[Cavernoscopy in patients with disseminated fibrous-cavernous pulmonary tuberculosis]. / Kavernoskopiia u bol'nykh s rasprostranennym fibrozno-kavernoznym tuberkulezom legkikh.

A technique of a dynamic cavernoscopy permitting one to conduct diagnostic and therapeutic manipulations for several months has been suggested. The given procedure was conducted in 36 patients with disseminated fibrous-cavernous pulmonary tuberculosis. An important role in defining management tactics belongs to the direct bacteriological and histological examination of the cavern contents. Local treatment by means of antituberculous drug solution instillation was administered in 29 patients. A positive effect was registered in 26 cases. The above technique can be used for the process prognosis and the treatment modification.

[Hyalinizing intravascular bronchioloalveolar tumor--a rare form of diffuse lung lesions]. / Gialiniziruiushchaia vnutrisosudistaia "bronkhioloal'veoliarnaia" opukhol'--redkaia forma diffuznykh porazhenii legkikh.

A rare, badly known diffuse pulmonary lesion--multifocal hyalinizing intravascular "bronchiolo-alveolar" tumour in a woman of 22, is described. The lesion was revealed at fluorography, diagnosed by means of mediastinopleuroscopy, in lung biopsy; there were no clinical manifestations. A hyalinized compact and branching node, poor in cells, intruding at the periphery into the alveolar septa in the form of micropolyps was found histologically.

[Parasternal mediastinopleuroscopy in the diagnosis of malignant neoplasms of the anterior mediastinum]. / Parasternal'naia mediastinoplevroskopiia v diagnostike zlokachestvennykh novoobrazovanii perednego sredosteniia.

The authors suggest a clinical procedure of parasternal mediastinopleuroscopy which assures intercostal examination, instrumental palpation and biopsy of neoplasms of the anterior mediastinum without causing considerable trauma. The procedure makes it possible to assess operability and to determine optimal access for surgical removal of tumor. The procedure was used in clinic in 35 cases; in 23 of them, intervention was limited to biopsy, while 12 cases underwent radical surgery.

[Method of extensive mediastinoscopy in lung cancer]. / Metodika rasshirennoi mediastinoskopii pri rake legkogo.

The technic of extensive mediastinoscopy is described, which enables visualization of anatomical structures of the mediastinum and lung hilus inaccessible for an examination while using mediastinoscopy after the Carlens technic. An experience with the extensive mediastinoscopy performed in 116 lung cancer patients is reported. This kind of investigation does not increase the incidence of complications as compared with the Carlens mediastinoscopy. The mediastinoscopy was performed immediately before thoracotomy.