Errors in the surgery of the testicle in children

The study was made of labyrinthine changes induced by lasix dehydration. Changes indicative of Meniere's disease were identified at comparison of the findings obtained by audiological lasix test, caloric optokinetic reactions. Four types of the nystagmic response in the bithermal lasix-test were determined. These reactions are helpful for more precise staging of the disease.     

Granulocytic sarcoma presented as a reactivation of chronic myeloid leukemia after allogenic marrow transplantation

The authors report the case of a chronic myeloid leukemia (CML) patient submitted to allogenic bone marrow transplantation, who had probably never entered complete remission. The disease was reactivated as a granulocytic sarcoma, next to a platinum plate installed to correct a tibia fracture 11 years earlier. Its final event was a myeloid Ph1 + blastic crisis that was unsuccessfully treated with high doses of sc interferon and citarabine.     

The significance of colour velocity and spectral Doppler ultrasound in the differentiation of liver tumours

BACKGROUND: The distinction between malignant mesothelioma (MM) and adenocarcinoma (ACA) in cytologic specimens frequently is difficult, often requiring immunocytochemistry to support the diagnosis. Recent reports have proposed the utilization of antibodies to mesothelial cell clone HBME-1 and thrombomodulin (TM), because they are immunoreactive in MM and less commonly reactive in ACA. Immunoreactivity for the monoclonal antibody CA 19-9 has been observed in many ACAs and reportedly is absent in MM. METHODS: In this study, immunostaining was performed on formalin fixed, paraffin embedded cell blocks from effusions or fine-needle aspirations using the avidin-biotin-peroxidase method. Thirty-eight MMs and 49 ACAs were tested using antibodies to CA 19-9, HBME-1, and TM. RESULTS: Anti-CA 19-9 stained only 1 of the 37 cases of MM tested (3%), but stained 24 of the 49 cases of ACA (49%). Anti-HBME-1 stained 34 of 38 cases of MM (89%), and 28 of 43 cases of ACA tested (65%). Anti-TM stained 24 of 36 cases of MM (67%), and 21 of 40 cases of ACA tested (53%). CONCLUSIONS: CA 19-9 has utility as part of an immunocytochemical panel for distinguishing ACA from MM, because a positive staining reaction would make the diagnosis of MM unlikely. Although HBME-1 and TM can identify MM positively, each frequently is detected in ACA, thus limiting the utility of these antibodies in cytologic specimens.     

The seasonal characteristics of the course of abdominal typhus

Seasonal fluctuations were studied in the incidence of characteristic abdominal fever symptoms, such as headache, insomnia, asthenia, skin pallor, roseolous eruptions, protracted fever, drop in blood pressure, relative bradycardia, dicrotia, typhoid tongue, enlargement of the liver and spleen, meteorism, constipation, palpable crepitation in the right iliac region, manifest leucopenia. Some symptoms occurred with almost equal frequency in different seasons of the year. In adults, severity of some typhoid symptoms was the greatest, duration the longest, degree the highest in spring, followed, in decreasing rank order by autumn > summer > winter; in children: spring > summer > autumn > winter.     

Endoscopic subperiosteal browlift and facelift

The subperiosteal facelift is an excellent technique for remodeling particularly the central third of the face. The endoscope has allowed us to perform rejuvenation of the upper face or the total face without incisional scars. On the other hand, the introduction of the endoscopic techniques to the biplanar surgery allowed us to perform the deep dissection with more safety and accuracy and to eliminate or decrease some of the undesirable sequelae of the traditional approaches such as the numbness on the forehead beyond the hairline or scalp incisions. In the lower face, the endoscopic techniques allowed us to protect the marginal mandibular branch of the facial nerve, and, on the neck, these techniques allowed us to perform a very accurate subplatysma dissection. The endoscope has allowed us to create a new technique for facial rejuvenation that can be equal to and perhaps in some cases even more versatile than other traditional, nonendoscopic approaches. In this way, we can tailor the operative procedure to the patient's needs rather than to give one type of operation to every patient that walks in for an office consultation. It will become imperative to outline the indications, contraindications, and limitations of each variation and to determine the appropriate role of the endoscope in facial rejuvenation. Only then will we better serve our colleagues and our patients.     

Fibrous dysplasia of the spine, costae and hemipelvis with sarcomatous transformation

We describe a patient with polyostotic fibrous dysplasia and secondary malignant fibrous histiocytoma in a spinal lesion.     

The laboratory diagnosis of spring-summer infections in Yekaterinburg in the epidemic season for tick-borne encephalitis

The authors propose a comprehensive approach to laboratory diagnosis of seasonal transmissible infections, based on modern methods permitting etiological deciphering of disease. A universal diagnostic algorithm notably accelerated the laboratory diagnosis due to cutting the period between collection of material from a patient and consecutive screening for antibodies to agents of tick-borne encephalitis, Lyme disease, and California encephalitis.