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Abstract:

Our experience of percutaneous vertebroplasty - one of the most up-to-date methods of vertebral tumors treatment - is presented in the article.

The purpose of the work was to assess vertebroplasty as a method, improving quality of life. In the years 2001-2007 235 vertebroplasty procedures (168 patients) were done in Blokhin's Cancer Research Center. The most common diagnoses were metastases of renal carcinoma, breast carcinoma or multiple myeloma. The main indications for vertebroplasty procedure were chronic pain due to vertebral tumor progression and the loss of vertebral supporting function. Quality of life is shown to improve in the majority of the operated patients.

Relative simplicity of the percutaneous vertebroplasty and high effectiveness of the method allow us to recommend its widespread adoption in clinical practice. 

 

 

Reference

 

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2.     Wingo P.A., Ries L.A., Rosenberg H.M., Miller D.S., Edwards B.K. Cancer incidence and mortality, 1973-1995: a report card for the U.S. Cancer. 1998; 1197-1207.

3.     Coleman R., Bone Metastases From BreastCancer and Other Solid Tumors. ASCO 2001, San-Fransisco, May 12-15. Education Book.152-163.

4.     Deramond H., Depriester C., Galibert P. et al. Percutaneous vertebroplasty with polymethylmetacrylate. Technique, indications and results. Radiol. Clin. North. Am. 1998; 36 (3): 533-546.

 

5.     Anselmetti G.C., Corrao G., Patrizia D.M., Tartaglia V. et al. Pain Relief Following Percutaneous Vertebroplasty. Results of Series of 283 Consecutive Patients Treated in Single Institution. Card. Vasc. and Int. Radiol. 2007; 30 (3): 441-447.

 

6.     Weill A., Chiras J., Simon J.M. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology. 1996; 199: 241-247.

7.     Robertson R.C., Ball R.P. Destructive spine lesions: diagnosis by needle biopsy.J. Bone. Joint. Surg. 1969; 51: 1531-1544. Martin H.E, Ellis E.B. Biopsy by needle puncture and aspiration. Ann. Surg. 1930; 92: 169-181.

 

Abstract:

We have developed and assessed effectiveness of principles of planning a trajectory for the fine-needle aspiration biopsy of splenic focal lesions due to data of three-dimensional imaging. It is shown that the choice of fine-needle puncture trajectory for access of splenic focal lesions due to three-dimensional data allows to reach optimum combination of security, and informativeness of aspiration biopsy.

 

Reference 

1.       Karaguljan S.R., Grzhimoloyskij A.V., Danishjan K.I. Hirurgicheskie dostupyk selezenke [Surgical access to the spleen]. Amnaby hirurgichsskoj gepatologii. 2006; 11(2): 92-99 [In Russ].

2.       Greschus S., Hackstein N., Puille M.F., Discher T., Rau WS. Extensive abdominal splenosis: imaging features. Abdom. Imaging. 2003; 28(6): 866-7.

3.       Usol'cevJu. K. Atipichnaja rezekcija selezenki. Diss. . k.m.n. [Atypical resection of the spleen]. Irkutsk. 1998: 129 [In Russ].

4.       Harnas S.S., Lotov A.N., Kondrashin S.A. Lecheniepacientov s neparazitarny mikistami selezenki. [Treatment of patients with non-parasitic cysts of the spleen]. Annaly hirurgicheskoj gepatologii. 2008; 13( 2): 36-43 [In Russ].

5.       Napoli A., Catalano C., Silecchia G., Fabiano P., Fraioli F., Pediconi F., Venditti F., Basso N.,Passariello R. Laparoscopic splenectomy: multidetector row CT for preoperative evaluation. Radiology. 2004; 232(2): 361.

6.       Lal A., Ariga R., Gattuso P., Nemcek A.A., Nayar R. Splenic fine needle aspiration and core biopsy. A review of 49 cases. Acta. Cytol. 2003; 47(6):

7.       Cigel'nik A.M., Moshneguc S.V. Trehmernaja vizualizacija v predoperacionnom planirovanii laparoskopicheskoj splenjektomii. [Three-dimensional imaging in the preoperative planning for laparoscopic splenectomy]. Medicinskaja vizualizacija. 2006; 6: 122-125 [In Russ].

8.       Xu W.L., Li S.L., Wang Y., Li M., Niu A.G. Role of color Doppler flow imaging in applicable anatomy of spleen vessels. World J. Gastroenterol. 2009; 15(5): 607-11.

 

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