[Case of simultaneous operations of aortocoronary shunt and panhysterectomy].

Simultaneous operations on different organs and cavities, including urgent and scheduled operations, always are associated with high risk of operative and postoperative periods. The case of simultaneous operation of aortocoronary shunt and panhysterectomy is presented in the paper. In the case of our patient despite the severe condition: occlusion of left anterior descending coronary artery (rest and effort angina) and endometrium malignant tumor worsened by concomitant pathologies including bronchial asthma, hypothyreosis, pyelonephritis and obesity, the surgical intervention was completed successfully without complications at operational and postoperational periods.

[Radiation-induced multiple tumors].

Multiple primary tumors have been detected in 192 (5.0%) cases out of 3,812 patients with primary cervical malignancies, 100 (2.6%) cases having been traced to radiation-related origin.

Geographic peculiarities of endometrial and cervical cancer incidence in five continents (review).

The review of references and data on endometrial and cervical cancer incidence in five continents (1970, 1976, 1982, 1987) are presented. The increase in cervical cancer rates in the developing countries of Asia, Africa and Latin America has been recorded. The hormonedependent tumours (endometrial, breast cancer) prevail in the economically developed countries of Europe and North America.

[Treatment of patients with vulvar cancer].

Data concerning patterns of dissemination and recurrence as well as the end results of treatment of 148 cases of vulvar cancer were used to develop adequate therapeutic options for the disease versus age and extent of tumor. Prophylactic and therapeutic removal of the inguinal and femoral lymph nodes, high radicality of vulvo- and lymphadenectomy, and fast electron irradiation assured a better prognosis.

Treatment planning in vulvar cancer patients.

Peculiarities of metastatic spread, recurrences and treatment results were studied in 148 vulva cancer patients, indications to adequate treatment were specified with respect to age, local and regional tumour spread. Efforts to apply on a wider scale preventive and therapeutic removal of inguinofemoral lymph nodes, to make vulvectomy and lymphadenectomy more radical, employment of radiotherapy with fast electrons lead to a substantial improvement of prognosis.

Optimal version of I and II stages vulvar carcinoma--surgical treatment.

In gynaecological clinic years during 1970-1986, 270 vulval carcinoma patients (I stage 12.6%; II 50.3%; III 29.