ABSTRACT
We reviewed our fine needle aspirations of the lung and chest on 53 consecutive patients from January 1979 through June 1982. Almost all of the patients had been studied by sputum and bronchial cytology and many by bronchial or transbronchial biopsy, but none of the patients had a definitive diagnosis. All of the lung aspirates were done in the department of radiology, using a 22 gauge Chiba disposable needle and the Wright-Giemsa stain. Twenty-four cases (45%) were diagnosed as malignant and ten cases (19%) were considered suggestive. Nineteen cases (36%) were read as negative for malignant cells, but in six of these cases (11% of total) we were able to make the diagnosis of an infectious process based on characteristic cytologic findings.
Subject(s)
Biopsy, Needle , Lung Diseases/pathology , Lung/pathology , Adult , Aged , Diagnosis, Differential , Female , Histiocytes/pathology , Humans , Lung/microbiology , Lung Diseases/microbiology , Lung Diseases, Fungal/microbiology , Lung Diseases, Fungal/pathology , Lung Neoplasms/pathology , Male , Middle Aged , Necrosis , Pneumothorax/microbiology , Pneumothorax/pathology , Sputum/pathologyABSTRACT
Two cases of peripelvic hemorrhage simulating tumors (Antopol-Goldman lesion) are reported. In the 2 cases, nephrectomies were performed. With more knowledge of this lesion, and of its rapid disappearance, a waiting period and repeated intravenous pyelogram might prevent some unnecessary surgery.
Subject(s)
Hematoma/diagnostic imaging , Hematuria/etiology , Kidney Diseases/diagnostic imaging , Kidney Neoplasms/diagnostic imaging , Aged , Angiography , Diagnosis, Differential , Female , Hematoma/complications , Humans , Kidney Diseases/complications , Male , Middle Aged , UrographyABSTRACT
Intracystic pantopaque can alter the natural history of renal cysts. More than two-thirds of all renal cysts treated with percutaneous intracystic instillation of pantopaque decreased to at least half the original volume when followed for up to 4 years. A similar control group without intracystic pantopaque instillation did not show this dramatic change.
Subject(s)
Contrast Media/therapeutic use , Kidney Diseases, Cystic/therapy , Humans , MethodsSubject(s)
Hypertension, Portal/etiology , Arteriovenous Fistula/complications , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Malformations/complications , Arteriovenous Malformations/diagnostic imaging , Budd-Chiari Syndrome/complications , Budd-Chiari Syndrome/diagnostic imaging , Carcinoma, Hepatocellular/complications , Carcinoma, Hepatocellular/diagnostic imaging , Hepatic Artery , Hepatic Veins , Humans , Hypertension, Portal/diagnostic imaging , Liver Cirrhosis/complications , Liver Cirrhosis/diagnostic imaging , Liver Neoplasms/diagnostic imaging , RadiographyABSTRACT
A standardized technique for percutaneous therapeutic management of renal cysts is described. After partial aspiration of the cyst fluid, the fluid is replaced with Pantopaque, Renografin 60 and air. Fifty-six renal cysts so treated were followed at intervals of up to four years and 68% showed a 50% or more decrease in cyst volume. Only 13% of a control group of 15 renal cysts which were percutaneously punctured but did not have Pantopaque instilled showed a 50% or more decrease in cyst volume. The results suggest that instillation of Pantopaque into a renal cyst can alter the natural history of the cyst by causing it to decrease in size.