On the connection between left ventricular hypertrophy and diastolic dysfunction in arterial hypertension

AIM: To evaluate relationships between arterial pressure (AP), myocardial mass of the left ventricle (LVMM) and left ventricular diastolic function (LVDF) in patients with hypertension stage I and II. MATERIAL AND METHODS: 89 hypertensive patients and 30 healthy subjects (control group). RESULTS: Initial defects in LVDF in the absence of its hypertrophy were detected already in hypertension stage I. At hypertension stage II diastolic dysfunction occurs in marked left ventricular hypertrophy. A close correlation exists between LVMM and LVMM index, on the one hand, and parameters of diastolic dysfunction, on the other hand. CONCLUSION: There is a close correlation between left ventricular hypertrophy and its diastolic dysfunction.     

Liposarcoma of the retroperitoneal space

Date of an examination of 60 patients with liposarcomas of the retroperitoneal space aged from 40 to 60 are presented, women comprised 62%, men 38%. Operative treatment was undertaken in 48 patients (96%), radical operation--in 82%, palliative operations--in 14%. Recurrent tumors were revealed in 33 patients (66%), metastases--in 8%. Most frequent recidivations were noted in myxoid liposarcomas. A complete removal of the recurrent tumor was made in 72% of the cases. Out of 50 patients with liposarcomas 54.2% of the patients survived 5 or more years after the operation, in the myxoid variant--72.3%, in polymorphocellular form--23.1%.     

Primary and recurrent retroperitoneal neoplasms of non-organic origin

Having analyzed results of the treatment of 216 patients the authors came to a conclusion that recurrencies of tumors, repeat ones included, can not be considered as contraindications for operations. The most favourable results were obtained in the operative treatment of recurrent lymphosarcomas.     

Adenogenous cancer of the esophagus]

The authors consider the most promising long-term results to be achieved in treatment of patients with highly differentiated adenocarcinomas, size of the tumor up to 60 cm and growth of the tumor into the muscle level. The prognosis was doubtful in patients after radical operations but having average degree of differentiation of adenocarcinomas, with size more than 60 cm and growth into the whole esophagus wall. The prognosis was unfavorable in patients with poorly differentiated adenocarcinomas. Metastatic involvement of lymph nodes does not make the prognosis worse.