[Analysis of mortality in outpatient departments]. / Analiz ambulatornoi letal'nosti.

Outpatient mortality has been analyzed basing on the study of 470 case histories and autopsy protocols for the period 1984-1993. Cardiovascular diseases predominated among the death causes (86.1%). Ischemic heart disease accounted for 87.4% deaths due to the above diseases, Clinical and post-mortem diagnosis disagreed by the prior disease in 8.9%, by location of the tumor in 0.6% of cases.

[Rupture of a pulmonary artery aneurysm]. / Razryv anevrizmy legochnoi arterii.

Pulmonary artery aneurysm (PAA) is a very rare disease. Such aneurysms are distinguished according to their form (saccular and fusiform) and origin (congenital and acquired). A case is reported of PAA rupture in a female patient, aged 58, that had long been ill with a rheumatic mitral valvular disease. A number of conditions favoured the origination of PAA and its disruption. They are: the existence of combined rheumatic heart disease, widespread posttuberculous pneumosclerosis with pulmonary emphysema and thrombosis of the right pulmonary artery as a result of chronic cardiovascular failure.

[Case of a pseudoaneurysm of the heart]. / Sluchai lozhnoi anevrizmy serdtsa.

Postmortem observation of a false heart aneurysm in a man of 64 is presented. The false aneurysm was located on the posterior surface of the heart and had the appearance of a dome-like protruding sac 16 cm in diameter and 0,3 cm thick, communicating with the left ventricle cavity through a hole 2,5 cm in diameter. The aneurysm wall consisted of hyalinized connective tissue.

[Schistosomiasis of the bladder]. / Shistosomoz mochevogo puzyria.

Two cases of the urinary bladder schistosomiasis are described. The role of the urinary bladder biopsy in the diagnosis of the disease is believed to be great.

[Diagnosis of epithelioid sarcoma]. / O diagnostike épitelioidnoi sarkomy.

Epithelioid sarcoma is a rare soft tissue tumour. Small-nodular structure, necrotic foci in the centre of tumour nodes, moderate lymphocytic infiltration are characteristic histologic features of this tumour. Majority of tumour cells have the appearance of epithelioid histiocytes. Some tumour cells are found in small cavities resembling hyalin cartilage lacunes. Signs of a synovial, fibroblastic and histiocytic differentiation are observed ultrastructurally in the epithelioid sarcoma cells On the basis of the literature analysis and their own ultrastructural data the authors conclude that there should be a relation of this tumor with pluripotential stem cells of mesenchyma surrounding distal part of the chondral bone germ.

[Clinico-morphologic and electron microscopic characteristics of chemodectoma of the neck]. / Kliniko-morfologicheskaia i élektronno-mikroskopicheskaia kharakteristika khemodektomy shei.

Chemodectoma of the neck is one of the rare tumors occurring in man. The paper presents an observation of cervical chemodectoma found in a patient aged 31 years. For preoperative differential diagnosis, carotid angiography, ultrasound and radioisotopic examinations were used, which allowed the tumor located at the bifurcation of the left carotid artery to be diagnosed. The material taken during the surgery was histologically and electron microscopically examined to verify benign chemodectoma (an alveolar variant).

[Glomus tumor of the stomach]. / Glomicheskaia opukhol' zheludka.

A case of the stomach glomus tumour is described in a male of 67, with an asymptomatic clinical course. Results of the angiographic, computer-tomographic examination as well as morphological characteristics of the tumour are presented.

[Diagnosis of cancer of the thyroid gland]. / Diagnostika raka shchitovidnoi zhelezy.

The clinical diagnosis of carcinoma of the thyroid gland (CTG) is a difficult and responsible problem. The importance of cytologic and histologic methods of examination has grown, they determine the therapeutic tactics and the volume of the operative intervention. Clinical examination and operations were carried out on 484 patients with various diseases of the thyroid. The examination included inspection of the thyroid gland, radioisotope scanning, radiological examination of the neck, mediastinum and lungs, ultrasonic study, and aspiration biopsy with further cytologic study of the material. Among the patients treated by surgery 58 (11.9%), 39 females and 19 males (2:1), were found to have CTG. Intraoperative emergency cytologic and histologic study was conducted in 30 patients. Differentiated CTG was revealed in all cases. Among the patients who were operated on 5 died from CTG in a 10-year follow-up period. The importance of aspiration biopsy, under conditions of an outpatient clinic in particular, is emphasized. The results of operative treatment of differentiated CTG show that early diagnosis and appropriate surgical intervention are conducive to a favourable prognosis in relation to the patients survival period.

[Combined idiopathic fibrosing alveolitis and lung cancer]. / O sochetanii idiopaticheskogo fibroziruiushchego al'veolita i raka legkikh.

Data are reported of a rare disease of idiopathic fibrosing alveolitis in association with an adenoma of the thyroid gland in a 68 years old woman. The authors emphasize difficulties in the clinical roentgenological and morphological diagnosis in this kind of combined pathology.