ABSTRACT
A case of adenocarcinoma of jejunum is reported. Although survival figures in adenocarcinoma of the small bowel appear to correlate with early presentation, due to poor specificity of the symptoms a preoperative diagnosis is very seldom. Therefore, in order to improve the treatment outcome, the diagnosis must be done at an early stage. Thus there are discussed imaging modalities applied in diagnostics of this rare pathology.
Subject(s)
Adenocarcinoma/diagnosis , Jejunal Neoplasms/diagnosis , Adenocarcinoma/surgery , Female , Humans , Jejunal Neoplasms/surgery , Middle AgedABSTRACT
The authors presented the case of hydatidiform mole with unclear clinical picture. They discussed clinical difficulties in the diagnosing of that lesion, and stressed the role of US method in establishing the specific final diagnosis.
Subject(s)
Hydatidiform Mole/diagnostic imaging , Adult , Female , Humans , Pregnancy , UltrasonographySubject(s)
Ultrasonography , Adult , Aged , Child , Female , Female Urogenital Diseases/diagnostic imaging , Fetal Diseases/diagnostic imaging , Gastrointestinal Diseases/diagnostic imaging , Humans , Kidney Diseases/diagnostic imaging , Liver Neoplasms/diagnostic imaging , Male , Male Urogenital Diseases , Pregnancy , Ultrasonography, PrenatalABSTRACT
Assessed the concept of the "expendable child" syndrome proposed by Sabbath (1969) as a contributing factor in adolescent suicide attempts. It was hypothesized that suicidal adolescents would be rated higher on a measure of "expendability" than would a psychiatric control group of adolescents with no known history of suicide attempts or ideation. Forty adolescents, ages 13-24, who had been seen in psychotherapy at a teen-age health clinic, were rated by their psychotherapists on suicidality and a 12-item scale of expendability (a sense of being unwanted and/or a burden on the family). As predicted, suicidal adolescents received significantly higher ratings on the expendability measure than nonsuicidal adolescents. Results support the concept that feeling expendable is a characteristic of suicidal adolescents. Implications for prevention and treatment of adolescent suicidality are discussed.
Subject(s)
Psychology, Adolescent , Self Concept , Suicide, Attempted/psychology , Adolescent , Adult , Female , Humans , Male , Psychotherapy , Suicide, Attempted/prevention & control , Surveys and QuestionnairesABSTRACT
This investigation posited that impairment in the delay of gratification is an etiological factor in anorexia nervosa that differentiates between bulimic anorexic and restricting anorexic subgroups. Forty-eight women aged 18-32 served as subjects. Among subjects aged 18-29, restricting anorexics scored significantly higher than bulimic anorexics on delay. Treatment implications indicate that restricting anorexics would benefit from intervention designed to decrease impulse control, while bulimic anorexics would benefit from intervention designed to increase delaying capacity.
Subject(s)
Anorexia Nervosa/psychology , Bulimia/psychology , Impulsive Behavior/psychology , Motivation , Personality Development , Adolescent , Adult , Anorexia Nervosa/diagnosis , Bulimia/diagnosis , Diet, Reducing/psychology , Female , Humans , Impulsive Behavior/diagnosis , Personality TestsABSTRACT
Chordomas usually occur in the axial skeleton and they arise from the remnants of notochord. Their growth is slow and they often give metastases. Such cases are mainly observed among people above 40 years of age. Most frequently chordomas are situated in sacral bone (50%), in spheno-occipital region of the skull base (35%), and in the cervical, dorsal and lumbar spine (15%). Very rarely chordomas are found within sella, paranasal sinuses and nasopharynx, and in the forms of ectopic foci in the pons and spinal canal. Such tumour situated within spine destroys vertebral bodies and arches and can bulge into subdural space causing impression of the dural sac. Despite osteolytic destruction, chordomas cause visible reactive sclerotization and characteristic granular calcifications or ossifications. Intracranial chordomas destroy bony base of skull, specially clivus, pyramids and sphenoid sinuses.
Subject(s)
Bone Neoplasms/diagnosis , Chordoma/diagnosis , Skull Neoplasms/diagnosis , Spinal Neoplasms/diagnosis , Adolescent , Adult , Aged , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
The authors compared the agreement between clinical, radiological and surgical diagnoses in 33 cases of nucleus pulposus prolapse. A complete agreement of diagnoses was obtained in 88% of cases. The mechanism and incidence of different signs and their importance for the diagnosis of nucleus pulposus prolapse are discussed. It should be stressed that the compression of nerve roots recognized on radiculography is not pathognomonic sign of prolapse and may be due to such processes as development of marginal osteophytes in the degenerative disc disease, thickening of the posterior longitudinal ligament, hypertrophy of radicular processes or necks of vertebral arches. In the light of own experiences and data from the literature the authors consider radiculography with Amipaque and computer tomography as the method of choice in cases with suspected disc herniation in the lumbar region.
Subject(s)
Intervertebral Disc Displacement/diagnosis , Lumbar Vertebrae , Adult , Female , Humans , Lumbar Vertebrae/diagnostic imaging , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
On the basis of own observation from many years and a literature survey the authors discuss the diagnostic difficulties in syringomyelia in the light of the images obtained by conventional radiological techniques. The introduction of CT extended greatly the effectiveness of syringomyelia diagnosis. However, the best results in the diagnosis of the pathological lesions in syringomyelia are obtained using the technique of nuclear magnetic resonance.
