[Surgical treatment of pulmonary tuberculosis: experience and prospects]. / Khirurgicheskoe lechenie tuberkuleza legkikh (opyt i perspektivy).

The author's experience accumulated over 40 years shows that two major forms of surgical pulmonary tuberculosis (restrictive and disseminated) should be distinguished. The treatment of the former patients is highly effective and safe. To treat patients with progressive disseminated tuberculosis, especially in those who isolate Mycobacteria resistant to previously used drugs is difficult and expensive, which requires non only new generation antituberculous drugs, but comprehensive complex preparation for surgery. The author prefers collapse surgical interventions, but, if necessary, resorts even to pulmonectomy and application of an artificial pneumothorax contralaterally. Lobectomy is a major type of resection of the lung. Thus, surgery as a constituent of ensures recovery (stabilization of the process) in the most critically ill patients with pulmonary tuberculosis.

[Roentgeno-morphologic forms of bronchioloalveolar cancer]. / Rentgenomorfologicheskie formy bronkhioloal'veoliarnogo raka.

The paper is concerned with the description of clinical, x-ray and morphological investigation of 123 bronchoalveolar cancer patients. Three types of this disease were defined: nodular (homogeneous and nonhomogeneous), pneumonia-like (infiltrative and infiltrative-nodular) and mixed (focal-disseminated, focal-nodular and focal-infiltrative). These types of bronchoalveolar cancer are most probably stages of the same tumor process. Clinical and x-ray signs of each type showed correlation with a morphological picture of a tumor. Shadow nonhomogeneity as one of the main x-ray signs of bronchoalveolar cancer was shown to be determined by the "alveolar" structure of a tumor, a tendency to the formation of small cavities, filled with viscous mucosa and air. Correct clinical and x-ray diagnosis in all types of bronchoalveolar cancer (before the use of the morphological methods) was established in 45.5% of the patients.

[Diagnosis and surgical treatment of a mediastinal form of lymphogranulomatosis]. / Diagnostika i khirurgicheskoe lechenie mediastinal'noi formy limfogranulematoza.

The article deals with material on 161 patients with the mediastinal form of lymphogranulomatosis. Variants of the X-ray picture and clinical manifestations of the disease are described. The authors list the indications for the use of bioptic methods of examination--prescalene biopsy, transthoracic needle biopsy, transtracheobronchial puncture, and mediastinoscopy. Comparative characteristics of the diagnostic value of these methods is given. Ten patients were treated by radical removal of the affected mediastinal lymph nodes, a satisfactory late--term result was produced in 8 of them.

[A pneumonia-like form of bronchioloalveolar cancer]. / Pnevmoniepodobnaia forma bronkhioloal'veoliarnogo raka.

Clinico-roentgeno-morphologic correlates were studied in 28 cases of pneumonia-like form of bronchioloalveolar carcinoma. Histocytologic and roentgeno-anatomic patterns of the tumor were established. Clinical, roentgenological and morphologic features of the disease are described. The clinico-roentgenologic pattern of bronchioloalveolar carcinoma was found to depend upon morphologic type.

[Means of improving the organization of surgical care of lung cancer patients]. / Puti uluchsheniia organizatsii khirurgicheskoi pomoshchi bol'nym rakom legkogo.

The paper discusses improvement in diagnosis and surgical treatment of lung cancer starting from detection of alterations in the lungs to establishing indications for surgery. A complex of diagnostic and therapeutic measures aimed at improving the results of surgical treatment of the disease is suggested.

[How to improve the diagnosis of diseases of the respiratory organs? (the experience in organizing diagnostic services at the Sverdlovsk Pulmonology Center)]. / Kak uluchshit' diagnostiku boleznei organov dykhaniia? (opyt organizatsii diagnosticheskikh sluzhb v Sverdlovskom pul'monologicheskom tsentre).

The authors have summed up their 12-year experience in forming a system of organizational measures for the diagnosis of pulmonary diseases in an industrial area with the adult population of 3,616 mln. The major stages of diagnosis were studied, measures for its improvement defined, the main causes of diagnostic errors brought to light. The authors are of opinion that separate examination of patients with pulmonary pathology in different institutions is inappropriate.

[Surgical treatment of lung cancer in elderly patients]. / Khirurgicheskoe lechenie raka legkogo u bol'nykh pozhilogo vozrasta.

The study was concerned with ann analysis of the immediate and long-term results of surgical treatment of 263 lung cancer patients aged 60 years and older. Postoperative lethality rates were as follows: lung resection-5.4%, pneumonectomy-8.9 and extensive and combined pneumonectomy-27.2%. 35.1% survived 5 years and longer. Extensive and combined pneumonectomy gave poor immediate and long-term results in the above group. X-ray, broncho- and mediastinoscopy offer means for evaluation of mediastinal involvement to avoid the said procedures.