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Query: UMLS:C0019079 (
hemoptysis
)
6,129
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
From hemoptyses as main symptom for the admission of patients during 1975 and 1976 in the pulmonary disease department of a parisian hospital, a retrospective study of the causes of hemoptyses is made by the authors. In 18% of the cases,
hemoptysis
was the unique revealing symptom of the disease. Tuberculosis and
cancer
are the main causes, but, now, their rate is inverted : 30% for
cancer
, 21% for tuberculosis, but in addition there are 9% in relation with sequelae of tuberculosis. Among the other causes, bronchiectases keep an important place, just as cardiovasculary diseases. But there is a portion of patients for whom the cause of the
hemoptysis
cannot be found. As bronchologic and vasculary explorations are developed, this portion of patients will diminish but will not disappear, because mechanisms of
hemoptysis
will be better explained but not the real cause.
...
PMID:[Etiology of hemoptyses]. 21 34
The
hemoptysis
which occurs following lymphography typically consists of one or more episodes of blood-tinged sputum, and generally requires no treatment. In contradistinction to this "mild" form of
hemoptysis
, the current report describes a case of
hemoptysis
following lymphography--
hemoptysis
so severe as to require multiple transfusions. Time course and possible etiologic factors are discussed.
Cancer
1979 Feb
PMID:Severe pulmonary hemorrhage following lymphography. 21 20
Three cases of carcinoid tumor arising in the trachea are reported and contrasted with carcinoids arising in bronchi and carcinoids in general. Only eleven other documented examples of tracheal carcinoids are found in the English literature. The true prevalence of carcinoids primary in the trachea cannot be accurately determined from the literature because of imprecise nomenclature or because of the failure to distinguish this tumor from carcinoids primary in the bronchus. Presenting symptoms are
hemoptysis
, dyspnea and wheezing, often persisting for many years before the correct diagnosis is made. The treatment of choice is surgical resection of the involved segment of trachea and primary reconstruction. The prognosis is generally good. The tumor metastasized in one of our three cases and in none of the eleven cases in the English literature.
Cancer
1978 Dec
PMID:Tracheal carcinoids. 36 20
The primary purpose of sputum cytology is to detect preinvasive and invasive
malignancy
. Candidates for the screening procedure include long-time smokers with productive cough, patients chronically exposed to asbestos, patients with
hemoptysis
, persistent cough and/or weight loss, and asymptomatic patients with x-ray lesions or unexplained pleural effusions. The procedure is inexpensive and highly diagnostic. Five consecutive specimens produced by deep coughing are required for adequate evaluation.
...
PMID:Sputum cytology. 43 26
Results of transthoracic needle biopsy have been evaluated on the basis of fourteen years experience comprising 5300 procedures on 2726 patients. In 90.7% of the cases a diagnosis was established. Of these, 46.4% showed cytological evidence of primary or secondary
malignancy
. In 2.4% false positives and in 3% false negatives were noted. The most important complication was found to be pneumothorax, which was noted in 27.2%, but these cases did not as a rule call for treatment.
Hemoptysis
was observed in 2-5%. There was minor local bleeding around the lesion in 11% of the patients but this only required observation. In one case out of 1264
malignancies
an implantation metastasis was found. There was a single case of air embolism with spontaneous recovery, but no mortality in this series. In our experience, needle biopsy represents a minor, inexpensive and safe procedure, which--with a simple technique--permits a direct approach to all kinds of localized lung lesion with a high degree of accuracy.
Cancer
1979 Apr
PMID:Pulmonary neoplasms diagnosed with transthoracic needle biopsy. 44 49
One hundred ten hospitalized patients with
hemoptysis
were reviewed to identify factors that would characterize those with
malignancy
and to evaluate the usefulness of fiberoptic bronchoscopy (FB) in the diagnosis of
hemoptysis
. Seventy patients underwent FB. This procedure was diagnostic in 22/28 (79 percent) of the carcinoma patients and in 26/42 (62 percent) of the patients with a nonmalignant cause of
hemoptysis
. The following three characteristics indicate a high probability of
malignancy
: 1) age greater than 40 years, 2) any abnormality on the chest roentgenogram, 3)
hemoptysis
lasting greater than one week. If any of these factors are present, FB should be done. Other factors to be considered include presence of anemia, weight loss, persistent cough, long smoking history and risk of bronchoscopic complications.
...
PMID:Selection of patients with hemoptysis for fiberoptic bronchoscopy. 44 78
The Chiba needle was used for percutaneous needle aspiration of lung lesions in 35 patients. Two separate needles were used for each patient at the same sitting. The aspirate was true positive for
malignancy
in 23 patients and true negative for
malignancy
in eight patients. Two aspirates were false negative for
malignancy
and two aspirates, negative for
malignancy
, were classified as inconclusive due to inadequate patient follow-up. The overall accuracy rate was 94%. Six patients had small pneumothoraces but only one required a chest tube. Appreciable
hemoptysis
did not occur. The Chiba needle provided an adequate aspirate for cytologic diagnosis. The complication rate using two needles appears to be entirely acceptable.
...
PMID:Percutaneous pulmonary aspiration biopsy using the Chiba needle. 46 70
In a prospective study of 6,027 older men screened every six months for ten years by means of chest photofluorograms and questionnaires regarding symptoms, 121 developed lung cancer after the first examination. Eighty-five men with lung cancer had the opportunity to be screened eight times before the tumor was detected by chest x-ray film, but only 33 actually reported that often. These 33 men were compared with matched controls for symptoms before the neoplasm was detected radiologically. The common symptoms of expectoration and chronic cough showed a significant increase in frequency over time in the cases of
cancer
, while only expectoration showed a slight increase in the controls. Uncommon symptoms more suggestive of lung cancer (
hemoptysis
and worsening cough) occurred in only four men prior to detection of
cancer
. Symptoms are seldom useful in the detection of occult lung cancer, but the appearance of expectoration and chronic cough in older male smokers should raise a suspicion of this disease.
...
PMID:The Philadelphia Pulmonary Neoplasm Research Project. Symptoms in occult lung cancer. 62 May 58
A new Pulmonary Medicine-Thoracic Surgery service was established in a community hospital in July 1974. This report details the experience of 409 bronchoscopies performed from July 1, 1974 through Dec 31, 1976. There were no deaths and four complications--one aspiration and three pneumothoraces resulting from transbronchial lung biopsy. Final diagnoses for which bronchoscopy was done were as follows:
cancer
--141; infectious disease--97; interstitial disease--33; obstructive lung disease--58;
hemoptysis
--35; miscellaneous--45. In the
cancer
group, a cytohistologic diagnosis was made in 82 patients by bronchoscopy alone, 31 additional diagnoses were made by scalene node biopsy or mediastinoscopy, and the remainder by surgical exploration and/or resection. In 268 patients with benign disease, bronchoscopy established the diagnosis in 87% of the cases. Pulmonary Medicine tended not to repeat nondiagnostic bronchoscopy but rather to refer immediately for a definitive surgical procedure. Thoracic Surgery tended not to reduplicate bronchoscopy for the purpose of "confirmation." A conjoint medical-surgical approach to bronchial disease, at the community level and based on a mutual understanding of capability and limitation, is feasible, productive, and economical.
...
PMID:Bronchoscopy in the community hospital. 62 19
Intralobar pulmonary sequestration signifies an abnormal and non-aerated mass in the lung, supplied by a systemic artery. Twelve cases are submitted, 10 treated by surgery and two conservatively. There was a male preponderance 11:1, and half the patients were over 25 years. In 66% the abnormality was situated basally on the left side A definite diagnosis can be made only by arteriography, visualizing the number, site, and size of the anomalous vessel(s). Clinically, the symptoms may range from no symptoms at all (four of the present patients) to recurrent pneumonia, cough, and
haemoptysis
(five of the present patients). In two patients the excised tissue showed epithelial proliferations, tumourlets and slight epithelial dysplasia, but no manifest
malignancy
. Surgical resection is the only curative treatment for intrapulmonary sequestration. In "silent" cases it is felt justified to apply conservative treatment should primary surgery be contra-indicated.
...
PMID:Intralobar pulmonary sequestration. A report of 12 cases. 65 24
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