[Follow-up of patients with surgically treated and not treated gastric polyps].
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Biomedical subjects
Publications and source records attributed to M G Vinner.
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The article deals with material on 161 patients with the mediastinal form of lymphogranulomatosis. Variants of the X-ray picture and clinical manifestations of the disease are described. The authors list the indications for the use of bioptic methods of examination--prescalene biopsy, transthoracic needle biopsy, transtracheobronchial puncture, and mediastinoscopy. Comparative characteristics of the diagnostic value of these methods is given. Ten patients were treated by radical removal of the affected mediastinal lymph nodes, a satisfactory late--term result was produced in 8 of them.
The authors analysed 27 patients. It is shown that the X-ray and endoscopic methods possess sufficiently high sensitivity in identifying elevated forms of early carcinoma of the stomach (in 90% and 100%, respectively). Their specificity, however, is low because errors of each method come up to about 50%. The results of cytohistological examination are decisive in establishing the correct diagnosis. Biopsy of all elevated structures is necessary. Bearing in mind the possibility of false-negative results, the authors recommend to conduct it three times.
Clinico-roentgeno-morphologic correlates were studied in 28 cases of pneumonia-like form of bronchioloalveolar carcinoma. Histocytologic and roentgeno-anatomic patterns of the tumor were established. Clinical, roentgenological and morphologic features of the disease are described. The clinico-roentgenologic pattern of bronchioloalveolar carcinoma was found to depend upon morphologic type.
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Only spot bronchography, and if its results are negative, transthoracal puncture permit a correct diagnosis of blocked or partially blocked pulmonary abscess in 2/3 of cases. This result is of importance for the choice of the treatment strategy in such patients. Use of thin or super-thin needles for puncture helped to do without serious complications and obtain reliable diagnostic information in 90% of cases.
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The paper is concerned with the description of clinical, x-ray and morphological investigation of 123 bronchoalveolar cancer patients. Three types of this disease were defined: nodular (homogeneous and nonhomogeneous), pneumonia-like (infiltrative and infiltrative-nodular) and mixed (focal-disseminated, focal-nodular and focal-infiltrative). These types of bronchoalveolar cancer are most probably stages of the same tumor process. Clinical and x-ray signs of each type showed correlation with a morphological picture of a tumor. Shadow nonhomogeneity as one of the main x-ray signs of bronchoalveolar cancer was shown to be determined by the "alveolar" structure of a tumor, a tendency to the formation of small cavities, filled with viscous mucosa and air. Correct clinical and x-ray diagnosis in all types of bronchoalveolar cancer (before the use of the morphological methods) was established in 45.5% of the patients.
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