Особенности ультразвуковой диагностики пограничных опухолей яичников

• Опубліковано в: : Актуальні проблеми транспортної медицини
• Дата: 2014
• Автори: Клименко, Э.С., Головко, Т.С., Бакай, О.А., Свинцицкий, В.С.
• Формат: Стаття
• Мова: Російська
• Опубліковано: Фізико-хімічний інститут ім. О.В. Богатського НАН України 2014
• Теми: Клинические аспекты медицины транспорта
• Онлайн доступ: https://nasplib.isofts.kiev.ua/handle/123456789/138274
• Назва журналу: Digital Library of Periodicals of National Academy of Sciences of Ukraine
• Цитувати: Особенности ультразвуковой диагностики пограничных опухолей яичников / Э.С. Клименко, Т.С. Головко, О.А. Бакай, В.С. Свинцицкий // Актуальні проблеми транспортної медицини. — 2014. — № 2, т. 1 (36-I). — С. 116-129. — Бібліогр.: 10 назв. — рос.

Проведен анализ результатов ультазвукового обследования 847 больных опухолями яичников, из них 28 пограничными опухолями (ПОЯ). Полученные результаты свидетельствуют о достаточно благоприятном клиническом заболевания у больных ПОЯ I стадии, с начальным опухолевым процессом. Доказано, что сонография в
 совокупности с допплерографией является надежным методом диагностики рецидива у больных ПОЯ. Був проведений аналіз результатів
 ультразвукових обстежень 847 хворих пухлинами яєчників, з них 28 граничними пухлинами яєчників (ГПЯ). Отримані результати свідчать про досить сприятливий
 клінічний перебіг захворювання у хворих
 ГПЯ 1 стадії з початковим пухлинним процесом. Доказано, що сонографія в купі з
 доплерографією є надійним методом діагностики рецидивів у хворих на ГПЯ. Actuality of the topic. Ovarian tumors occupies the third place in the structure of oncological diseases of women genitals, but the mortality occupies the first
 place and makes 49 %. Epidemiological
 investigations showed, that the vivid tendency for the growth of morbidity is indicated during the last decades, ovarian tumors are met in all age groups, beginning
 from the early juvenile age up to senile,
 more often the tumors are identified at
 women of reproductive period, that’s why
 the tumors represent not only medical
 problem but also a social one.
 Borderline ovarian tumors (BOT) occupies an important place among new formations of ovaries, so called carcinomas
 with low potential of malignancy. According
 to modern data, among all other ovarian
 tumors, borderline forms make from 5 up
 to 20 %. Nowadays in modern society and
 modern facilities, transvaginal echography
 is an obligatory method of diagnostics of
 all women with suspicion for the presence
 of tumor or tumoral formation of ovaries.
 The aim of investigation. To study
 the peculiar features of Ultra Sound Diagnostics of borderline ovarian tumors for the
 working out of modern principles of prognosis of clinical flow and for working out of
 treatment tactics for this category of patients.
 Materials and methods. During a
 period from 2006 up to 2011, according to
 statistics, among the total amount of 847
 patients with malignant epithelial, non epithelial ovarian tumors of I IV stages in the
 Lugansk Regional Clinical Oncological
 Dispensary(LRCOD) pure carcinomas were
 diagnosed at 658(77,6 %) patients, non
 epithelial malignant new formations – at
 189 (19,9 %) cases, BOT were identified at
 28 (3,3 %) patients. The age of the patients
 with BOT varies from 20 up to 89 years old,
 the average age is 44,7 ± 1,8 years old.
 The results of investigation and
 their discussion. With the aim of identification of the diagnostic value of echography of BOT, 28 patients with the morphologically confirmed diagnosis of this pathology were investigated
 Bilateral process was stated in 8 (27,6
 %) observations. Carried out investigations
 allowed to identify the following characteristic signs of those ovarian tumors: 1) the
 presence of fragmentary thickened or
 hacked septum in liquid state; 2) the appearance of dense growth at the septum
 of liquid formation with fringed surface; 3)
 the identification of small bilateral formations with papillary growth along septum
 and along internal surface in combination
 with ascites the residual of papillary formations after the removal of borderline tumors.
 Sonographic manifestations of the
 residual of BOT are the tumoral nodes with
 diameter from 0,5 up to 1,5 cm of small
 grained or “spongy” solid structure, round
 or incorrect form, which are localized in the
 part of vesical — uterine folder or over a
 vagina stump and also in the lateral channels. The tumors with the sizes more then
 2 cm very often have solid or cystic-solid
 structure.
 During the supervision over patients
 in Lugansk Regional Clinical Oncological
 Dispensary from 2010 to 2012, which were
 operated for borderline ovarian tumors, five
 residuals of BOT were observed and identified during Ultra Sound. Two cases were
 represented by the ultra sound picture of
 ascites liquid mainly in the small pelvis and
 moderate amount of ascites liquid intra loop
 in the abdominal cavity.
 Conclusion. Borderline ovarian tumors have characteristic ultra sound peculiarities, which were definitely proved during surgical intervention. Ultra Sound Diagnostics with the usage of doplerography,
 the identification of onco marker CA – 125
 are obligatory for timely diagnostics of the
 residual of the disease.