title: [Clinicomorphological rationale for mediastinal lymphadenectomy in the surgical treatment of disseminated destructive pulmonary tuberculosis].
abstract: The paper analyzes morphological changes and results of surgical treatment in 515 patients with destructive pulmonary tuberculosis. Two hundred and seventy-four patients underwent mediastinal lymphadenectomy and in 241 patients lung resections or pneumonectomies were not followed by lymphadenectomy or solitary caseous molten lymph nodes were removed during an operation. In disseminated destructive pulmonary tuberculosis, active tuberculosis of intrathoracic lymph nodes (ILN) was found in 97%. The latter's significant signs are an enlarged lymph node of more than 2.0 cm, consolidation, periadenitis, and fluctuation. The incidence, extent, and pattern of ILN lesion varied in a lung tuberculous process depending on its site, form, and inflammation phase.
authors.forename: D B
authors.initials: DB
authors.lastname: Giller
authors.forename: A V
authors.initials: AV
authors.lastname: Papkov
authors.forename: L E
authors.initials: LE
authors.lastname: Gedymin
authors.forename: A T
authors.initials: AT
authors.lastname: Sigaev
authors.forename: S S
authors.initials: SS
authors.lastname: Sadovnikova
authors.forename: A B
authors.initials: AB
authors.lastname: Bizhanov
authors.forename: S A
authors.initials: SA
authors.lastname: Gavrilova
authors.forename: A V
authors.initials: AV
authors.lastname: Volynkin
authors.forename: G V
authors.initials: GV
authors.lastname: Giller
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008168:Lung / Q000473:pathology* / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008482:Mediastinum; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014397:Tuberculosis, Pulmonary / Q000473:pathology / Q000601:surgery*; D055815:Young Adult