Всего найдено: 2

Possibilities of early ultrasonic diagnostics of melanomas metastases in regional lymphatic nodes

DOI: https://doi.org/10.25512/DIR.2013.07.4.01

For quoting:
Allakhverdyan G.S., Chekalova M.A., Kokosadze N.V. "Possibilities of early ultrasonic diagnostics of melanomas metastases in regional lymphatic nodes". Journal Diagnostic & interventional radiology. 2013; 7(4); 9-14.

authors:

Allakhverdyan G.S.

Chekalova M.A.

Kokosadze N.V.

keywords:

skin melanoma

preclinical metastasis

lymphatic node

ultrasonic diagnostics

Abstract:

Despite the comparatively low morbidity rate, skin melanoma is known for its high mortality rate. High metastatic potential of the tumor, urges the necessity of improving methods of diagnostics, which can identify metastasis and assess the degree of dissemination at the early stage of disease.

We have analyzed results of ultrasound imaging of one of the earliest and frequent types of progression of melanoma - metastasis in regional lymphatic nodes. The article presents results of examination of 182 patients with skin melanoma with early metastasis in lymphatic nodes, also - characteristics of the image of tumor changes are described.

The high informativeness of ultrasound research for timely identification of metastatic changes and, respectively, the increase of the rate of survival of patients with skin melanoma are demonstrated.

References

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3. College of American Pathologists (CAP). Protocol for the Examination of Specimens from Patients with Melanoma of the Skin [Электронный ресурс]//Version 3.2.0.0. June 2011. URL: http://www.cap.org/apps/ docs/committees/cancer/cancer_protocols/2012/ SkinMelanoma_12protocol.pdf (дата обращения: 2012.12.21)

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6. Gershenwald J.E., Mansfield P.F., Lee J.E. et al. Role for lymphatic mapping and sentinel lymph node biopsy in patients with thick (> or = 4 mm) primary melanoma. Ann. Surg. Oncol. 2000; 7(2): 160-165.

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9. Blum A., Schlagenhauff B., Stroebel W. et al. Ultrasound examination of regional lymph nodes significantly improves early detection of locoregional metastases during the follow-up of patients with cutaneous melanoma. Cancer. 2000; 88 (11): 2534-2539.

10. Voit C.A., Van Akkooi A.C.J., Sc^fer-Hesterberg G. et al. Ultrasound Morphology Criteria Predict Metastatic Disease of the Sentinel Nodes in Patients With Melanoma. J. Clin. Oncology. 2010; 28 (5): 847-852.

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Analysis of the organization of endobronchial ultrasonography’ cabinet in the structure of medical care for patients with pathology of mediastinal lymphatic nodes

DOI: https://doi.org/10.25512/DIR.2017.11.1.02

For quoting:
Kiseljov I.L., Podol'skij V.V., Podol'skaja E.A. "Analysis of the organization of endobronchial ultrasonography’ cabinet in the structure of medical care for patients with pathology of mediastinal lymphatic nodes". Journal Diagnostic & interventional radiology. 2017; 11(1); 13-17.

authors:

Kiseljov I.L.

Podol'skij V.V.

Podol'skaja E.A.

keywords:

Endobronchial ultrasonography

mediastinal lymphatic node pathology

fine needle aspiration biopsy

health organization

Abstract:

Mediastinal lymphadenopathy is well diagnosed with diagnostic beam methods in primary care outpatient care. The problem is the heterogeneity of this group of diseases, requiring differential diagnosis, on the basis of which individual treatment plan is developed. Morphological verification is a prerequisite for the effective management of such patients

Aim: was to improve the diagnosis of patients with different mediastinal lymph node using endobronchial ultrasonography (EBUS) by evaluation of EBUS cabinet, algorithmization and improvement of its structure and working procedure.

Materials and methods: for the period 2012-2016, 115 patients underwent endobronchial ultrasonography, in 71 cases of which (45,8%) EBUS was accompanied by fine-needle aspiration biopsy (FNAB).

Results: we had investigated the capacity, efficiency Further development of and prospects were identified.

Conclusions: optimizing of structure of the EBUS cabinet, algorithmization of procedure can improve the level of the differential diagnosis in patients with mediastinal lymph node lesion anc reduce the time of examination of patients in this group.

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