The aim of our study was to determine using immunohistochemical method profi and relationship between lymphocytes in lymphoid rich stroma of the Warhins tumors, as well as, the relationship between lymphocytes and tumors epithelial cells. Our retrospective-prospective study we conducted in the Department of Clinical Pathology KBC Zemun on 25 samples of tissue from the parotid gland with WT tumor surgically removed at the Department of ENT KBC Zemun in the period from 2000 to 2016 year. Sections of tumor tissue, fixed in 10% formalin were stained with hematoxylin-eosin standard method, and then immunohistochemical method to: antibody B lymphocytes (CD20) antibody for T lymphocytes (CD3), keratin antibody that marks the basal and columnar epithelial cells (CK7 ) and keratin antibody that marks only the basal epithelial cells (CK5 / 6). We have found that in relation to the gender distribution of all 25 patients, there were more male patients: 16 (64%) men and 9 (36%) women. Immunohistochemical analysis with keratin antibody CK7 showed that luminal columnar cells intensely positive (+++) more than 75% in 23 cases (92%), whereas in 2 cases were intensely positive (+++) in percentages ranging from 25 to 75%. In contrast to the luminal, basal cells were always showed little immunoreactivity (+) antibody to CK7 and in 20 cases in the group of <25% of the cells respectively in the cases of 5% in the group 25-75. Evaluation of the presence, intensity, type and distribution of cells with each other and in relation to the tumor epithelial component would contribute to establishing unclear histogenesis lymphoid stroma at the tumor.

Axial non-contrast CT scan is the standard technique in patients with head and/or face injury. The three dimensional CT imaging reconstruction is becoming a gold standard in trauma of maxillofacial region enabling a clear perception of fracture lines and resulting displacement of fracture fragments. Le Fort fractures are fractures of the midface. In Le Fort type 3 fracture the craniofacial disjunction is present. A 91-yearold female had a mild facial trauma as a result of accidental fall. Axial CT scan showed artifacts, but three dimensional CT imaging reconstruction showed typical Le Fort type 3 fracture. Since clinical and 3D CT reconstruction finding were in complete contradiction, we repeated CT scan, which showed normal finding. This case is shows that in an era of incredible progress of neuroradiology, clinical examination still remains the best diagnostic tool.

The objective of this study is to obtain data on the incidence of scabies in the city of Podgorica, the observed ten-year period (2006 to 2015) and its incidence in relation to age and gender. The second objective was to find out whether the incidence is declining to the observed period.Scabies is contagious, worldwide disease, sporadically or in epidemic form. For the creation of this parasitosis, importance is given to the socioeconomic status, living conditions, sexual promiscuity, the development of resistant populations of the parasite. In developed countries, the incidence shows a cyclical fluctuation, with long, calm intervals, while in developing countries the incidence is constantly high. The disease is spread by close physical contact, often spreading within families and it is subject to mandatory reporting. In this paper, we used the official data of the Institute for Public Health in Podgorica, which included all clinical cases reported for the ten years, a total of 1,141 people, which are classified according to age and sex, for each year. Scabies as parasitism has been reported in the highest percentage among the younger population, aged 0-20 years, more common among males. The largest number of patients is registered in 2012.

Bladder carcinomas are common medical problem of modern society. They represent second most common malignancy of genito-urinary sistem. Rhabdomyosarcoma is on of most common soft tissue tumor in infants and children, arising from immature cells destined to differentiate into striated muscle cells. On the other hand, bladder rhabdomyosarcomas in the adult population are extremely rare and so far only few cases are described in literature. We present a patient in the seventh decade of life, successfully operated from a rare type of embryonic bladder rhabdomyosarcoma, botrioid subtype.

Tumors of the gallbladder are rare. Adenomas of the gallbladder is mostly occur as papillary or tubular. Tubular adenomas of the gallbladder occur in middleaged and old people, and it is extremely rare in children. We present 61 year old woman in whom during an ultrasound examination of the abdomen for pain that lasts a long time discovered a chronic inflammation of the gallbladder and slightly polypoid tumor of the gallbladder. Cholecystectomy was performed based on ultrasonographic findings of polyps in the gallbladder. Macroscopic and microscopic established that it is a tubular adenoma type with intestinal epithelial dysplasia, which clearly indicates that it is adenoma with reliable signs of precancer Finding intraoperative cholangiography was normal, and the postoperative course was uneventful.

Listeriosis is an acute infectious disease of the zoonosis, caused by a microorganism Listeria monocytogenes, aerobic or anaerobic microorganism conditionally. The patient had received no department of neurology the clinical picture of hypertensive encephalopathy. Subsequently, the resulting figures are an indication that the sample fluid in isolation L. monocytogenes, the patient is treated with an appropriate antibiotic therapy with a positive outcome. Through illustrate our case quickly progressive neuroinfection we wanted to emphasize the importance of recognizing this now rare and easy to overlook entity, characteristically frequent interventions aging population, newborns, or people who are generally immunocompromised.

Jednojajčani blizanci su multidisciplinarni fenomen, čudo fetalne biologije, medicinski reproduktivni izazov, najbliža i najtrajnija biološka veza. Cilj istraživanja je komaparativna analiza fiziološkog mirovanja mandibule kod jednojajčanih blizanaca. Ovo longitudinalno oralno-epidemiološko istraživanje, izvršeno je na randomizovanom uzorku od 30 parova jednojajčanih blizanaca, podjednake polne zastupljenosti i hronološke starosne dobi od 20 do 40 godina. Na osnovu statističkih parametara vrednovan je položaj fiziološkog mirovanja i obavljena komparativna analiza, odnosno određen stepen intraparske sličnosti i razlika, među članovima istog para i određen stepen interparske sličnosti i razlika, kod članova različitih parova monozigotnih blizanaca. Vrednovanjem poređenja položaja fiziološkog mirovanja,kod jdnojajčanih blizanaca, t-testom nije utvrđena statistički značajna razlika za fiziološko mirovanje, u predelu prednjih zuba. Konkordantnost odnosno usaglašenost konačnih ioshoda je dokazana među članovima istog i različitih parova. Razlika nije uočena, ni odnosu na pol. Komparacijom vrednosti položaja fiziološkog mirovanja, nije utvrđena statistički značajna intraparska ni interparska razlika, među članovima istih i različitih MZ blizanačkih parova.

Skin antisepsis prior to invasive procedures, hand hygiene performed by health care workers, sterilization and disinfection of medical devices and environmental surfaces are the most important measures used to control nosocomial infections. Hand hygiene is the cheapest and most effective measure. Hand rubbing with an alcohol-based hand rub is recommended for the routine decontamination of hands. Hand washing with soap and water should be employed when hands are visibly soiled, and when exposure to Clostridium difficile infection is suspected or proven. Most alcohol based hand rubs are based on isopropanol, ethanol or npropanol. The WHO published guidance recommend 20–30 seconds for routine hand rubbing. There are no recommendations stating that antimicrobial soaps are more effective than plain soaps. It is recommended to use alcohol-containing preparatory agents for skin preparation prior surgery, injections, incisions and punctures. Neutral pH detergent solutions are commonly used for cleaning equipment and instruments. Data did not clearly demonstrate that enzymatic cleaners are more effective than non-enzymatic cleaners. High level disinfection is safe procedure only if adequate products are properly used. There are no any special products for multidrug resistant bacteria.

Subtrochanteric fractures these days are about one quarter of all femur fractures. Mostly, they occur with the elderly which demand certain speed when it comes to operation procedures and quick verticalisation. These are fractures that extend from the distal part of the small trochanter and about 5 cm distally. A 88 year old patient underwent surgery in our hospital because of the fracture of the femur, sustained in a fall. On the basis of anesthesiology overview it was concluded that there is a very high risk. Stabilization of the fracture with self-locking wedge was done. Not in this or in other cases is not necessary to achieve perfect anatomical reposition, axle and length of the extremities are enough. This is achieved with the stabilization of the proximal and distal screws. Method of administration justifies its use for the most critical moments in the surgical treatment of the elderly population: the speed of execution and minimal approach.

Karcinom mokraćne bešike predstavlja načešći malignitet urinarnog trakta. Primarni standardni tretman tumora mokraćne bešike je transuretralna resekcija (TUR), ali procenat recidiva kod pacijenata tretiranih samo TUR-om je do 70%, a procenat progresije tumora tj, invazije u mišićni sloj je oko 30%, a to su pacijenti kojima je indikovano radikalno operativno lečenje. Intravezikalna instalacija bacillus Calmette-Guerin (BCG) nakon TUR tumora mokraćne bešike predstavlja dokazano najefikasnije pomoćno sredstvo u lečenju i profilaksi površinskih karcinoma mokraćne bešike. Cilj našeg rada je poređenje ishoda lečenja pacijenata podvrgnutih TUR sa pacijentima lečenim kombinovanom terapijom koja obuhvata sprovođenje imunoterapije intravezikalnom instalacijom BCG nakon TUR. Rezltati prikazani u radu predstavljaju izvod rezultata prospektivno-retrospektivne studije koja se od januara 2013. godine sprovodi na odeljenju Urologije KBC Zemun.