Abstract:

Accurate and timely diagnosis of benign renal tumors is often complicated, mainly because of the large variety of manifestations. 102 patients with various renal tumors were included in the study; in 9 of them (8.8%) tumors were verified as benign. Specimen were obtained by surgical tumor excision (8 cases), and ultrasound guided needle biopsy (1 case). The importance of pre-operative CT and MRI is shown for accurate diagnosis of benign renal tumors, in particular, angiomolipoma and multilocular cystous nephroma. Authors also discussed complicacies in radiodiagnostics of benign renal tumors.

Reference

1.     BenningtonJ.L., BeckwithJ.B. Tumors of thekidney, renal pelvis, and ureter. In: Atlas of 9.tumor pathology. Washington. Armed ForcesInstitute of Pathology. 1975; 12: 215.

2.     Xippel W.D. The incidence of benign renalnodules (a clinicopathological study).J. Urol. 10.1971; 106: 503.

3.     Harmon W.J., King B.F., Lieber M.M.Renal oncocytoma: magnetic resonance 11.imaging characteristics. J Urol. 1996; 155 (3):863-867.

4.     Kettritz U., Semelka R.C., Siegelman E.S.,Shoenut J.P., Mitchell D.G. Multilocular cysts 12.nephroma MR imaging appearance with current techniques including gadolini. J. Magn.Reson. Imaging. 1996; 6 (1): 145-148.

5.     Semelka R.C. Abdominal - Pelvis MRI. New- 13.York. Wiley-Liss. 2002; 379-469.

6.     Wegener O.H. Whole Body ComputedTomography. Boston. Blackwell ScientificPublication. 1994; 369-400.

7.     Michalko T., Zelenak P., Valansky L. et al.Renal oncocytoma and its morphology, diagnosis and therapy. Bratisl. Lek. Listy. 1994; 95 (6): 267-269.

8.     Muramoto M., Uchida T., Kyuuno H., IshidaH., Utsunomiya T., Egawa S., Mashimo S.,Koshiba K. et al. A case of renal oncocytoma. Hinyokika Kiyo. 1994; 40 (1): 47-50.

9.     Perez-Ordonez В., Hamed G., Campbell S. Renal oncocytoma: a clinicopathologic study of 70 cases. Am. J. Surg. Pathol. 1997; 21 (8): 871-883.

10.   Saucher-Chapado M., Angulocuesta J. et al. Sunhronous bilateral renal oncocytoma. Arch. Esp. Urol. 1995; 48 (9): 909-913.

11.   Davidson A.J., Hayews W.S., Hartman D.S. et al. Renal oncocytoma and carcinoma. Failure of differentiation with CT. Radiology. 1993; 186, 693-696.

12.   Ball D.S., Friedman A.C., Hartman D.S. et al. Scar sign of renal oncocytoma. Magnetic resonance imaging appearance and lack of specificity. Urol. Radiol. 1986; 8: 46-48.

13.   Sakai Y., Gotoh S., Suzuki S., Ozawa T. A case of unilateral and synchronous occurrence of oncocytoma and renal cell carcinoma. Hinyokika Kiyo. 1997, 43 (9): 651-653.

14.   Sasakis Т., Hayashi T., Tsugaya M., Okamura T, Sakakura T, Kohri K. Radiological diagnosis of renal oncocytoma. Hinyokakiyo. 1995; 41 (9): 731-735.

15.   Wang Y.T., Liu K.L., Chuch S.C., Tsang Y.M. Giant renal oncocytoma: differential diagnosis.J. Formos. Med. Assoc. 2003; 102 (1): 46-48.

Abstract:

On the base of a case report article shows the role of interventional and diagnostic radiology in treatment of patients with multifocal atherosclerosis. Application of modern interventional cardiology methods expands the possibilities in treatment of patients with multifocal atherosclerosis, often in severe condition, and in senile group. Article provides literary data on the prevalence of multifocal atherosclerosis.

References

 1.    Bjerrum I.S., Sand N.P., Poulsen M.K., et al. Non-invasive assessments reveal that more than half of randomly selected middle-aged individuals have evidence of subclinical atherosclerosis: a DanRisk substudy. Int. J. Cardiovasc. Imaging. 2012. [Epub ahead of print].

2.     Sumin A.N., Gaifulin R.A., Bezdenezhnykh A.V., Mos'kin M.G., Korok E.V., Karpovich A.V., Ivanov S.V., Barbarash O.L., Barbarash L.S. Rasprostranennost multifokalnogo ateroskleroza v razlichnyh vozrastnyh gruppah. [Prevalence of multifocal atherosclerosis in different age groups] Кардиология. Kardiologiia. 2010; 52(6): 28-34 [In Russ].

3.     Belov U.V., Carchan E.R., Krasnikov M.P. Odnomomentnoe hirurgicheskoe lechenie porazhenia voshodiaschej dugi aorty, koronarnyh i sonnyh artetij u bolnogo s multifokalnym aterosklerozom) [Single-step surgical management of lesions of the ascending aorta and aortic arch, coronary and carotid arteries in a male patient with multifocal atherosclerosis]. Angiol. Sosud. Khir. 2012;18(1): 131-135[In Russ].

4.     Helgadottir A., Gretarsdottir S., Thorleifsson G., et al. Apolipoprotein(a) Genetic Sequence Variants Associated With Systemic Atherosclerosis and Coronary Atherosclerotic Burden But Not With Venous Thromboembolism. Am. Coll. Cardiol. 2012; 60(8): 722-729.

5.     Lammeren G.W., Catanzariti L.M., Peelen L.M., et al. Clinical prediction rule to estimate the absolute 3-year risk of major cardiovascular events after carotid endarterectomy. Stroke. 2012; 43(5): 1273-1278.

6.     Giugliano G., Di Serafino L., Perrino C., et al. Effects of successful percutaneous lower extremity revascularization on cardiovascular outcome in patients with peripheral arterial disease. Int. J. Cardiol. 2012. [Epub ahead of print].

7.     Matsuo Y, Takumi T, Mathew V, et al. Plaque characteristics and arterial remodeling in coronary and peripheral arterial systems. Atherosclerosis. 2012; 223(2): 365-371.

8.     Karimov Sh.I., Sunnatov R.D., Ganiev A.M., Keldierov B.K., Irnazarov A.A., Asrarov U.A., Iulbarisov A.A., Alidzhanov Kh. Diagnostika i taktika hirurgicheskogo lechenia bolnyh s multifokalnym aterosklerozom) [Diagnostics and strategy of surgical treatment of multifocal atherosclerosis]. Vestn. Ross. Akad. Med. Nauk. 2011; 1:14-18 [In Russ]. 

Abstract:

The main part of the research is given to radiodiagnostics of tubercolisis lesion of backbone (traditional x-ray, ultrasound diagnostics, computed tomography, magnetic resonance imaging). We have exmined 452 patients: 40 patients (8,8%) had cervical spine lesions, 185 patients (41%) - thoracic spine lesions, thoracic-lumbar spine - 75 patients (16,8%), lumbar spine - 141 patients (31,1%), lumbar-sacral spine - 11 patients (2,5%). It is especially marked that combination of lungs tuberculosis and spondylitis is higher not only in patients with antibiotic resistant infection but n patients with tuberculosis combined with AIDS.

References 

1.    Митусова Г.М. Лучевая диагностика туберкулезного спондилита у взрослых, осложненного неврологическими расстройствами. Дис. на соиск. к.м.н. С.-Пб. 2002.

2.    Советова Н.А., Савин И.Б., Мальченко О.В. и др. Лучевая диагностика внелегочного туберкулеза. Проблемы туберкулеза. 2006; 11: 7-9.

3.    Руководство по легочному и внелегочному туберкулезу. Под ред. Ю.Н. Левашева и Ю.М. Репина. ЭЛБИ-С.-Пб. 2008; 273-283.

4.    Васильев А.В. Современные проблемы туберкулеза в регионе Северо-Запада России. Проблемы туберкулеза. 1999; 3: 5-7.

5.    Лавров В.Н. Диагностика и лечение больных туберкулезным спондилитом. Проблемы туберкулеза. 2001; 4: 30-32.

6.    Гусева Н.И., Иванов В.М., Потапенко Е.И. и др. Иммунный статус больных активным туберкулезным спондилитом. Проблемы туберкулеза и болезней легких. 2003; 6: 25-28.

7.    Селюкова Н.В. Зонография в диагностике туберкулеза позвоночника на поликлиническом этапе. Проблемы туберкулеза и болезней легких. 2008; 11, 21-23.

8.    Мердина Е.В., Митусова Г.М., Советова Н.А. Ультразвуковая диагностика забрюшинных абсцессов при туберкулезе позвоночника. Проблемы туберкулеза. 2001; 4: 19-21.

9.    Лукьяненок П.И. Магнитно-резонансная томография в диагностике туберкулезного спондилита. Руководство для врачей. 2008.

10.  Щ Советова Н.А., Джанкаева О.Б., Кравцова О.С. и др. Туберкулезный спондилит взрослых в условиях генерализации инфекции и лекарственной резистентности возбудителя. Невский радиологический форум 2-5 апреля 2011 г. С.-Пб.: Научные материалы. 2011; 223-224.

11.  Шилова М.В. Туберкулез в России в 2009 г. М. 2009; 159-161.