Biomedical subjects
Publications and source records attributed to I Mikhaĭlov.
Case study of a 41 year old woman with tumor-related amyloidosis in a singular intramural leiomyoma of the uterine corpus. The tumor has been thoroughly revised with electron microscopy and underwent a histological, histochemical, and imunohistochemical studies. A hypothesis of its origin has been suggested. To our knowledge, this is the first documented case of amyloid-producing leiomyoma.
This is a report on retrospective clinical and pathoanatomical study of seventy-one patients presenting histological diagnosis differentiated carcinoma of the thyroid gland, undertaken with the purpose to identify the histological variants (subtypes) of differentiated thyroid carcinoma. As shown by the obtained results, the follicular variant is the commonest subtype of papillary carcinoma (41.18 per cent) followed by focal papillary carcinoma (25.49 per cent), and encapsulated variant (15.69 per cent). On the other hand, the most frequently met with follicular carcinoma subtype proves to be the least invasive variant (55 per cent).
Two-hundred sixteen patients presenting differentiated carcinoma of the thyroid gland are subjected to operative treatment over the period 1980 through 1993. The distribution of cases by histological type is as follows: papillary carcinoma--127 cases, follicular--58, and mixed type (papillary-follicular)--thirty one. In the group presenting papillary lesions, infiltration of the capsula is noted in nine cases, multifocal location--in five, and microcarcinoma--in twenty three. In the follicular carcinoma group a markedly expressed vascular invasion is established in four cases, multifocal location--three, and microcarcinoma--five. Assessment of the morphological patterns of differentiated thyroid carcinoma reveals a marked predomination of noncomplicated histologic variants, enabling the wide use of minor conservative operative procedures, compared to thyroidectomy, with a positive outcome. Over he past few decades, the incidence of differentiated forms of thyroid gland carcinoma shows an increase, and nowadays it caries in the range 60 to 90 per cent. Papillary forms are prevailing, while follicular carcinomas are detected in 8 to 20 per cent of cases. An overall shift of morbidity towards younger ages and female gender is observed.
A total of 10,736 biopsy specimens presenting diverse thyroid gland pathology are studied over the period 1974 to December 1993. The histopathological investigation shows that 5.45 per cent of them (n = 585) are with carcinoma. Comparative analysis of the incidence of thyroid carcinoma in the series reviewed, covering the two decades, points to a tendency of the incidence rate to augment from 4.03 per cent in the first decade to average 6.63 per cent in the second decade of study, with a frequency peak reached in the period 1986-1993. There is a clearcut tendency of the incidence of malignant conditions of the thyroid to rise among younger age groups. A markedly expressed tendency of the number of patients with papillary carcinoma of the thyroid, affecting mainly women and younger persons, to increase is also documented.
The disputable issue of the pathogenetic relation between struma nodosa and thyroid gland carcinoma is discussed. A total of 234 patients with definitive diagnosis thyroid carcinoma, operated in the clinic of endocrine surgery--Higher Medical Institute, Sofia, are retrospectively analyzed. Clinical, past history and pathomorphologic data are considered--123 patients present papillary carcinoma, 67--follicular, and 42--mixed form. All patients undergo operative management over the period 1980 through 1991. Later, to the aforementioned group are added further 50 patients with carcinoma of the thyroid, treated from 1991 to late December 1992, and thus the total number amounts to 284 cases--153 papillary, 79 follicular and 52 mixed forms, respectively. In 67.2 per cent of the cases the thyroid carcinoma presents clinical patterns of a solitary node, in 27.8 per cent--node of multinodular struma, and in 4.9 per cent--formation associated with another thyroid disease. Multifocal location is established in five cases. As shown by the pathomorphological study in 18 per cent of the cases it is a matter of a combination--thyroid carcinoma and struma multinodosa, and in 1.2 per cent of the cases only there is conclusive evidence of solitary adenoma malignization. The obtained results lead to the inference that thyroid carcinoma deriving from the nodose structures of the gland is an exception, rather than rule.
Explore the source record for details and available documents.
The preliminary application of the preparation Oxadiarrhot has no effect on the progress and the result of bacterial and mixed (bacterial-viral) infections. In animals treated with the preparation antigen-reactive and antibody-productive cells show insignificant decrease in number. There is no essential influence of the preparation on the mononuclear phagocytes system--the alveolar macrophages and polymorphonuclears do not change their functions.
9 surgically removed endocrine tumours of pancreas of female patients aged from 19 to 71 years were studied. The material was stained with hematoxylin and eosin, by Grimelius and Fontana--Masson; PAP method with polyclonal antibodies to insulin, glucagon and somatostatin was also used. Immunoreactivity was weaker in tumours with clinically pronounced hormonal activity as compared to the normal endocrine cells in the Langerhans islets. This is confirmed ultrastructurally: tumour cells contain comparatively low number of neuroendocrine granules. Functionally inactive tumours show the opposite immunohistochemical results. The multipotential properties of cells forming pancreatic endocrine tumours are discussed.
Clinico-anatomical studies were carried out in patients with sclerosis of the bladder neck. Specimens for histologic examination were obtained by transurethral resection or transvesical excision of the bladder neck. Histologic changes indicative of chronic nonspecific inflammatory process were found in the majority of cases. The most seldom finding was hypertrophy of the bladder neck muscular tissue.
A case of a 29 year old man with typical picture of Cushing's syndrome is presented: pronounced hypodynamics, diabetes mellitus, hypertension, transitory psychic disorders, severe hypokalemia, metabolic alkalosis, hypercorticism, disturbed 24 h rhythm of cortisol secretion, high serum ACTH level. The treatment with steroidogenesis blockers (Metyrapone, o,p'DDD) led to a limited improvement. The well expressed organic changes in the cardiovascular and respiratory systems and pulmonary thromboembolism led to a fatal outcome. The post mortem examination revealed a pancreatic tumor 30/30 mm in size (histologically carcinoid) and enlarged hypophyseal gland with oxyphil cell hyperplasia. The electron microscopic examination found secretory granules in the pancreatic tumor cells. Concurrent ectopic secretion of ACTH by the oxyphil tumor cells is discussed.
Explore the source record for details and available documents.
A quantitative evaluation of the efficiency of pentacyne for decorporation of cerium-144 by the lung was undertaken under conditions of incorporation combined with external irradiation. The evaluation was made by kinetic and morphological parameters. It was established that the external irradiation did not change kinetics of radionuclide and in corporation efficiency of pentacyne. There are data for decorporation, manifested by biologic parameters--observed inflammatory changes in the lung at later intervals of examination in animals treated with pentacyne was weaker.
Explore the source record for details and available documents.
A case with multiple endocrine neoplasia was reported, including parathyroid adenoma, of the main cells of the gland, multiple small adenomas in the tail of pancreas, (cytologically and electron-microscopically determined as A cellular) and light-cellular adenoma of adrenal. The hyperfunction of parathyroid adenoma was manifested with hypercalcemia (3.75 mmol/l), and morphologically--with the multiple calcium metastases in lungs, kidneys and heart, established at necropsy. The cause for the death was the acutely advanced ischemic disease of myocardium, on the background of chronic pyelonephritis and renal insufficiency. The timely diagnosis of such morbid states is concluded to be important for the clinical practice and could lead to the saving of the patients by operative removal of the tumour.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Seven ovarian tumours (3 mature teratomas, 2 strumas with malignancy 2 strumal carcinoids) have been examined histologically, hystochemically and electron-microscopically. It is shown that the cell composition of the strumal teratoma tissue is very similar to that of the ectopic thyroid. The follicular cells may proliferate either into the benign tumour (apudoma) or typical thyroid carcinoma. Parafollicular cells may give rise to C-cell hyperplasia with the amyloid deposits in the stroma. The so-called strumal carcinoid of the ovary represents probably the C-cell tumour. Its "strumal" component may be considered as preexisting follicles invaded by tumour apudocytes or as the site of tumour origin displaying the pattern of a non-medullary thyroid apudoma.
Explore the source record for details and available documents.