161 research outputs found

    The Value of Legal Terminology for the Romano-German Legal System Countries

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    The problems of terminology are relevant for any aspect of human life. In the field of lawmaking, the significance of this problem corresponds to the significance of laws in society. Thus, the primary aim of the article is to investigate the place of legal terminology in the countries of the continental system of law. To accomplish end, this survey attempts to substantiate that legal terminology in this legal system is of significant importance for the formation and application of legislation. To do so, a comparison is made with the construction of the legal system in the countries of the Anglo-Saxon legal system. Based on the result, Russian law is classified as a continental legal family. At the same time, based on an analysis of the key areas of development of economic legislation, a tendency has been revealed for the penetration of Anglo-Saxon legal institutions into the Russian legal system. The conclusion is formulated on the need to ensure the unity of legal terminology in legal texts. This is of particular importance when borrowing foreign legal institution

    Novel self-assembling system based on resorcinarene and cationic surfactant

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    Mixed association of calix[4]resorcinarene with ethyl sulfonate groups on the lower rim and dimethylaminomethyl groups on the upper rim (CR) and cationic surfactant 4-aza-1-hexadecyl-azoniabicyclo[2.2.2]octane bromide (DABCO-16) is studied by methods of tensiometry, conductometry, potentiometry and NMR spectroscopy at fixed CR concentration and varied surfactant concentration. Beyond ca. 0.4 mM of DABCO-16, mixed aggregates enriched by CR are proved to be formed due to electrostatic forces, while beyond ca. 5 mM, aggregates enriched by surfactant occur due to the hydrophobic effect. Spectrophotometry monitoring of the solubilization of a hydrophobic dye, Orange OT, demonstrated that only the second type of mixed aggregate enriched by DABCO-16 is capable of binding the organic probe, while the mixed system where the surfactant is a minor component shows no binding capacity towards Orange OT. This finding can be used for the design of nanocontainers with controllable binding/release properties.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-gefΓΆrderten) Allianz- bzw. Nationallizenz frei zugΓ€nglich

    Numerical Study of the Working Space of the Furnace of a Methodical Pusher Furnace with a Production Furnace of 10 Tons/Hour

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    Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСны Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Ρ‚Π΅ΠΏΠ»ΠΎΠ²ΠΎΠ³ΠΎ расчСта распрСдСлСния Ρ‚Π΅ΠΌΠΏΠ΅Ρ€Π°Ρ‚ΡƒΡ€ Π²Π½ΡƒΡ‚Ρ€ΠΈ Ρ€Π°Π±ΠΎΡ‡Π΅Π³ΠΎ пространства Ρ‚ΠΎΠΏΠΊΠΈ мСтодичСской Ρ‚ΠΎΠ»ΠΊΠ°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΠΏΠ΅Ρ‡ΠΈ. РассмотрСнныС тСзисы Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½Π½Ρ‹ Π½Π° ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² проСктирования тСплотСхничСских установок ΠΏΡ€ΠΈ использовании ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½Ρ‹Ρ… расчСтов. CFD-ΠΌΠΎΠ΄Π΅Π»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ Π·Π°Π΄Π°Ρ‡ΠΈ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ Π² ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΠ½ΠΎΠΌ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚Π΅ Ansys Fluent.The work analyzes the results of the thermal calculation of the distribution inside the working space of the furnace of the methodical pusher furnace. The considered theses are aimed at studying the methods of designing heat engineering installations using computer calculations. CFD modeling was carried out in the Ansys Fluent software product

    Investigation of Combustion Fuel in a Ring Metallurgical Furnace Using CFD Modeling

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    Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСно исслСдованиС числСнного модСлирования горСния Ρ‚ΠΎΠΏΠ»ΠΈΠ²Π° Π² Ρ€Π°Π±ΠΎΡ‡Π΅ΠΉ ΠΊΠ°ΠΌΠ΅Ρ€Π΅ ΠΊΠΎΠ»ΡŒΡ†Π΅Π²ΠΎΠΉ мСтодичСской ΠΏΠ΅Ρ‡ΠΈ. ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ распрСдСлСниС ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΎΠ² сгорания ΠΏΠΎ Ρ€Π°Π±ΠΎΡ‡Π΅ΠΉ ΠΊΠ°ΠΌΠ΅Ρ€Π΅. CFD-ΠΌΠΎΠ΄Π΅Π»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ исслСдования горСния Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ Π² ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΠ½ΠΎΠΌ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚Π΅ Ansys Fluent.This paper presents a study of numerical simulation of fuel combustion in the working chamber of the ring methodical furnace. The distribution of combustion products in the working chamber is determined. CFD modeling of combustion research is performed in the Ansys Fluent software product

    Π‘Π»ΡƒΡ‡Π°ΠΉ хирургичСского лСчСния гигантской злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΏΠΎΡ‡ΠΊΠΈ

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    Renal tumors account for 2 to 3 % of all malignant tumors in adults. Of all patients with renal cell carcinoma, 30 to 40 % have advanced forms of the disease. In the literature, the term "giant renal tumor" is used for tumors larger than 20 cm. In this article, we report a case of surgical treatment for a giant malignant kidney tumor.Patient N., female, 54 years old, referred to an outpatient clinic with complaints of a change in the shape of the abdomen on the left with a palpable large tumor, abdominal pain, shortness of breath, weakness, constipation, episodes of blood in the urine and increased blood pressure. Body mass index 30.2 kg/m2. Ultrasound examination revealed a large tumor in the left retroperitoneal space. Laboratory testing of blood, urine was performed, findings were unremarkable. According to the data of magnetic resonance imaging, the left kidney was transformed into a large cystic solid formation, measuring 30.5 Ρ… 17.5 Ρ… 17.0 cm, heterogeneously accumulating a contrast agent with a solid component. Patient was admitted to the urology department for surgical treatment. We performed radical nephrectomy on the left with thoracolumbar laparotomy access on the left with resection of the 10th rib, resecting the renal tumor with the adrenal gland, total weight of the complex was 10.7 kg. The histological structure was determined as poorly differentiated renal carcinoma with invasion of the perinephric tissue. In the adrenal gland, fields of fresh erythrocytes with an admixture of tumor tissue were noted. Examined lymph node tissue was completely replaced by tumor cells. Postoperative period was characterized by episodes of dynamic intestinal obstruction. The patient was discharged from the department in a satisfactory condition on the 13th day after the operation, but died 1.5 months after discharge, the cause of death has not been established, as no autopsy was performed. Thus, the size of the tumor is not a contraindication to surgical treatment, which improves the survival rate of patients with malignant renal tumors.ΠžΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΏΠΎΡ‡Π΅ΠΊ ΡΠΎΡΡ‚Π°Π²Π»ΡΡŽΡ‚ 2-3 % всСх злокачСствСнных ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ взрослых. Π‘Ρ€Π΅Π΄ΠΈ всСх Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ 30-40 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΠΈΠΌΠ΅ΡŽΡ‚ распространСнныС Ρ„ΠΎΡ€ΠΌΡ‹ заболСвания. Π’ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π΅ встрСчаСтся Ρ‚Π΅Ρ€ΠΌΠΈΠ½ «гигантская ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ ΠΏΠΎΡ‡ΠΊΠΈΒ». ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ, Ρ‡Ρ‚ΠΎ ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ >20 см ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΡ€ΠΈΠ·Π½Π°Π½Π° ΠΊΠ°ΠΊ гигантская. Π’ настоящСй ΡΡ‚Π°Ρ‚ΡŒΠ΅ описан клиничСский случай хирургичСского лСчСния гигантской злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΏΠΎΡ‡ΠΊΠΈ.ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ° Н., 54 Π»Π΅Ρ‚, ΠΎΠ±Ρ€Π°Ρ‚ΠΈΠ»Π°ΡΡŒ с ΠΆΠ°Π»ΠΎΠ±Π°ΠΌΠΈ Π½Π° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Ρ„ΠΎΡ€ΠΌΡ‹ ΠΆΠΈΠ²ΠΎΡ‚Π° слСва, Π±ΠΎΠ»ΠΈ Π² ΠΆΠΈΠ²ΠΎΡ‚Π΅, ΠΎΠ΄Ρ‹ΡˆΠΊΡƒ, ΡΠ»Π°Π±ΠΎΡΡ‚ΡŒ, Π·Π°ΠΏΠΎΡ€Ρ‹, эпизоды ΠΊΡ€ΠΎΠ²ΠΈ Π² ΠΌΠΎΡ‡Π΅, ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ давлСния. ИндСкс массы Ρ‚Π΅Π»Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ 30,2 ΠΊΠ³/ΠΌ2. По Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠ³ΠΎ исслСдования Π±Ρ‹Π»Π° выявлСна большая ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ Π² Π·Π°Π±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎΠΌ пространствС слСва. Π’ Π°Π½Π°Π»ΠΈΠ·Π°Ρ… ΠΊΡ€ΠΎΠ²ΠΈ ΠΈ ΠΌΠΎΡ‡ΠΈ патологичСских ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π½Π΅ ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ΠΎ. По Π΄Π°Π½Π½Ρ‹ΠΌ ΠΌΠ°Π³Π½ΠΈΡ‚Π½ΠΎ-рСзонансной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ лСвая ΠΏΠΎΡ‡ΠΊΠ° трансформирована Π² ΠΊΡ€ΡƒΠΏΠ½ΠΎΠ΅ кистозно-солидноС ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ 30,5 Ρ… 17,5 Ρ… 17,0 см, Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½ΠΎ Π½Π°ΠΊΠ°ΠΏΠ»ΠΈΠ²Π°ΡŽΡ‰Π΅Π΅ контрастный ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ солидным ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚ΠΎΠΌ. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ΅ Π±Ρ‹Π»Π° Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½Π°Ρ нСфрэктомия слСва Ρ‚ΠΎΡ€Π°ΠΊΠΎΠ»ΡŽΠΌΠ±ΠΎΠ»Π°ΠΏΠ°Ρ€ΠΎΡ‚ΠΎΠΌΠ½Ρ‹ΠΌ доступом с Ρ€Π΅Π·Π΅ΠΊΡ†ΠΈΠ΅ΠΉ X Ρ€Π΅Π±Ρ€Π°. Π£Π΄Π°Π»Π΅Π½Π° ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ ΠΏΠΎΡ‡ΠΊΠΈ с Π½Π°Π΄ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΈΠΊΠΎΠΌ, суммарная масса ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° составила 10,7 ΠΊΠ³. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ гистологичСского исслСдования: низкодиффСрСнцированная ΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΠ° ΠΏΠΎΡ‡ΠΊΠΈ с ΠΈΠ½Π²Π°Π·ΠΈΠ΅ΠΉ Π² ΠΏΠ°Ρ€Π°Π½Π΅Ρ„Ρ€Π°Π»ΡŒΠ½ΡƒΡŽ ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΡƒ. Π’ Π½Π°Π΄ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΈΠΊΠ΅ ΠΎΡ‚ΠΌΠ΅Ρ‡Π°Π»ΠΈΡΡŒ поля свСТих эритроцитов с ΠΏΡ€ΠΈΠΌΠ΅ΡΡŒΡŽ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ. Π’ исслСдованном лимфатичСском ΡƒΠ·Π»Π΅ выявлСно Ρ‚ΠΎΡ‚Π°Π»ΡŒΠ½ΠΎΠ΅ Π·Π°ΠΌΠ΅Ρ‰Π΅Π½ΠΈΠ΅ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΡŒΡŽ (ΡƒΠ·Π΅Π» Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ 5 Ρ… 5 см). Π’ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ наблюдались эпизоды динамичСской ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠΉ нСпроходимости. Π‘ΠΎΠ»ΡŒΠ½Π°Ρ Π±Ρ‹Π»Π° выписана Π² ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌ состоянии Π½Π° 13-Π΅ сутки послС ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ. Π§Π΅Ρ€Π΅Π· 1,5 мСс послС выписки ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ° ΡƒΠΌΠ΅Ρ€Π»Π°. ΠŸΡ€ΠΈΡ‡ΠΈΠ½Π° Π²Π½Π΅Π·Π°ΠΏΠ½ΠΎΠΉ смСрти Π½Π΅ установлСна, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ вскрытиС Π½Π΅ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ. Π’Π°ΠΊΠΈΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ, Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π½Π΅ являСтся ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠ΅ΠΌ ΠΊ хирургичСскому Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ, Ρ‡Ρ‚ΠΎ ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ²Π°Π΅Ρ‚ Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнными опухолями ΠΏΠΎΡ‡ΠΊΠΈ

    Π Π΅Ρ†ΠΈΠ΄ΠΈΠ² ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠΉ гСмангиоэндотСлиомы ΠΏΠΎΡ‡ΠΊΠΈ: случай ΠΈΠ· ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ

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    Composite hemangioendothelioma is an extremely rare form of kidney tumor. The tumor mainly occurs in the extremities, head and neck; internal organs involvement is rarely reported. Patient, 61-year-old male, was admitted to the urology department for a left kidney tumor, which was found accidentally during an ultrasound examination. Magnetic resonance imaging showed an irregularly shaped tumor measuring 5.0 Γ— 6.0 Γ— 4.0 cm and located in the lower pole of the left kidney. The tumor was surgically removed with resection of the capsule of the kidney lower pole. Immunohistochemical study revealed diffuse bright expression of CD31 (clone JC70A), CD34 (clone QBEnd 10), ERG (clone ER111), FLI-1 (clone MRQ-1) in tumor cells. The index of proliferative activity Ki-67 (clone SP6) was 40 %. The morphological picture and immunophenotype of the tumor correspond to composite hemangioendothelioma of the retroperitoneal space. Magnetic resonance imaging of the retroperitoneal space on follow-up visit in 9 months visualized a tumor of the left kidney measuring 8.3 Γ— 8.4 Γ— 7.8 cm. Radical nephrectomy was performed. Pathology examination showed that tumor tissue was mainly represented by solid fields of the spindle cell component. In samples of the border between the tumor and fatty pararenal tissue, tumor invasion was observed up to the adjacent striated muscles, tumor growth into the tissue of the kidney gate was also found. Taking into account the morphological picture and the earlier immunohistochemical study, the removed tumor corresponds to composite hemangioendothelioma.Composite hemangioendothelioma is a tumor of low malignant potential. It is extremely rare for this tumor to affect the kidney. At the same time, in the described case, the tumor was initially located in the retroperitoneal space, with involvement of the kidney capsule, and was assessed as a benign lesion. After 9 months, there was a recurrence of the tumor localized in the kidney with damage to the elements of the renal sinus, retroperitoneal tissue, and lumbar muscles. In this case, the tumor has significant malignant potential.ΠšΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½Π°Ρ гСмангиоэндотСлиома – ΠΎΠ΄Π½Π° ΠΈΠ· ΠΊΡ€Π°ΠΉΠ½Π΅ Ρ€Π΅Π΄ΠΊΠΈΡ… Ρ„ΠΎΡ€ΠΌ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΏΠΎΡ‡ΠΊΠΈ. ΠžΠΏΡƒΡ…ΠΎΠ»ΡŒ локализуСтся Π² основном Π² конСчностях, Π³ΠΎΠ»ΠΎΠ²Π΅ ΠΈ шСС, Ρ€Π΅Π΄ΠΊΠΎ сообщаСтся ΠΎ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠΈ Π²Π½ΡƒΡ‚Ρ€Π΅Π½Π½ΠΈΡ… ΠΎΡ€Π³Π°Π½ΠΎΠ². Π‘ΠΎΠ»ΡŒΠ½ΠΎΠΉ 61 Π³ΠΎΠ΄Π° обратился Π² урологичСскоС ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π² Π»Π΅Π²ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠ΅, ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½Π½ΠΎΠΉ случайно ΠΏΡ€ΠΈ ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠΌ исслСдовании. По Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ ΠΌΠ°Π³Π½ΠΈΡ‚Π½ΠΎ-рСзонансной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π² области Π½ΠΈΠΆΠ½Π΅Π³ΠΎ полюса Π»Π΅Π²ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠΈ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»Π°ΡΡŒ Π½Π΅ΠΏΡ€Π°Π²ΠΈΠ»ΡŒΠ½ΠΎΠΉ Ρ„ΠΎΡ€ΠΌΡ‹ ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ 5,0 Γ— 6,0 Γ— 4,0 см. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ хирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅, ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ ΡƒΠ΄Π°Π»Π΅Π½Π° с Ρ€Π΅Π·Π΅ΠΊΡ†ΠΈΠ΅ΠΉ капсулы Π½ΠΈΠΆΠ½Π΅Π³ΠΎ полюса ΠΏΠΎΡ‡ΠΊΠΈ. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅ иммуногистохимичСского исслСдования: Π² ΠΊΠ»Π΅Ρ‚ΠΊΠ°Ρ… ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ – диффузная яркая экспрСссия CD31 (ΠΊΠ»ΠΎΠ½ JC70A), CD34 (ΠΊΠ»ΠΎΠ½ QBEnd 10), ERG (ΠΊΠ»ΠΎΠ½ ER111), FLI-1 (ΠΊΠ»ΠΎΠ½ MRQ-1). ИндСкс ΠΏΡ€ΠΎΠ»ΠΈΡ„Π΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠΉ активности Ki-67 (ΠΊΠ»ΠΎΠ½ SP6) 40 %. ΠœΠΎΡ€Ρ„ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠ°Ρ ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Π° ΠΈ ΠΈΠΌΠΌΡƒΠ½ΠΎΡ„Π΅Π½ΠΎΡ‚ΠΈΠΏ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΡΠΎΠΎΡ‚Π²Π΅Ρ‚ΡΡ‚Π²ΡƒΡŽΡ‚ ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠΉ гСмангиоэндотСлиомС Π·Π°Π±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎΠ³ΠΎ пространства. ΠŸΡ€ΠΈ ΠΌΠ°Π³Π½ΠΈΡ‚Π½ΠΎ-рСзонансной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π·Π°Π±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎΠ³ΠΎ пространства Ρ‡Π΅Ρ€Π΅Π· 9 мСс выявлСна ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ Π»Π΅Π²ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠΈ Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ 8,3 Γ— 8,4 Γ— 7,8 см. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ хирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π² объСмС Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠΉ нСфрэктомии. ΠœΠΎΡ€Ρ„ΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΎΠ΅ Π·Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅: опухолСвая Ρ‚ΠΊΠ°Π½ΡŒ прСдставлСна прСимущСствСнно солидными полями ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ Β«Π²Π΅Ρ€Π΅Ρ‚Π΅Π½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎΒ» ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Π°. Π’ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°Ρ…, прСдставлСнных Π³Ρ€Π°Π½ΠΈΡ†Π΅ΠΉ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΈ ΠΆΠΈΡ€ΠΎΠ²ΠΎΠΉ ΠΏΠ°Ρ€Π°Π½Π΅Ρ„Ρ€Π°Π»ΡŒΠ½ΠΎΠΉ ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΠΈ, опрСдСляСтся инвазия ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π²ΠΏΠ»ΠΎΡ‚ΡŒ Π΄ΠΎ ΠΏΡ€ΠΈΠ»Π΅ΠΆΠ°Ρ‰Π΅ΠΉ ΠΏΠΎΠΏΠ΅Ρ€Π΅Ρ‡Π½ΠΎ-полосатой мускулатуры, Ρ‚Π°ΠΊΠΆΠ΅ встрСчаСтся рост ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π² ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΡƒ Π²ΠΎΡ€ΠΎΡ‚ ΠΏΠΎΡ‡ΠΊΠΈ. Π‘ ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ морфологичСской ΠΊΠ°Ρ€Ρ‚ΠΈΠ½Ρ‹ ΠΈ Π΄Π°Π½Π½Ρ‹Ρ… иммуногистохимичСского исслСдования удалСнная ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ соотвСтствуСт ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½ΠΎΠΉ гСмангиоэндотСлиомС.ΠšΠΎΠΌΠΏΠΎΠ·ΠΈΡ‚Π½Π°Ρ гСмангиоэндотСлиома – ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ с Π½ΠΈΠ·ΠΊΠΈΠΌ злокачСствСнным ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΠΎΠΌ. ΠšΡ€Π°ΠΉΠ½Π΅ Ρ€Π΅Π΄ΠΊΠΎ встрСчаСтся ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ этой ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ ΠΏΠΎΡ‡ΠΊΠΈ. Π’ описанном случаС ΠΏΠ΅Ρ€Π²ΠΎΠ½Π°Ρ‡Π°Π»ΡŒΠ½ΠΎ ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ локализовалась Π² Π·Π°Π±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎΠΌ пространствС с Π²ΠΎΠ²Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ капсулы ΠΏΠΎΡ‡ΠΊΠΈ ΠΈ ΠΎΡ†Π΅Π½Π΅Π½Π° ΠΊΠ°ΠΊ доброкачСствСнноС ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅. Π§Π΅Ρ€Π΅Π· 9 мСс ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ² ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ с Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠ΅ΠΉ Π² ΠΏΠΎΡ‡ΠΊΠ΅ с ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ элСмСнтов ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎΠ³ΠΎ синуса, ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΠΈ Π·Π°Π±Ρ€ΡŽΡˆΠΈΠ½Π½ΠΎΠ³ΠΎ пространства ΠΈ поясничных ΠΌΡ‹ΡˆΡ†. Π’ Π΄Π°Π½Π½ΠΎΠΌ случаС ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ ΠΈΠΌΠ΅Π΅Ρ‚ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΉ злокачСствСнный ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»

    Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ хирургичСского лСчСния злокачСствСнных ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ ΠΏΠΎΡ‡ΠΊΠΈ ΠΏΠΎ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π°ΠΌ урологичСского отдСлСния ΠΊΠ»ΠΈΠ½ΠΈΠΊ Π‘ΠΈΠ±Π“ΠœΠ£

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    Aim. To analyze the results of treatment of patients with kidney tumors in urology departments of the Siberian State Medical University clinics.Materials and methods. The number of patients with kidney tumors hospitalized in the urology department of the general surgery clinic was 7–10 % of the total annual number of surgical interventions in the urology department. We analyzed 132 cases of malignant kidney tumors. All patients went through imaging and laboratory studies.Results. Treatment results are known in 125 (94.0 %) patients. Mean age of patients was 57.9 years (27 to 86), there were 77 men and 55 women (1.4:1 ratio). Mean tumor size was 6.5 Β± 3.6 cm, no significant differences were observed between men and women. Radical nephrectomy was performed in 75 (56.8 %) patients, kidney resection in 57 (43.2 %) patients. Tumor size in nephrectomy cases was 8.2 Β± 3.7 cm and 4.3 Β± 2.1 cm in kidney resection (p <0.05). In patients with larger tumors five-year survival was lower: tumor size Β£4 cm was associated with five-year survival of 79.6 %, while tumor size >7 cm with only 36.9 % (p = 0.001).In our study, 23 (17.4 %) patients with inferior vena cava thrombosis were operated on: 11 (8.3 %) men, 12 (9.1 %) women. Mean age of patients with inferior vena cava thrombosis was 57.2 years (between 35 and 74 years). In this group of patients, mean tumor size was 10.8 Β± 4.1 cm (between 4.2 and 19). Based on TNM classification, tumors were classified as follows: T3b stage – 17 (12.9 %), T4 stage – 6 (4.5 %), N0 – 15 (11.4 %), N+ – 8 (6.1 %). Left kidney was affected in 6 (4.5 %) cases, right kidney was affected in 17 (12.9 %) cases. Type of surgery performed in this group of patients was classified as: radical nephrectomy with thrombectomy and lymphadenectomy, one case included resection of the inferior vena cava with a section reconstructed using a xenopericardial transplant. Mean surgery duration was 212.4 Β± 52.3 (130–320) minutes. Mean blood loss volume was 1177.0 Β± 933.4 (100–4600) ml. Postoperative complications were observed in 35 (21.2 %) patients. Overall five-year survival for patients with malignant kidney tumors was 61.8 %, for patients with tumor thrombosis it was 31.3 %.Conclusion. Surgical treatment of patients with malignant kidney tumors allows to significantly improve patients’ survival preserving quality of life.ЦСль исслСдования – Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² лСчСния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнными опухолями ΠΏΠΎΡ‡ΠΊΠΈ Π² урологичСском ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠΈ ΠΊΠ»ΠΈΠ½ΠΈΠΊ Бибирского государствСнного мСдицинского унивСрситСта.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Доля ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнными опухолями ΠΏΠΎΡ‡ΠΊΠΈ, госпитализированных Π² урологичСскоС ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ Бибирского государствСнного мСдицинского унивСрситСта, составляСт Π΄ΠΎ 7–10 % ΠΎΠ±Ρ‰Π΅Π³ΠΎ числа ΠΎΠΏΠ΅Ρ€ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π² урологичСском ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠΈ Π΅ΠΆΠ΅Π³ΠΎΠ΄Π½ΠΎ. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² хирургичСского лСчСния 132 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ ΠΏΠΎΡ‡ΠΊΠΈ. ВсСм Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ Π² Π΄ΠΎΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½Ρ‹Π΅ ΠΈ Π²ΠΈΠ·ΡƒΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ диагностики.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ лСчСния извСстСн Ρƒ 125 (94,0 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². Возраст ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² составил 57,9 (27–86) Π³ΠΎΠ΄Π°. ΠœΡƒΠΆΡ‡ΠΈΠ½ Π±Ρ‹Π»ΠΎ 77, ΠΆΠ΅Π½Ρ‰ΠΈΠ½ – 55, ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ – 1,4:1. Π‘Ρ€Π΅Π΄Π½ΠΈΠΉ Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ составил 6,5 Β± 3,6 см, Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Ρƒ ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΠΈ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ достовСрно Π½Π΅ различался. Радикальная нСфрэктомия Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° 75 (56,8 %) ΠΈ рСзСкция ΠΏΠΎΡ‡ΠΊΠΈ 57 (43,2 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ. Π Π°Π·ΠΌΠ΅Ρ€ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π½ΠΎΠΉ нСфрэктомиСй составил 8,2 Β± 3,7 см, с Ρ€Π΅Π·Π΅ΠΊΡ†ΠΈΠ΅ΠΉ ΠΏΠΎΡ‡ΠΊΠΈ – 4,3 Β± 2,1 см (p <0,05). Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с большим Ρ€Π°Π·ΠΌΠ΅Ρ€ΠΎΠΌ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ общая 5-лСтняя Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ Π½ΠΈΠΆΠ΅: ΠΏΡ€ΠΈ Ρ€Π°Π·ΠΌΠ΅Ρ€Π΅ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Β£4 см – 79,6 %, ΠΏΡ€ΠΈ Ρ€Π°Π·ΠΌΠ΅Ρ€Π΅ >7 см – 36,9 % (p = 0,001).ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΡ€ΠΎΠΎΠΏΠ΅Ρ€ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… с Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΠΌ Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ‹, Π±Ρ‹Π»ΠΎ 23 (17,4 %), ΠΈΠ· Π½ΠΈΡ… 11 (8,3 %) ΠΌΡƒΠΆΡ‡ΠΈΠ½, 12 (9,1 %) ΠΆΠ΅Π½Ρ‰ΠΈΠ½. Возраст ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΠΌ Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ‹ составил 57,2 (35–74) Π³ΠΎΠ΄Π°, Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΏΠΎΡ‡ΠΊΠΈ – 10,8 Β± 4,1 см. Π’ зависимости ΠΎΡ‚ стадии ΠΏΠΎ классификации TNM ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ Π±Ρ‹Π»ΠΈ распрСдСлСны ΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ: стадия T3b – 17 (12,9 %) ΠΈ T4 – 6 (4,5 %), N0 – 15 (11,4 %) ΠΈ N+ – 8 (6,1 %). Π£ 17 (12,9 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² диагностирована ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ ΠΏΡ€Π°Π²ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠΈ, Ρƒ 6 (4,5 %) – ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ Π»Π΅Π²ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠΈ. ОбъСм Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π½Ρ‹Ρ… ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΉ Π² этой Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ²: Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½Π°Ρ нСфрэктомия с тромбэктомиСй ΠΈ лимфадСнэктомиСй, Π² 1 случаС рСзСкция Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ‹ с Π·Π°ΠΌΠ΅Ρ‰Π΅Π½ΠΈΠ΅ΠΌ ΡƒΠ΄Π°Π»Π΅Π½Π½ΠΎΠ³ΠΎ сСгмСнта ΠΊΡΠ΅Π½ΠΎΠΏΠ΅Ρ€ΠΈΠΊΠ°Ρ€Π΄ΠΈΠ°Π»ΡŒΠ½Ρ‹ΠΌ трансплантатом. ΠŸΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с тромбэктомиСй составила 212,4 Β± 52,3 (130–320) ΠΌΠΈΠ½. ОбъСм ΠΊΡ€ΠΎΠ²ΠΎΠΏΠΎΡ‚Π΅Ρ€ΠΈ – 1177,0 Β± 933,4 (100–4600) ΠΌΠ». ОслоТнСния послС хирургичСского лСчСния Ρ€Π°Π·Π²ΠΈΠ»ΠΈΡΡŒ Ρƒ 35 (21,2 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². ΠžΠ±Ρ‰Π°Ρ 5-лСтняя Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ ΠΏΠΎΡ‡ΠΊΠΈ составила 61,8 %, ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹ΠΌ Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΠΌ – 31,3 %.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π₯ирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со злокачСствСнной ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒΡŽ ΠΏΠΎΡ‡ΠΊΠΈ позволяСт Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΡ‚ΡŒ ΠΈΡ… Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΏΡ€ΠΈ высоком ΡƒΡ€ΠΎΠ²Π½Π΅ качСства ΠΆΠΈΠ·Π½ΠΈ
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