[Clinico-morphological parallels in primary liver tumors in children].
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Biomedical subjects
Publications and source records attributed to M A Izrail'skaia.
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The results of clinico-morphological studies of 152 cases of neuroblastoma are presented. Neuroblastoma should be regarded as a tumor in which the following patterns may be distinguished: sympatogonioma (2.6%), sympatoblastoma -1 (38.8%), sympatoblastoma -2 (15.2%), ganglioneuroblastomia (41.4%), and combined ganglioneuroblastoma (2%). Mean two-year survival rate was 40.2%. Such factors as patient's by the time of tumor detection, radical surgery and excision of primary neoplasm in patients with metastases were found to improve the prognosis. The two-year survival rates in sympatoblastoma -1, sympatoblastoma -2 and ganglioneuroblastoma were 19.6, 50, and 72%, respectively.
A total of 150 patients with renal pathology (chronic glomerulonephritis, pyelonephritis, urolithiasis, etc.) accompanied by the development of psychoneurological disturbances were examined. In the initial stage of the renal insufficiency the authors observed neurasthenic, radicular, polyneuritic, renovisceral syndromes, in a more remote stage--encephalopathies and disturbances of the brain circulation. The important part in the above-mentioned disturbances is played by azotemia, metabolic acidosis, disturbances of fluid-electrolyte and albumine balance, as well as arterial hypertension.
Primary plasmic cultures of 33 tumors of the sympathic nervous system of children (27 neuroblastomas and 6 ganglioneuromas) were used for determination of their individual sensitivity to vincristin, vinblastin, dactinomycin, mithramycin, olivomycin, cyclophosphant bruneomycin and adriamycin. Most of the tumors were sensitive to vincristin, rubomycin an adriamycin. The data obtained in vitro and in the clinic were compared with respect to 12 cases (treatment with vincristin, combination of olivomycin with cyclophosphan, vincristin with rubomycin or cyclophosphan). Coinsidence of the results was observed in 8 cases. The method of primary plasmic cultures may be successfully used for determination of individual sensitivity of children with neuroblastomas to various cytostatics.
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