Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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COMPREHENSIVE ULTRASOUND IN THE DIAGNOSIS AND DYNAMIC CONTROL OF EFFICIENCY OF TREATMENT OF PROSTATE CANCER

Nasrullayev M.M. 1 Tukhbatullin M.G. 2 Nasrullayev M.N. 2
1 «Tatarstan Republican Clinical Oncology Center»
2 «Kazan State Medical Academy of the Ministry of Health and Social Development of Russia » Kazan
The assessment of modern methods ofray imagimg’sinformtiveness in the prostate’s cancer diagnosis was carried out. 87 patients which middle age was 68,5±of 5.7 years were examined. The digital rectal examination (DRE) found an increase of the prostate’s size at 52 patient, increase of the prostate’s density – at 39 patient, the high density’s existence of separate nodes – at 33 patients. The median level of prostate-specific antigen in the blood serum of the surveyed patients was 16,1 ± 6,65 ng / ml. Under transrectal ultrasound (TRUS) at 52 patients the gipoekhogenny center, at 20 – izokhogenny and at the 13th center – the mixed ekhogennost was revealed. We identified 65 patients with abnormal vascularity in disintegration and deformation of vascular pattern. Comparison of data obtained at TRUS with indicators of the Gleeson’s scale was carried out. It was established that hypoechogenic focus is more common in the total score 5–7, and less than 5 points, izoehogennaya tumor often with a score 5–7. The pathological vaskulyarization was more often diagnosed in the group of patients with a score 5–7. The echogenicity of the tumor with the subsequent fibrous tissue formation to the 12 monthes was revealed under the TRUS after the course of conservative therapy. In most cases hupervascularisation of the gland and tumor tissue with a significant reduction to the 3 monthes was noted under the TRUS with the use of Doppler technique, in addition to this fact vessels in the area of the tumor were not visualized to the 12 monthes.