Head and Neck TumorsHead and Neck TumorsОпухоли головы и шеи2222-14682411-4634Publishing House ABV Press25910.17650/2222-1468-2017-7-2-12-15DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORSДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ ГОЛОВЫ И ШЕИTHE SIGNIFICANCE OF THE METHOD OF ULTRASONIC RESEARCH OF A THYROID GLAND WITH CONTRAST ENHANCEMENT IN THE DIFFERENTIAL DIAGNOSIS OF FOCAL NODULAR FORMATIONSЗНАЧИМОСТЬ МЕТОДА УЛЬТРАЗВУКОВОГО ИССЛЕДОВАНИЯ ЩИТОВИДНОЙ ЖЕЛЕЗЫ С КОНТРАСТНЫМ УСИЛЕНИЕМ В ДИФФЕРЕНЦИАЛЬНОЙ ДИАГНОСТИКЕ ОЧАГОВЫХ УЗЛОВЫХ ОБРАЗОВАНИЙRakitinaD. A.РакитинаД. А.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

BelyaevA. M.БеляевА. М.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

RadzhabovaZ. A.РаджабоваЗ. А.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Замира Ахмед-Гаджиевна Раджабова - Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

radzam@mail.ruKostrominaE. V.КостроминаЕ. В.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

KotovM. A.КотовМ. А.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

NazhmudinovR. A.НажмудиновР. А.
Russian Federation

Surgical Department of Head and Neck Tumors.

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

Хирургическое отделение опухолей головы и шеи.

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

N.N. Petrov Research Institute of Oncology at the Ministry of Health of RussiaФГБУ «НИИ онкологии им. Н.Н. Петрова» Минздрава России260620177212152606201726062017Copyright ©; 2017, Rakitina D.A., Belyaev A.M., Radzhabova Z.A., Kostromina E.V., Kotov M.A., Nazhmudinov R.A.Copyright ©; 2017, Ракитина Д.А., Беляев А.М., Раджабова З.А., Костромина Е.В., Котов М.А., Нажмудинов Р.А.2017Rakitina D.A., Belyaev A.M., Radzhabova Z.A., Kostromina E.V., Kotov M.A., Nazhmudinov R.A.Ракитина Д.А., Беляев А.М., Раджабова З.А., Костромина Е.В., Котов М.А., Нажмудинов Р.А.https://creativecommons.org/licenses/by/4.0https://ogsh.abvpress.ru/jour/article/view/259

Introduction. Currently thyroid nodules are a widespread problem in clinical oncology and head and neck cancer, malignant focal lesions constitute more than 15–20  %. Accurate diagnosis is very important and determines treatment, as well as the volume of surgical intervention.

Objective – determination of the diagnostic value of the method of contrast-enhanced ultrasound in the diagnosis of thyroid cancer. Reference materials were the results of the histological study of surgical specimens.

Method. Performed a retrospective analysis of medical records of 42 patients who underwent surgery at the surgical department of head and neck tumors on the verified thyroid cancer in the N.N. Petrov Research Institute of Oncology at the Ministry of Health of Russia. The number of female patients was 36 persons (85.5 %), the number of men was 6 people (14.5 %). The average age of patients among men was 55.5 years, women – 46 years. All patients underwent surgical treatment in the amount of extirpation of the thyroid gland – 16 patients (37.5 %), hemithyroidectomy – 26 patients (62.5 %).

Results. The sensitivity of ultrasound with contrast in the diagnosis of cancer of the thyroid gland was 94.11 %, specificity was 87.5 %, diagnostic accuracy – 92.8 %.

Conclusions. The technique of ultrasound nodules thyroid with intravenous contrast enhancement has an excellent diagnostic properties, allowing to identify and verify thyroid cancer is 8 % more accurately in comparison with standard ultrasound technique.

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