Креативная хирургия и онкология (Jul 2017)
COMPUTER TOMOGRAPHY IN DIAGNOSIS OF DISEASES AND NEW FORMATIONS OF THE PROSTATE GLAND
Abstract
Prostate cancer prevalence is in fourth place in the overall structure of tumors and in second place among malignant diseases in older men. The cancer detection rate of preventive inspections using traditional research methods remains very low, and the timeliness of early diagnosis of tumors of the prostate gland determine the modern methods of X-ray imaging. The aim of this study was to estimate the role of computed tomography as a method of Xray imaging, in identifying the various prostate neoplasia with specification of semiotics, diagnostic criteria of various tumors. Research conducted at multispiral 128-slice CT scanner OPTIMA 660 produced by General Electric (United States). The study involved 66 patients aged 38-79 years with various diseases of the prostate. The fact of referral to the computed tomography was preceded by a primary appointment at urology specialist followed by rectal finger study positive or dubious reaction to prostate specific antigen, by transrectal ultrasound. The study showed that CT is not a universal method of diagnosis, excluding other imaging techniques, especially multiparametric magnetic resonance imaging. But that method has a number of incontestable advantages that allow to remain indispensable in the algorithm integrated diagnostic approach. First of all, it is an extensive long area of scanning combined with small thickness of the layer to be allocated. And, in the case of some phase strengthening of the gland tissues the technique, in some cases, allows to trace a malignant neoplastic process. But in general, its differential diagnosis with benign regeneration nodes in the gland tissue is usually difficult and requires further modification.
Keywords