ABSTRACT
We have reviewed modifications in scalp reduction instrumentation that have enabled the physicians of the group to substantially reduce patient discomfort and operative time. Simultaneously, we are assured that the risk of errors relative to the optimal size of the excisions, correct plane of undermining, and the possibility of excessive blood loss are minimized. The incorporation of this instrumentation has reduced the average scalp reduction procedure time, in our hands, from 70 to 35 minutes without increasing the complication rate.
Subject(s)
Scalp/surgery , Surgical Instruments , Hair/transplantation , Humans , Methods , Time FactorsABSTRACT
Pemphigus often begins with localized oral lesions. Initial localized pemphigus lesions elsewhere are less common. A 65-year-old man who presented with one crusted erosion on his nose was diagnosed as having pemphigus and was treated with local and intralesional steroids. Seven months after the onset of the first lesion, others occurred elsewhere on his skin.
Subject(s)
Nose Diseases/pathology , Pemphigus/pathology , Aged , Humans , MaleABSTRACT
A patient with erythroderma initially characterized by follicular papular dermatosis was diagnosed clinically and histologically as having probable pityriasis rubra pilaris. In addition the patient had an elevated WBC with absolute lymphocytosis. Ninety percent of the lymphocytes had the features of Sézary cells by light and electron microscopy. He was diagnosed as having Sézary's syndrome despite the noncharacteristic findings in the skin biopsy. This case illustrates that Sézary's syndrome can present initially as a follicular dermatosis.
Subject(s)
Mycosis Fungoides/pathology , Sezary Syndrome/diagnosis , Skin/pathology , Humans , Lymphocytes/pathology , Male , Middle Aged , Sezary Syndrome/pathologySubject(s)
Alopecia/drug therapy , Minoxidil/therapeutic use , Pyrimidines/therapeutic use , Adult , Humans , Hypertension/drug therapy , MaleABSTRACT
A lesion of nevus sebaceus with multifocal basal-cell carcinomas was excised by Mohs' fresh-tissue technique. Histologically, most of the foci of basal-cell carcinomatosis were of the superficial type, but the few more deeply situated foci had adamantinoid features. The malignancies extended well beyond the clinically discernible margins of the nevus sebaceus. Spontaneous healing of the wound of ablation resulted in a satisfactory appearance.
Subject(s)
Carcinoma, Basal Cell/pathology , Neoplasms, Multiple Primary/pathology , Nevus, Pigmented/pathology , Skin Neoplasms/pathology , Carcinoma, Basal Cell/complications , Carcinoma, Basal Cell/surgery , Female , Humans , Middle Aged , Neoplasms, Multiple Primary/surgery , Nevus, Pigmented/complications , Nevus, Pigmented/surgery , Skin Neoplasms/surgeryABSTRACT
Sipple's syndrome is a multiple endocrinopathy usually involving the adrenal medulla and the thyroid. In the present case, a malignant pheochromocytoma metastasized to the pericardium and both lungs. The patient was known to have had a calcified right suprarenal mass for 8 years. He was admitted to the emergency room with symptomatology consistent with pericardial tamponade, but despite intensive management, he expired.
Subject(s)
Adrenal Gland Neoplasms/complications , Heart Neoplasms/complications , Lung Neoplasms/complications , Pericardial Effusion/etiology , Pheochromocytoma/complications , Thyroid Neoplasms/complications , Humans , Male , Middle Aged , Neoplasm Metastasis , Pericardium , SyndromeABSTRACT
A thickened posterior tracheal stripe (wider than 4.5 mm) was identified on the lateral check radiographs of 20 patients with squamous cell carcinoma of the esophagus. Autopsy studies confirmed that peri-esophageal lymphatic involvement was responsible for the thickening of the stripe in the nonobstructed esophagus. This sign appeared on the lateral chest radiograph as early as 6 months prior to the development of symptoms in 50% of the cases studied.
