Aneurysms of the visceral arteries are a rare pathology, characterized by a combination of asymptomatic disease course with the risk of life-threatening complication – rupture and hemorrhage. Currently, due to availability and extensive use of ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI), early and accurate diagnosis of aneurysms of the visceral arteries has become possible. In some cases the pathology is discovered incidentally during examination for other diseases. Development of angiographic and laparoscopic techniques has opened new possibilities in the treatment of visceral arteries aneurysms, i.e. minimally invasive interventions. In this review of the literature, we present current data on epidemiology, etiology, clinical course and treatment of visceral arteries aneurysms with close attention paid to diagnostic problems.
In modern pancreatology, diagnostics of acute pancreatitis is one of the most complex and urgent problems. In recent decades, the incidence of acute pancreatitis (AP) has more than doubled and now it exceeds 25% among acute surgical diseases. Pancreonecrosis accounts for about 20–35% of all complications. General and postoperative mortality reaches 15–45%. Modern radiology methods in patients with AP and pancreatic necrosis aid in determination of disease form and its complications. In this article, the importance of radiological methods for treatment planning is reviewed. Close attention is paid to the interpretation of computer tomography (CT) data using various CT-scales and classifications. High incidence among young and healthy people highlights socio-economic significance of AP. Therefore, in this literature review, we focus on the publications and clinical cases of acute pancreatitis.
This study was undertaken to analyze the effectiveness of cytological diagnostics of endocervical adenocarcinomas. We compared conventional liquid-based cytology, histology, immunohistochemistry, and molecular testing. A total of 25 endocervical adenocarcinomas, including endocervical adenocarcinomas in situ, were diagnosed using cytological methods over a year. Liquid-based cytology ensured better detection of glandular differentiation signs than conventional cytology. After molecular testing for human papillomavirus (HPV), we performed retrospective analysis of cytological characteristics of all endocervical adenocarcinomas (n = 15).We identified specific cellular characteristics of HPV-associated typical and mucinous adenocarcinomas. We also observed 1 case of non-HPV-related clear-cell and 1 case of non-HPV-related mesonephral adenocarcinoma.Our findings suggest that endocervical adenocarcinomas are a heterogeneous group of tumors. Endocervical adenocarcinomas accounted for 10.7 % of all primary cervical carcinomas (n = 214). Eighty percent of all endocervical adenocarcinomas were HPV-related, whereas the remaining 20 % were HPV-negative. We found no cytological differences between invasive endocervical adenocarcinomas and adenocarcinomas in situ.Mutations detected in some of the patients are an important diagnostic criterion that specifies whether the tumor is rare.
The paper presents results of clinical and psychological studies of the quality of life of elderly patients with prostate cancer following radiation therapy. Socio-psychological aspects of the quality of life were assessed using a modified scale of self-evaluation of Dembo-Rubinstein. In 3-6 months after radiation therapy there was noted significant reduction, compared to the beginning of treatment, on scales: «satisfaction with communication», «satisfaction with health», «satisfaction material conditions», «satisfaction with sexual relations», «satisfaction with activity», «satisfaction with leisure time and rest». Average indices of scales «satisfaction with health», «satisfaction with sexual relations», «satisfaction with leisure time and rest» fell below the middle. At the same time patients were not depressed by their situation did not fixed on thoughts about the disease, on the contrary the mood was significantly higher compared to the initial course of radiotherapy that could be associated with the psychological characteristics of the age of the patients in our sample.
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