[The diagnostic importance of echography of the spleen, abdominal lymph nodes and vessels in chronic lympho- and myeloleukemias].
Echography of the spleen and abdominal vessels was performed in patients with chronic myeloleukemia (CML) and chronic lympholeukemia (CLL). The patients belonging to these groups manifested enlargement of the spleen, alterations of its echo structure and dilatation of the vessels even at the initial disease stage. Appreciable splenomegaly with a proportional increase of the diameter of the main vessels of the abdominal cavity and derangement of the splenic echo structure were ascertained in patients in the stage of pronounced clinicohematological manifestations. Moreover, provided those diseases run an atypical course, echography of the spleen, abdominal lymph nodes and vessels is of differential diagnostic importance. As compared to patients with CLL, the spleen of those with CML differed as regards the extent of enlargement and alterations in the organ structure in different stages of the tumorous process. There were differences in the diameter of the abdominal vessels. The patients with CML demonstrated splenic infarctions of different standing whereas patients with CLL conglomerates of the abdominal lymph nodes. In patients with CML, remarkable splenomegaly was observed more frequently. Echography of the spleen and vessels in patients with CML and CLL is a highly informative, noninvasive and safe method which is likely to be widely used in hematology.
Bessmel'tsev
S S
SS
Abdulkadyrov
K M
KM
D000005:Abdomen / Q000098:blood supply* / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications / Q000000981:diagnostic imaging*; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications / Q000000981:diagnostic imaging*; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000000981:diagnostic imaging*; D013159:Splenic Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D013163:Splenomegaly / Q000000981:diagnostic imaging / Q000209:etiology; D014463:Ultrasonography
Diagnosticheskoe znachenie ékhografii selezenki, abdominal'nykh limfouzlov i sosuodov pri khronicheskom limfo- i mieloleĭkoze.