The use of the protocol of preoperative neck examinationin patients with possible thyroid cancer in an oncologist's practice
https://doi.org/10.14341/ket20128359-64
Abstract
The purpose of the article is development, introduction into clinical practice and potency assignment of the protocol of preoperative thyroid and regional efflux of lymph examination and a new method of ultrasonic cervical glands assessment as well as perfection of a repeated (duplicate) neck scan. In a control group (n = 56) only a traditional thyroid scan method of primary diagnostics was used which doesn’t give enough data for planning of extent of an operation. In a comparison set (n = 82) a protocol of preoperative thyroid and regional efflux of lymph examination was introduced. Within the protocol in addition to the traditional thyroid scan method an authors’ improved method of a repeated (duplicate) neck scan and a new method of ultrasonic cervical glands assessment were used which led to significant improvement of the preoperative thyroid cancer diagnostics: agreement climb in preoperative and postoperative diagnoses of 36.10 per cent, climb in preoperatively diagnosed extrathyroidal invasion of 34.15 per cent, climb in preoperatively diagnosed tumor recurrence of 15.85 per cent, climb in tumor cervical glands disease diagnostics of 34.80 per cent.
About the Authors
S Seryoginaspirant kafedry operativnoy khirurgii i topograficheskoy anatomii, vrach- onkolog BUZ Orlovskoy oblasti “Orlovskiy onkologicheskiy dispanser”
A Bezhin
doktor med. nauk, professor, zaveduyushchiy kafedroy operativnoy khirurgii i topograficheskoy anatomii Kurskogo gosudarstvennogo meditsinskogo universiteta
V Khvostovoy
kand. med. na- uk, dotsent kafedry onkologii Kurskogo gosudarstvennogo meditsinskogo universiteta
V Nozdrunov
kand. fiz.-mat. nauk, dotsent kafedry prikladnoy matematiki i informatiki FGBOU VPO “Gosuniversitet – UNPK”, g. Orel
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Review
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, , , The use of the protocol of preoperative neck examinationin patients with possible thyroid cancer in an oncologist's practice. Clinical and experimental thyroidology. 2012;8(3):59-64. (In Russ.) https://doi.org/10.14341/ket20128359-64
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