CLINICAL AND EXPERIMENTAL MEDICINE
The work presents the results of surgical treatment of 177 patients with localized cancer in the oropharyngeal area. The volume of surgical resection depended on the location and prevalence of cancer in the periglottis, the mouth floor and oropharynx. Depending on the volume of resection, the patients were divided into two groups: the control group consisted of 95 patients who underwent endoral resection within one or two anatomical structures; the main group consisted of 82 patients who underwent extended resection with simultaneous reconstructive surgery within no less than three anatomical areas.
Wherein the vast postresectional defects are formed, which are accompanied by the disorder of such vital functions as respiration, speech, chewing, and swallowing. Following the disorder of these functions, the mentality of patients is injured, resulting in social maladjustment that often becomes the reason for their refusal from surgery. Formed postresectional defects, which are incompatible with life, are an absolute indication for momentary reconstructive surgery.
Before and after surgical treatment, speech and swallowing function rates were measured in all the patients.
P = 0.0016). Fifteen-year OS for the entire cohort of patients was 60.2 %. Known clinical prognostic factors (age, sex, tumors volume, response to treatment and other) did not differ between patients with favorable and unfavorable outcomes.
Treatment results for pediatric patients with pPNET from the Republic of Belarus comply with the generally accepted standards. Patients with metastatic status need new treatment strategies. Search for new predictive markers is required for early detection of resistant to conventional treatment patients with localized pPNET.
It was found that the connective tissue dysplasia causes destructive changes in simple columnar epithelium, especially in the bottom part, with inhibition of the synthesis of mucopolysaccharides, which leads to a reduction in the number of epithelial cells not only in the simple columnar, but also in the mucus. Changes in the main and, especially, parietal exocrine cells are less pronounced. So, reducing the mucosal barrier in the presence of aggressive factors juice in children with chronic gastritis at the dysplasia of the connective tissue leads to a higher incidence of erosion and sometimes ulcers with increasing disease severity.
High malignant neuroepithelial tumors are characterized by a cascade growth that features primarily the growth of tumor vessels to periphery with an involvement of tumor cells in process. With the expansion of their population by a factor of 2,
a new tumor vessel appears outside the main tumor node.
Low malignant neuroepithelial tumors are characterized by the growth of tumor mass by means of the cell population. With the two-fold rise of the cell amount, a new proliferating vessel appears which increases the stage of tumor malignancy.
Neuroepithelial tumors are contaminated by HSV in 92–93 % of all cases that is manifestated by inflammation.
The patients with neuroepithelial tumors growing on the background of the inflammatory process caused by HSV have different degrees of aggressiveness of the disease depending on the presence or absence of exacerbation signs.
Contamination of neuroepithelial tumors by HSV increases a proliferative activity of tumor cells due to increase in the amount of anti-apoptosis factor (bcl-2), two times, the endothelium of vessels three times and also increases the amount of the endothelial growth factor which is directly proportional to the expression of antibody HSV during viral replication that is accompanied by exacerbation of chronical inflammation, on which tumors are growing.
Neuroepitelhial tumors recur on the background of exacerbation of chronic inflammation in the interval: glyoblastomas – 3 to 6 months, anaplastical astrocytomas and olygodendroglyomas and ependimomas – 6 to 9 months, astrocytomas and oligodendroglyomas – 18 to 24 months.
The increase in the amount of newly formed blood vessels is the unfavorable factor and points to more early beginnings of relapse in case ofneuroepitelial tumors. For anaplastic astrocitomas, it is 25 and more, for anaplastic oligodendrogliomas – 26 and more, for glioblastomas – 37 and more.
Thus, the impact of classical inhibitory neurotransmitter on the vomeronasal organ in rats was characterized by the restructuring of the integrative activity of the brain and the improvement of learning and memory mechanisms that were vulnerable to reduced oxygen tension in the brain tissues.
In experiments on male rats it was demonstrated that the administration of mesenchymal stem cells in the sub-mucosal space of the nasal cavities of rats in 10 minutes after the unilateral destruction by the aspiration of 20 microlitre of the tissue CA1 of the hippocampus region is accompanied by the restoration of the vital functions and the protective and indicative reflexes as a whole by one week earlier than in the rats, into which MSCs were not administered after similar destructions of the brain in the sub-mucosal membrane of the nasal cavities.
We examined 274 patients. The first group included 248 patients with osteointegrated implants. The second group of 26 patients had the diagnosis of the periimplantitis on the basis of clinical data and the radiological methods. A positive test for Helicobacter pylori according to whole blood was determined in 8 % of patients of the 1st group and in 85 % of the 2nd group. While according to the oral fluid, the test results were positive in 15 % of patients of the 1st group and 100 % patients of the 2nd group. Consequently, the Helicobacter pylori is one of the factors in the development of periimplantitis and should be considered as a relative contraindication to the operation of dental implantation. The presented material confirms the immunoassay effectiveness for determination of antibodies to Helicobacter pylori in the oral fluid of patients with periimplantitis.
ISSN 2524-2350 (Online)