RESUMO
The results of diagnosis and treatment in 2004-2012 yrs period of 79 patients, suffering nonfunctioning neuroendocrine pancreatic tumors (NNPT), were analyzed. Effective diagnostic tactic while preoperative predilection on the NNPT presence for the diagnosis verification was proposed, permitting to determine the optimal method of surgical treatment, to introduce organpreserving and laparoscopic interventions, to widen indications for surgery for the NNPT extended forms.
Assuntos
Biomarcadores Tumorais/genética , Antígeno Ki-67/genética , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirurgia , Cromogranina A/genética , Feminino , Humanos , Masculino , Mitose , Gradação de Tumores , Pancreatectomia , Neoplasias Pancreáticas/classificação , Neoplasias Pancreáticas/diagnóstico por imagem , Radiografia , Estudos RetrospectivosRESUMO
Results of treatment of 47 patients with cholangiogenic hepatic abscess were analyzed. Clinical, laboratory and special methods of investigation were applied for diagnosis. The authors consider ultrasound investigation (USI), computer tomography and the abscess puncture under the USI control with subsequent cytological and bacterial control the decisive methods in diagnosis of hepatic abscess. In complex of treatment of patients miniinvasive technologies were applied--the abscess puncture, its cavity drainage under USI control transcutaneus transhepatic cholangiostomy, endoscopic papillosphincterotomy with lithotripsy and nasobiliary drainage, according to indications. Efficacy of the abscess cavity sanation, using miramistinum and decasan, was proved. In general therapy the directed transport of medicines was applied.