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Full text of article
'Schamall D, Plenck H Jr., Teschler-Nicola M, 2018: A CASE OF LYTIC METASTASES OF A CARCINOMA FROM THE OSSUARY AT HALLSTATT (UPPER AUSTRIA). Anthropologie (Brno) 56, 3: 143-162'. |
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Abstract | A cranium of a mature male (45–55 years) from a charnel house in Hallstatt, Upper Austria (set up in
the 12th century and in use until modern times) exhibits multiple perforations that were most probably caused by
a malignant tumour. The lesions vary between 44 and 4 millimetres in diameter and concern nearly all parts of the
cranium (frontal, parietal, and occipital bone, maxilla), hereby pertaining to all cranial layers to a different degree.
Osteolytic changes accompanied by some sclerotic bone formations are indicative of an active as well as chronic process
at the time of death of the individual. Differential diagnosis was carried out by macroscopic inspection, the use of
conventional radiography, computed tomography and scanning electron microscopy in the secondary electron- and
backscattered electron-mode. Pathology-mimicking effects, diagenetic, and taphonomic damage as causative processes
can be excluded. The same applies for various infectious diseases (mycotic, bacterial, tuberculous conditions) as well
as several tumorous forms (Langerhans-cell histiocytosis, bone angioma, medullary plasmocytoma). The
palaeopathological and clinical diagnostical criteria used suggest a secondary carcinoma. | | Keywords | Metastatic carcinoma – Cranium – Hallstatt charnel house – Austria – Modern times – Differential
diagnosis by CT and SEM | | DOI | https://doi.org/10.26720/anthro.17.10.25.1 | |
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