[Acute malignant histiocytosis in a patient with Liebow's lymphomatoid granulomatosis (a case report)].
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Biomedical subjects
Publications and source records attributed to V M Kazantseva.
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A case of the mediastino-pulmonary type of lymphogranulomatosis is presented. Tumour elements were found in the sputum as well as in the smears and histological slides of the biopsied superclavicular lymph node.
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The results of cytological examinations of sputum in 100 patients with chronic bronchitis in the period of exacerbration of the disease and in 70 patients with limited chronic inflammatory process in the lung clinically interpreted either as chronic pneumonia or pneumosclerosis are compared. Considerable accumulations of round-cell elements of inflammatory infiltrate with predominance of monocytes as well as predominant exfoliation of transitory bronchial epithelium and not ciliated epithelium were most frequently found in the group of patients with limited chronic inflammatory process in the lung. Fragments of atypical bronchial epithelium simulating cancer elements were found mostly in patients with chronic bronchitis showing marked an asthmatic component. In the course of exacerbation of chronic asthmatic bronchitis accompanied by positive clinical dynamics, there was an increase in the size of alveolar macrophages in the sputum and increase in the content of hydrolytic enzymes, acid phosphatase and nonspecific esterase, in them.
A clinico-morphological analysis of two observations of cryptococcomas of the lungs are presented. In one case the diagnosis was established on the basis of cytological examinations of the sputum. This form of pulmonary cryptococcosis as well as identification of cryptococci in the sputum by cytological examinations are first described in the Soviet literature. The attention is drawn to the difficulties of clinico-roentgenological and morphological diagnosis of this disease and to the necessity to differentiate it from metastases of hyperneophroma, diseases of parasitic origin, and mycoses by other fungi.