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Vol 29, No 5 (2018)
- Year: 2018
- Articles: 21
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5984
Articles
Sarcomatoid carcinoma: the features of diagnosis and preoperative planning
Abstract
Sarcomatoid transformation is possible in 10-20% cases of renal cell carcinoma. The favorable outcome of surgical treatment in a patient is largely provided by the virtual planning of an operation, by using 3-dimensional (3D) models - multiplanar images obtained by contrast-enhanced multispiral computed tomography (MSCT).
Vrach. 2018;29(5):3-6
3-6
A diagnostic and treatment algorithm and prognosis of surgical treatment for pancreatic insulin-producing tumors
Abstract
The clinical, laboratory, and topical diagnosis of insulin-producing neuroendocrine tumors of the pancreas can be difficult, and their surgical treatment is accompanied by a relatively high rate of complications and mortality, which, along with a favorable prognosis of the disease, makes it necessary to search for alternative approaches to diagnosis and treatment.
Vrach. 2018;29(5):7-12
7-12
13-16
17-22
Therapy for neuropathic pain syndrome in comorbid mental disorders
Abstract
Affective and anxiety disorders are often accompanied by chronic pain syndrome. These can be both headache or back pain and abdominal pain, heart or joint pain. These conditions are frequently difficult to diagnose and treat in the primary healthcare network because they are not directly associated with mental disorder. Traditionally, tricyclic antidepressants have been used to treat chronic pain syndrome that is associated with both mental pathology and somatic diseases. However, there are currently available selective serotonin and noradrenaline reuptake inhibitors, such as venlafaxine that has proven its efficacy and safety in the therapy of chronic pain syndrome.
Vrach. 2018;29(5):23-26
23-26
27-31
32-35
36-40
41-44
45-47
48-50
Surgical treatment for chronic nonspecific pleural empyema after anatomical lung resection
Abstract
Of all the clinical diversity of empyemas, chronic pleural empyema (PE) in the stage of development is the biggest problem in the view of a thoracic surgeon. A differential approach based on the assessment of risk factors (the etiology of empyema, the length of the stump of the main bronchus, the diameter of bronchopleural anastomosis, and the initial state of the residual pleural cavity) may reduce relapse frequency in patients with PE complicated by bronchopleural fistula and demonstrates encouraging immediate and long-term results. The paper presents a differential approach to choosing a treatment for chronic non-specific PE.
Vrach. 2018;29(5):51-54
51-54
55-58
X-ray endoscopic diagnosis of cecal cancer if total colonoscopy and irrigoscopy are impossible
Abstract
The main test to diagnose colorectal cancer is colonoscopy. Failure to perform total colonoscopy and/or irrigoscopy prevents the diagnosis of a tumor localized in the cecum or ascending colon in particular. In such cases, diagnosis by virtual colonoscopy is possible and appropriate.
Vrach. 2018;29(5):59-60
59-60
61-63
Detection rates of anti-cyclic citrullinated peptide (anti-CCP and anti-MCV) antibodies in patients with juvenile idiopathic arthritis and clinical characteristics of seropositive patients
Abstract
The paper provides data on the detection rates of antibodies against anti-cyclic citrullinated peptide (anti-CCP) and modified citrullinated vimentin (anti-MCV) in children with juvenile idiopathic arthritis and gives the clinical characteristics of seropositive patients. By and large, anti-CCP antibodies were found in 25.4% of cases. At the time of examination more than 70% of patients seropositive for anti-CCP and anti-MCV developed symmetric polyarthritis, regardless of the type of disease onset.
Vrach. 2018;29(5):64-66
64-66
67-71
72-80
81-83
Monitoring of BK virus in recipients within one year after allogeneic kidney transplantation
Abstract
Eighty-two patients were examined within 12 months after transplantation to determine the presence of BK virus (BKV) in the blood and urine of allogeneic kidney transplant recipients. Plasma and urine BKV DNA levels were quantified. A higher risk for BK nephropathy was established in patients with a high level of BK viruria and viremia for a long time.
Vrach. 2018;29(5):84-86
84-86
87-92