[Diagnosis of remote metastases of rectal cancer with the aid of minimally invasive diagnostic procedures under computerized tomography control].
At 124 patients who have rectum cancer made computer tomography of a abdominal cavity, retroperitoneal space and small pelvis with the purpose of definition of prevalence of a tumour. Was used computer tomograph "Somatom CRX", "Siemens". Remote metastasis are revealed at 26 patients, their most often localization--liver (45.8%). Are described CT-attributes of organs remote metastasis: hypodense spherical formation from 1.0 up to 4.0 CM in a diameter. Pathology changed lymph nodes were characterized by increase of a diameter more 1.5 CM, illegibility of contours, merge in a conglomerate. This changes have not specific character and also can be in case of hyperplasia of lymph nodes. At 14 patients is made puncture biopsy of focal formations under the CT-control. Diagnostic efficiency CT with puncture biopsy have made: accuracy--0.92, sensitivity--0.77, specificity--0.96. Is judged high efficiency of a method.
Sokolov
V N
VN
Odessa State Medical University.
Bilenko
A A
AA
D001706:Biopsy; D001921:Brain / Q000473:pathology; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary; D005069:Evaluation Studies as Topic; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary*; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary*; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging / Q000473:pathology; D012004:Rectal Neoplasms; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed