ABSTRACT
The Department of Pediatric Oncology, Kemerovo, has operated as an interregional center since 1976. Cancer morbidity and epidemiology in children in the Kuzbass region have been studied. Complex treatment yielded good results: 2-20-year survival rate is 89.6% for Hodgkin's disease, nephroblastoma--75.4% and neuroblastoma--38.5%. The improvement in the results obtained makes the case for establishing a department for patient rehabilitation. To function properly, the center needs more beds. It must be in a position to carry out organizational and educational activities in catchment areas. The status of the center must be supported by official documents.
Subject(s)
Cancer Care Facilities/organization & administration , Hospitals, Pediatric/organization & administration , Cancer Care Facilities/statistics & numerical data , Child , Child, Preschool , Hospitals, Pediatric/statistics & numerical data , Humans , Incidence , Neoplasms/epidemiology , Neoplasms/mortality , Neoplasms/therapy , Prevalence , Rural Population/statistics & numerical data , Siberia/epidemiology , Urban Population/statistics & numerical dataABSTRACT
Results of treatment of 124 pediatric patients with Hodgkin's disease with a follow-up period of not less than 5 years were analysed. The diagnostic workup included laparotomy. As a result, stage of disease was changed in 24 (28.5%) out of 84 operated patients. Treatment with CVPP combination chemotherapy (several cycles) and extended-field telegammatherapy yielded a five-year survival rate of 86.2% with 77.4% of patients being free from relapse. Splenectomy did not influence long-term results: five-year survival rates in operated and non-operated patients were 86.9 and 85%, respectively. No delayed toxicity associated with chemoradiation treatment was encountered.
Subject(s)
Hodgkin Disease/diagnosis , Hodgkin Disease/therapy , Adolescent , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Biopsy , Child , Child, Preschool , Combined Modality Therapy , Female , Hodgkin Disease/mortality , Hodgkin Disease/pathology , Humans , Laparotomy , Lymph Nodes/pathology , Male , Neoplasm Staging , Nitrogen Mustard Compounds/administration & dosage , Prednisolone/administration & dosage , Procarbazine/administration & dosage , Radiotherapy Dosage , Recurrence , Splenectomy , Vincristine/administration & dosageSubject(s)
Child Health Services/organization & administration , Hospital Departments/organization & administration , Hospitals, District/organization & administration , Hospitals, Public/organization & administration , Medical Oncology , Neoplasms/therapy , Adolescent , Child , Child, Preschool , Humans , Infant , Interinstitutional Relations , RussiaSubject(s)
Bronchi/abnormalities , Cysts/pathology , Lung Diseases/pathology , Lung/pathology , Adolescent , Bronchography , Child , Child, Preschool , Cysts/congenital , Cysts/diagnostic imaging , Diagnosis, Differential , Female , Humans , Infant , Infant, Newborn , Lung Diseases/diagnostic imaging , MaleABSTRACT
Observations of 103 children with closed traumas of the chest have shown that traumatic pseudocysts of the lungs are not frequently encountered in this injury. They can result not only from rupture of the respiratory zone but also due to the valve mechanism in the transitory-conductive zone at the expense of the injury and lost elasticity of the bronchus wall. The traumatic pseudocysts require conservative treatment. Ruptures and strain of congenital cysts of the lungs in a closed trauma require urgent operations.
Subject(s)
Cysts/etiology , Lung Diseases/etiology , Thoracic Injuries/complications , Wounds, Nonpenetrating/complications , Adolescent , Child , Cysts/congenital , Cysts/pathology , Humans , Lung/pathology , Lung Diseases/congenital , Lung Diseases/pathology , Lung Injury , Male , Pneumothorax/etiology , Pneumothorax/pathology , Rupture , Thoracic Injuries/pathology , Wounds, Nonpenetrating/pathologyABSTRACT
Congenital and acquired lung cavities complicated by tension were studied in 44 children. The author considers that in the basis of the mechanism of tension there lies a loss of elasticity of bronchi and bronchioles resulting from an inflammatory process.
Subject(s)
Bronchial Diseases/congenital , Cysts/congenital , Lung/physiopathology , Pneumonia, Staphylococcal/physiopathology , Bronchi/physiopathology , Bronchial Diseases/physiopathology , Child, Preschool , Cysts/physiopathology , Elastic Tissue/physiopathology , Elasticity , Female , Humans , Infant , MaleABSTRACT
The diagnosis and methods of treatment in cases of foreign bodies in the knee joint of children has been poorly elucidated in the literature. A foreign body in the knee joint is an absolute indication for operation. The operation should be performed under narcosis and should bear the character of a primary postponed intervention. Migrating foeign bodies should be removed with the aid of a clamp under control of the x-ray screen.
Subject(s)
Foreign Bodies/pathology , Knee Joint/pathology , Child , Child, Preschool , Female , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Humans , Knee Joint/diagnostic imaging , Knee Joint/surgery , Male , RadiographySubject(s)
Pulmonary Artery/abnormalities , Bronchography , Child , Female , Humans , Pulmonary Artery/diagnostic imagingSubject(s)
Abnormalities, Multiple/surgery , Cecum/abnormalities , Spleen/abnormalities , Cecum/surgery , Female , Humans , Infant , Spleen/surgerySubject(s)
Pneumonia/immunology , Adolescent , Anti-Bacterial Agents/therapeutic use , Antitoxins/analysis , Blood Transfusion , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Pneumonia/drug therapy , Pneumonia/microbiology , Pneumonia, Staphylococcal/drug therapy , Pneumonia, Staphylococcal/immunology , Pneumonia, Staphylococcal/therapy , Proteus Infections/drug therapy , Proteus Infections/immunology , Pseudomonas Infections/drug therapy , Pseudomonas Infections/immunology , Streptococcal Infections/drug therapy , Streptococcal Infections/immunology , Suppuration , gamma-Globulins/therapeutic useABSTRACT
A complex clinico-roentgeno-morphological investigation was performed in 38 patients, aged from 4 to 15 years, with chronic deformative bronchitis. The analysis of the results obtained enabled to reveal three clinico-anatomical forms of deformative bronchitis: a. chronic infiltrative endobronchitis; b. chronic deformative bronchitis with cylindric enlargement of bronchi; c. chronic deformative bronchitis with marked angiobronchosclerosis. Broncho-angiopneumographic and morphological correlations contributed to further pinpointing differential indications to radical surgical procedures for such pulmonary pathology.
