[Fatal radiation-induced injury resulting from the deliberate use of ionizing radiation source for illegal purposes]. / Smertel'naya radiatsionnaya travma vsledstvie umyshlennogo primeneniya istochnika ioniziruyushchego izlucheniya v protivopravnykh tselyakh.

A rare clinical observation of death from prolonged uneven external irradiation due to the deliberate use of an ionizing radiation source for illegal purposes has been presented. The main difficulties of postmortem diagnosis of this type of radiation-induced injury, considering the features of histological examinations and special methods of retrospective dosimetric evaluations, have been identified.

[Gastric cancer concurrent with IgG4-related disease: A clinical case and a review of literature]. / Sochetanie raka zheludka s IgG4-svyazannoi bolezn'yu (klinicheskoe nablyudenie i obzor literatury).

The paper presents the data available in the literature on IgG4-related disease (IgG4-RD) concurrent with malignancies at different sites, as well as possible common pathogenetic mechanisms of their development and morphological diagnostic criteria for IgG4-RD. The authors give their own observation of gastric signet ring cell carcinoma concurrent with morphologically verified IgG4-RD.

[Hemophagocytic syndrome in a patient with adult-onset Still's disease: diagnostic problems].

Hemophagocytic syndrome (HPS) is a rare life-threatening condition caused by massive cytokine release from activated macrophages and lymphocytes. The paper depicts the development of HPS in different infections, malignancies, and autoimmune diseases. It describes a clinical case of hemophagocytic syndrome in a 63-year-old female patient with adult-onset Still's disease and high fever accompanied by neutrophil leukocytosis and a drastic left leukocyte count shift, high procalcitonin levels, hepatosplenomegaly, edematous syndrome, and progressive multiple organ dysfunction with the development of disseminated intravascular coagulation and adult respiratory distress syndrome. The diagnosis of HPS was established according to the diagnostic criteria and verified by autopsy: phagocytes in liver and lung tissues.

[Intraoperative telediagnosis of breast biopsies].

Intraoperative real-time telediagnosis from cryostat sections of the breast can increase the quality of postmortem diagnosis. Moreover, the average accuracy of histological diagnosis was as high as 93.5% or increased by 4.4% as compared with traditional microscopy. According to the nature of the pathological process, this increase reached 86.7% (by 5.4%) for nontumor pathology and 95.9 (by 5.1%) and 95.8% (by 1.9%) for benign and malignant neoplasms, respectively. Intraoperative telediagnosis was most effective in a rare breast pathology that presented difficulties in the use of traditional microscopy, by calling for discussion of the histological pattern and colleagues' consultative support.

[Lethal outcome in a patient with pulmonary hypertension and liver cirrhosis on the 12-th week of pregnancy]. / Letal'nyi iskhod u bol'noi s legochnoi gipertenziei i ochagovym tsirrozom pecheni v 12 ned beremennosti.

A patient with pulmonary hypertension and focal liver cirrhosis was hospitalized on the 12-th week of pregnancy because of threatened abortion and died after 2 days of hospital stay during which symptoms of portal and pulmonary hypertension progressed, decompensation of pulmonary heart and hepatic cellular insufficiency ensued and syndrome of disseminated intravascular coagulation developed.

[A new variant of choanal polyps]. / O novoi raznovidnosti khoanal'nykh polipov.

Seven cases of ethmochoanal polyps, a form of nasal polyps, originating from mucosa of the back ethmoidal labyrinth and lowering into the nasopharynx are described. Such polyps are diagnosed primarily by computed tomography and endoscopy of the nasal cavity. Histologically, ethmochoanal polyps are similar to other polyps from paranasal sinuses. Surgical treatment of ethmochoanal polyps is made under the control of endoscope via approach through the superior nasal passage. The polyp part situated in posterior compartment of the ethmoidal labyrinth was removed with a microdebrider. 1 to 3 year follow-up registered no cases of recurrence.