John M. Patterson

Complications associated with preoperative radiation therapy and iodine-125 brachytherapy for localized prostatic carcinoma

Twenty-five consecutive patients with localized adenocarcinoma of the prostate treated with 1,050 rad preoperative radiation therapy and Iodine-125 seed brachytherapy arreviewed. Significant long-term postoperative complications included radiation cystitis (12%), radiation proctitis (4%), genital and leg edema (12%), stress incontinence (8%), total incontinence (4%), and impotence (26%). Complications occurred in 75 per cent of patients who received additional postoperative radiation. Improved staging with CT scan, lymphangiography, and Chiba needle biopsy of any possibly abnormal lymph nodes provided excellent preoperative staging with only 1 patient (6%) upstaged at surgery to Stage D1.

Calcified renal masses

A review of the literature and the University of Kentucky Medical Center/Lexington Veterans Administration Medical Center experience regarding calcification of renal masses was undertaken. Twenty per cent of calcified renal masses cannot be easily characterized by CT scan as malignant or benign and are indeterminate. These lesions must be followed closely with follow-up CT scanning or undergo surgical exploration, as 40 per cent may be malignant.

The pyrolytic behavior of ethylenetetracarboxylic acid

Abstract The controlled pyrolysis of ethylenetetracarboxyclic acid at 220°C followed by methylation of the pyrolyzate results in the formation of methyl propiolate as the major product along with lesser amounts of methyl fumarate. Evidence is presented which indicates that the methyl fumarate probably arises from some precursor in the pyrolyzate during the methylation reaction. Extended heating of the tetra acid at its melting point produces, in addition to the substances cited above, ethylenetetracarboxylic dianhydride and dicarboxymaleic anhydride. The high-temperature (300–400°C) pyrolysis of the tetraacid gives l0–20% yields of dimethylmaleic anhydride.

Volumetric and Gravimetric Analytical Methods for Inorganic Compounds

New quantitative inorganic chemical reactions, valuable interference studies or improvements in established analytical procedures, and important contributions to the theory of precipitation and titrimetric processes are reviewed. Significant trends, gravimetric analysis, and gravimetric determination are discussed. 240 references are included for the period Jan. 1962 to Dec. 1963. (P.C.H.)