Publications by authors named "Khmel'nitskaia N"

The removed pheochromocytomas of 25 patients aged from 25 to 72 years have been studied. Among them 5 tumors have had bilateral character, 8 pheochromocytomas have been diagnosed as malignant, 4 patients have had metastases. The average size of benign pheochromocytomas has been 4.

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The paper describes the history of the Saint Petersburg Society of pathologists since it was founded in 1909. It shows what great role is played by outstanding Russian medical scientists who have established their own schools of pathomorphologists and are respected in our and foreign countries. The activities of the society's members in research developments in cardiovascular and infectious diseases, cancer morphology, etc.

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None of the thyroid diseases is associated with the environment, as thyroid pathology since its structure and function depend on dietary intake of iodine and other trace elements. Iodine deficiency is not the only factor of development of endemic goiter as many authors show the high prevalence of the disease with sufficient dietary intake of iodine. Human thyroid disease may be considered to be a marker of environmental ill-being; therefore, while studying and untangling the mechanisms of development of goiter, thyroiditis, and thyroid tumors, one should keep in mind the environmental factors that have an evident influence on the development of thyroid diseases.

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Article Synopsis
  • In the first 5 days of hypoxia, thyroid activity increases, but by days 15-30, levels of T3 and T4 drop while thyroid-stimulating hormone rises.
  • There are observable relationships between the thyroid epithelium's size and the blood concentrations of T3 and T4.
  • thyroid hormone levels are also linked to the functioning of the cardiovascular and respiratory systems.
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The purpose of the present investigation was to enhance the efficiency of diagnosis of thyroid diseases in irradiated persons. Three hundred persons exposed to radiation in doses of 5 to 250 SeV and the postexposure period was 9 to 48 years. A control group comprised 100 military men unexposed to ionizing radiation.

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Complex cytological and ultrasound study was conducted in 300 patients with thyroid pathology exposed to 5-250 cSv. Benign goiter changes and autoimmune thyroiditis were detected in 66.2% while malignant thyroidal nodules--in 3.

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For the first time chordoma of the temporal bone in a female aged 24 years is described. The tumor was studied histologically and ultrastructurally.

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The authors review the results of the research performed in patients with chronic tonsillitis in 1997-1999. Immunological activity of their palatine tonsils was evaluated according to the original technique which demonstrated relations between external functional activity of the palatine tonsils and age as well as symptoms of chronic tonsillitis. Additional information is presented on interrelations between lymphocytopoietic production of the palatine tonsils and hormonal status, metabolism, ecological and physical factors.

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The authors give clinicomorphological analysis of 100 cases of chronic tonsillitis in young children who had marked regional lymphadenitis in the absence of clinical manifestations of tonsillitis. General and local immunity were examined in these children. Lifetime assessment was made of functional tonsil condition by cytological and microbiological examination of the content of deep lacune parts.

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Correlations between lacunar content and morphofunctional condition of palatine tonsil immunocompetent tissue were studied histologically, histochemically, morphometrically, microbiologically and cytologically. The microbiological and cytological lacunar findings provide a life-time assessment of tonsillar functional activity. Clinical efficiency of the method makes it valuable for choice of treatment and evaluation of the response to conservative treatment of chronic tonsillitis.

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The authors studied immune status of upper respiratory tracts mucosa in patients with different forms of chronic rhinosinusitis (purulent, polypous, vasomotor) in comparison to control subjects. An original complex of laboratory diagnostic techniques is proposed which can assess functional condition of the defense barriers of the upper respiratory tract mucosa in chronic inflammation, estimate impairment of specific and nonspecific resistance. This facilitates choice of optimal scheme of pathogenetic therapy of chronic inflammation in the upper respiratory tracts.

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Clinical and laboratory tests were conducted in 138 females of reproductive age with chronic decompensated tonsillitis (CDT) with normal and excessive body mass. Improper diet of the obese patients was responsible for specific manifestations of CDT, disturbances of lipid, carbohydrate and mineral metabolism, thyroid function.

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Three schemes of conservative treatment of chronic tonsillitis in children are compared. Chelidonium majus L. tincture improved tonsillar function, cellular and humoral immunity, nonspecific resistance, promoted a reduction in the number of recurrences.

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Eight cases of glomus tumor (chemodectoma) are reported. All the patients were women aged 46-55 years with complaints of noise in the ears, diminished hearing, pains on the side of the tumor. Some of the patients had ear discharge.

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The existence of the antigen associated with human cervical squamous cell cancer in normal and pathologically changed cervical epithelium was studied. Immunocytochemical and immunohistochemical methods were used. It is shown that the levels of the antigen increase significantly as the severity of dysplastic changes in epithelial stratum grows and tumor invasive growth begins.

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Morphological and immunological data on the efficiency of the conservative treatment of hypertrophic tonsils in 59 children are presented. Biopsies of tonsils were examined before and after treatment. Tonsils reduced in size as a result of treatment, their changes indicated activation of the morphological manifestations of cellular and humoral immunity.

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Relationships between microbiological features and cell composition of lacunar content and morphofunctional status of the immunocompetent tissue of palatine tonsils were studied by histological, histochemical, morphometrical, microbiological, and cytological methods. Cytological and microbiological data on the lacuna content were found to reflect the reactive condition of the tonsils and should be regarded as a component of the morphofunctional characteristics of the palatine tonsils as a whole.

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The review deals with the problem of the necessity to evaluate the immunological state of palatine tonsils in various pathologic conditions on the basis of morphological studies. The methods of investigation allowing the intensity of cellular and humoral immunity to be assessed are described. It is emphasized that a combined approach including morphological examinations of the palatine tonsils together with immunological methods used clinically is optimal for the evaluation of the immunological state of palatine tonsils.

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