RESUMEN
Intraoperative radiation photon therapy (IORT) is a current effective technique based on the radiation exposure of extirpated tumor bed. This method is used in neurosurgery as a part of combined treatment of intracranial malignancies. The article presents the technique, an analysis of surgical treatment of 10 patients with cerebral metastases form of the lung and breast cancer, located in functionally important zones of the brain or nearby. IORT was performed using Carl Zeiss Intrabeam PRS 500(tm) system in combination with preoperative image-guided transcranial motor cortex mapping carried on Nextim NBS. There weren't observed the intraoperative or postoperative complications.
Asunto(s)
Neoplasias Encefálicas , Neoplasias de la Mama/patología , Neoplasias Pulmonares/patología , Corteza Motora , Procedimientos Neuroquirúrgicos , Complicaciones Posoperatorias , Radioterapia Guiada por Imagen/métodos , Técnicas Estereotáxicas , Mapeo Encefálico/métodos , Neoplasias Encefálicas/patología , Neoplasias Encefálicas/radioterapia , Neoplasias Encefálicas/secundario , Neoplasias Encefálicas/cirugía , Terapia Combinada , Investigación sobre la Eficacia Comparativa , Femenino , Humanos , Cuidados Intraoperatorios/métodos , Masculino , Persona de Mediana Edad , Corteza Motora/patología , Corteza Motora/cirugía , Metástasis de la Neoplasia , Examen Neurológico , Procedimientos Neuroquirúrgicos/efectos adversos , Procedimientos Neuroquirúrgicos/métodos , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/prevención & control , Cuidados Preoperatorios/métodos , Resultado del TratamientoRESUMEN
Dynamics of mean value indices and mean dispersion doesn't exclude the feedback (Mayanskiy D.N., 2008) in process of study the disease according to cooperative processes using system leukocyte-monocyte-lymphocyte (L+M+LM). The authors investigated a dynamic balance between these cell substratums and collagen formation. Acute inflammatory processes in tissues of maxillofacial area accompanied by leukemoid response of peripheral blood in the form of leukocytosis (10 x 10(9)-15 x 10(9)/l and more). The authors completely agree with the opinion of M.M. Solov'yov (2012) and N.K. Artyushenko (2008) that mechanism of this reaction is associated with both the leukocyte redistribution in the inflammation zone and with changes of hematopoietic rostock which aimed to balance the affected compensatory mechanisms of nonspecific resistance.
Asunto(s)
Celulitis (Flemón) , Enfermedades Maxilomandibulares , Leucocitos , Procedimientos Quirúrgicos Operativos/efectos adversos , Infección de la Herida Quirúrgica , Adulto , Anciano , Celulitis (Flemón)/etiología , Celulitis (Flemón)/inmunología , Celulitis (Flemón)/cirugía , Femenino , Humanos , Inmunidad Celular , Enfermedades Maxilomandibulares/complicaciones , Enfermedades Maxilomandibulares/inmunología , Enfermedades Maxilomandibulares/cirugía , Recuento de Leucocitos , Masculino , Persona de Mediana Edad , Pronóstico , Reoperación/métodos , Reoperación/estadística & datos numéricos , Medición de Riesgo , Factores de Riesgo , Índice de Severidad de la Enfermedad , Estadística como Asunto , Procedimientos Quirúrgicos Operativos/métodos , Infección de la Herida Quirúrgica/inmunología , Infección de la Herida Quirúrgica/cirugíaRESUMEN
Magnetic resonance imaging (MRI) is the leading method of radiation diagnosis of brain tumors. In conditions of the artificial contrast enhancement there are more clearly differentiated the boundaries of the tumor node on the back of peritumorous edema and identified structural features of the tumor. The purpose of this study was to examine indicators of the dynamics of accumulation and removal of contrast agents by brain tumors in MRI technique with dynamic contrast and identify opportunities of this method in the differential diagnosis of various types of tumors.
