Single article

Diomidova V., Safonova M., Dmitrieva A., Vinogradova V.

Radiation diagnosis of primary multiple malignancies involving the gastrointestinal tract and female reproductive organs

Keywords: radiation diagnosis, primary multiple neoplasms, stomach, cancer, female reproductive organs

The purpose of the research is to study the informative value of diagnostic radiology in primary multiple malignant neoplasms (PMMNs) involving the gastrointestinal tract and female reproductive organs. The relevance is due to annual increase in the number of newly diagnosed cancer patients, including polyneoplasias. Diagnostic radiology methods – ultrasound, X-ray, computer and magnetic resonance imaging – were used. Statistical analysis was carried out using the methods of medical statistics (significant differences – p ≤ 0,05). Involvement of the gastrointestinal organs among patients with multiple primary malignant neoplasms was diagnosed in 385 patients (mean age 55,2±2,9 years).There were fewer women (173 women, 44,9%) than men. Simultaneous malignant neoplasms (MNs) of the gastrointestinal tract were diagnosed in 96 patients (24.94%), metachronous – in 289 (75,06%). Combination of metachronous malignant tumors of the gastrointestinal tract with endometrium was revealed in 14 patients (4,8%), with breast cancer – in 25 patients (8,6%), with myometrium – in 9 patients (3,1%), with cervix and ovary – 3 cases (1,04%) with each. Synchronous PMMNs with involvement of the gastrointestinal tract and female reproductive organs included: esophagus – endometrium – 1 case (1,04%); stomach – mammary gland, stomach – uterine body – 1 case for each (1,04%); colon – mammary gland and colon – ovaries – 4 cases each (4,2%); colon – cervix and colon – endometrium – 1 case each (1,04%). The informative value of complex diagnostic radiology was: sensitivity – 90,28%, specificity –91,43%, accuracy – 90,85%. To detect polyneoplasia, it is necessary to use all diagnostic radiology technologies available in the algorithm of patients’ examination both at the stage of screening and at the stage of primary and differential diagnosis of primary multiple and metastatic tumors of the digestive organs and all other systems.

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About authors

Diomidova Valentina
Doctor of Medical Sciences, Professor, Dean of the Medical Faculty, Chuvash State University, Russia, Cheboksary (diomidovavn@rambler.ru)
Safonova Marina Anatolievna
Republican Clinical Oncology Dispensary radiology unit head; obstetrics and gynecology department graduate student, Chuvash State University, Russia, Cheboksary (safmaran@yandex.ru)
Vinogradova Valentina Sergeevna
obstetrics and gynecology department graduate student, Chuvash State University, Russia, Cheboksary
Dmitrieva Anastasia Nikoalaevna
Chuvash State University internal medicine department graduate student; radiodiagnosis unit doctor-roentgenologist, Republican Clinical Oncologic Dispensary, Russia, Cheboksary (dmitrieva.rabota@mail.ru)

Article link

Diomidova V., Safonova M., Dmitrieva A., Vinogradova V. Radiation diagnosis of primary multiple malignancies involving the gastrointestinal tract and female reproductive organs [Electronic resource] // Acta medica Eurasica. – 2019. – №1. P. 18-24. – URL: http://acta-medica-eurasica.ru/en/single/2019/1/3/