cell Carcinoma
ABSTRACTWe reviewed the total experience with renal cell carcinoma at West Virginia University Hospital since its opening 15 years ago. While the conclusions are not new, our series of 89 cases reemphasizes the capriciously ubiquitous nature of the disease. Varied presenting signs and symptoms are commented upon, and an attempt…
Article
Clear Cell Adenocarcinoma of the Genital Tract
ABSTRACTFour cases of clear cell adenocarcinoma of the genital tract in young women are presented. All patients were treated with radiation therapy. Two of the patients subsequently developed chest metastases. Three patients have died of the disease, and the other is without evidence of disease. Two patients were treated with…
Article
Cancer in Married Couples
ABSTRACTA review of 2,512 charts of cancer admissions in a small community hospital during a ten-year period revealed 19 married couples with cancer. Compared with other studies this number appears small. However, only 2% of our cases mentioned the spouse in the family histories, apparently because emphasis seems to be…
Article
Penicillin‐Insensitive Pneumococci Isolation
ABSTRACTPneumococci relatively insensitive to penicillin G were isolated from the sputum of two patients with pneumonia. One of the organisms was also relatively insensitive to ampicillin, cefamandole, and cephalothin and was resistant to tetracycline. Because penicillin-insensitive pneumococci are being reported with greater frequency, continued surveillance of pneumococcal sensitivity to penicillin…
Article
Urologic Manifestations of Sickle Hemoglobinopathies
ABSTRACTWe analyzed the renal radiographic changes in the sickle hemoglobinopathies in 92 patients, in 70 of whom the specific hemoglobin type was documented by electrophoresis. The following conclusions have been drawn: (1) Approximately 50% of patients with SS hemoglobin have renal enlargement (both on roentgenograms and at autopsy), while only…
Article
Response to Influenza A Vaccine Among High‐Risk Patients
ABSTRACTIn recent years, it has been recommended that “high-risk” patients receive influenza immunizations annually. During the 1976 National Influenza Immunization Program, a higher priority was given to these patients than to the general population. The present study was undertaken to compare the antibody response of high-risk patients with that of…
Article
Menetrier's Disease in Children
ABSTRACTTwo new cases of Menetrier's disease in children are reported. The ten cases of this protein-losing gastropathy previously reported in the literature are reviewed. Clinical presentations, laboratory findings, possible causes, and comparison with the adult form of Menetrier's disease are discussed. Menetrier's disease in children may be more common than…
Article
Hypochondriasis Difficulties in Diagnosis and Management
ABSTRACTThe hypochondriacal patient presents numerous frustrations for the physician. The typical hypochondriac is a middle-aged person dominated by a preoccupation with bodily symptoms. Bereavement, serious life failures, and severe blows to self-esteem put patients at high risk for somatization. Hypochondriasis has been cited as a symptom of masked depression, early…
Article
Intrauterine Transfusion With Continuous Ultrasonic Assistance
ABSTRACTThis paper describes a technic of intrauterine transfusion using continuous real time ultrasonic assistance and discusses complications of intrauterine transfusion. The advantage of ultrasound-assisted intrauterine transfusion in reducing fetal injury and radiation exposure is emphasized.
Article
Eponym The Stain in the Brain
Review Article
Complement
Current Concepts
Hypoglycemia in Infancy and Childhood
Acknowledgment
BOOKS RECEIVED
Current Concepts
Pain Control by Transcutaneous Nerve Stimulation
Case Report
Dynamic Hormonal Tests in a Case of Premature Ovarian Failure
Premature ovarian failure (premature menopause) has been increasingly recognized since the report of Atria in 1950.1–8 Few studies, however, include hormonal evaluations.9 The exhaustive endocrine survey performed in this instance justifies adding another report to the literature.