Gary J. Harris

Primary adrenal lymphoma

A case of non‐Hodgkins lymphoma (large cell immunoblastic sarcoma) arising as a primary malignancy in the adrenal gland is reported and the literature concerning this unusual tumor is reviewed. Although extremely rare, it is possible to make the diagnosis preoperatively. Therefore, primary adrenal lymphoma should be included in the differential diagnosis of a suprarenal mass.

Ultrastructural analysis of colonies growing in a human tumor cloning system

Transmission electron microscopy studies have been utilized to demonstrate that cells growing in colonies in a soft agar human tumor cloning system have ultrastructural characteristics that correspond to the accepted ultrastructural markers for the parent tumors. These studies help confirm the malignant nature of the cells growing in soft agar.

Direct cloning of human malignant melanoma in soft agar culture

An in vitro soft agar technique was used to culture human malignant melanoma cells from 61 solid tumors, 17 lymph nodes, 11 effusions, and four bone marrow specimens from 93 patients with malignant melanoma. Colonies grew in soft agar from 64 (69%) of the 93 specimens. Fifty‐five percent of the specimens cultured formed

Standard Biplane Roentgenography Is Highly Sensitive in Documenting Mediastinal Masses

30 colonies per 500,000 nucleated cells plated. Light microscopy, electron microscopy, tumor marker, and athymic nude mouse studies provided evidence the colonies were composed of malignant melanoma cells. Drug sensitivity studies utilizing the cloning technique showed similarities between in vitro results and the general clinical experience noted with the same drugs. The human tumor cloning system represents a new model for future basic biology and clinical studies of human malignant melanoma.

Primary left atrial myxosarcoma

The records of 30 patients with mediastinal masses were reviewed to evaluate the signs, symptoms, and preoperative tests that were most useful in diagnosing and localizing the masses. Sixteen (53%) of the tumors were benign, and 14 (47%) were malignant. Twenty patients were seen with symptoms. The most common symptoms suggesting malignancy were pain, weight loss, fever, and cough. Four of the 5 patients who were truly asymptomatic had benign lesions. All 4 patients with palpable adenopathy had malignant tumors. Posteroanterior and lateral chest roentgenograms detected the mediastinal mass in 29 (97%) of the 30 patients. All patients were operated on for tissue diagnosis or resection (13, median sternotomy; 8, right thoracotomy; 3, left thoracotomy; 2, low anterior cervical approach). Eight patients underwent mediastinoscopy, which was diagnostic in 6 and obviated the need for operation in 4. It was of particular value for patients with lymphoma, who can be managed without resection.

Hispanic patients with head and neck cancer do not have a worse prognosis than Anglo‐American patients

A patient in whom rapidly progressive congestive heart failure developed due to the presence of a left atrial myxosarcoma is described. The histologic picture is consistent with the hypothesis that cardiac myxoid tumors are neoplasms derived from undifferentiated cells found in the endocardium. Unfortunately, most cardiac malignancies are detected too late for curative resection, and palliation remains the mainstay of therapy.

Clinical Determinants of Abnormalities in Pulmonary Functions in Survivors of the Adult Respiratory Distress Syndrome

This study was undertaken to determine whether the survival of Hispanic patients with squamous cell carcinoma of the head and neck was different from that of Anglo‐American patients. The charts of 275 male patients with a diagnosis of squamous cell carcinoma of the head and neck at one Veterans Administration Hospital were reviewed in an attempt to identify prognostic indicators for both ethnic groups. No differences were observed between Anglo‐American and Hispanic patients with respect to sites of the primary tumor, age at diagnosis, performance status, or the frequency of surgery, radiation therapy, or chemotherapy; however, there was a tendency for Hispanic patients to have received more treatment. There also was a trend (P = 0.12) for Hispanic patients to have a more advanced stage of cancer. Hispanic patients lost significantly more weight (P < 0.001) and had significantly lower serum albumin levels (P < 0.0001). According to the results of multivariate survival analyses, the variables that were predictive of a poor prognosis included advanced stage of disease, decreased serum albumin levels, increased weight loss, administration of chemotherapy, lack of radiation therapy or surgery, and advanced age. Ethnicity was not a significant predictor of survival either in univariate analyses, or within patients with the same stage of disease, or after adjustment for other prognostic factors. In conclusion, the natural history of squamous cell carcinoma of the head and neck is the same for Hispanic and Anglo‐American patients. Cancer 1992; 69:1003–1007.