[Anxiety: an aspect of the interaction of doctor and patients on the waiting-list and after lung-transplantation]. / Angst: Ein Aspekt der Interaktion von Arzt und Patient auf der Warteliste und nach Lungentransplantation.

Anxiety occurs frequently in patients who are on the waiting-list for a lung-transplantation or have already been transplanted. In this context anxiety is a theme of every interaction of doctor and patient but often remains unrecognized because it hides behind bodily symptoms and mechanisms of defense. Anxiety affects patients' behavior and compliance and may afflict - especially if not recognized - doctors' decisions and thus patients' health and survival. It is therefore necessary to recognize and to openly handle anxiety in the interaction of doctor and patient.

[Isolated late pulmonary metastasis of adenoid cystic carcinoma of the parotid gland]. / Isolierte pulmonale Spätmetastasierung eines adenoidzystischen Karzinoms der Gl. parotis.

Eight years after removal of an adenoid cystic carcinoma (ACC = cylindroma) of the parotid gland, a female patient of 41 years of age developed isolated multiple lung metastases. She died three years later in the course of a respiratory insufficiency. Basing on this typical case record, the very rare ACC is presented, which has a tendency to pulmonary metastasising. The pathology, course of the disease, treatment and indication for performing a lung transplant in similar cases are discussed.

[Diagnosis of lung function in patients with ankylosing spondylitis]. / Lungenfunktionsdiagnostik bei Patienten mit ankylosierender Spondylitis (SPA).

In a group of 55 men of 18 to 58 years of age who were suffering from ankylosing spondylitis, changes in lung function were analysed by measuring the static parameters and by differentiating between the thoracic and abdominal parts in breathing at rest and under stress, using CO2 rebreathing. In accordance with the reduction in vital capacity, the thoracic share is restricted already at rest. At rest, there is compensation via the abdominal compartment, in contrast to the stress in CO2 rebreathing in which the abdominal part does not compensate.