[A case of Madelung's syndrome].
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Biomedical subjects
Publications and source records attributed to G N Gagarkin.
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Experience in the diagnosis and treatment of nodular forms of thyroid carcinoma is generalized. Among 4,601 patients who underwent operation for nodular goiter 338 (7.3%) were found to have carcinoma. Aspiration biopsy was widely used in establishing the diagnosis and chromothyrolymphography during the operation. The method of operative treatment consists in extrafascial resection of the thyroid gland and subsequent substitution therapy with thyroidine or thyrotoxine.
The experience with surgical treatment of 4476 patients with a nodular form of goiter has been summarized. Of them, in 2684 the solitary nodes were revealed, in 1359--the multiple ones, in 433--the mixed ones. Operative intervention was performed with regard for spreading of the thyroid gland lesion: from sparing resection to total thyroidectomy with transplantation of a graft under superficial fascia of chest.
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The experience with diagnosis and treatment of struma maligna in 267 (5.5%) of the 4876 patients operated on for nodular forms of goiter is summarized. In the diagnosis, the puncture biopsy was widely used. Extrafascial resection of the thyroid gland with subsequent replacement therapy with thyroidin is a method of choice.
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The 10-year experience with diagnosis and treatment of closed injuries to the spleen in 84 patients is presented. In 13 patients, the two-instant splenic rupture, in 5--spontaneous was noted. Seventy (83.3%) patients had isolated injuries. In 17 patients, blood reinfusion with total volume of 22,800 ml was performed at operation. Post-operative lethality was 4.8%, total--5.9%. One patient died without operation.
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