New in the diagnosis of benign thyroid formations

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Abstract


Aim. The aim of the study was to reveal the most sensitive and minimally invasive method in the diagnosis of benign thyroid formations.

Materials and methods. Research of 735 people aged 30 to 50 years with various formations in the thyroid gland was analyzed: 27% didn't have pathological formations, 32% had adenoma, 23% had a cyst, and 18% had malignant neoplasms. In clinical studies, we performed ultrasound and transillumination thyroid pulseoptometry. Measurements of hemodynamics and optical density were carried out using the device and the method of Z.M. Sigal

Results. Authentic differences (P <0.05) cysts from adenoma were detected due to studies of the amplitude of pulse oscillations. Differential diagnostics of volumetric formations on the basis of traditional clinico-radiographic research is difficult. Conventional methods of studying thyroid formations don't give specific signs for differentiating cysts and adenomas.

Conclusions. The combination of pulsography and ultrasound as a navigation method allows non-invasive differential diagnosis of benign thyroid formations.


About the authors

Zoltan Moishevich Sigal

Izhevsk State Medical Academy

Email: sigalzm@yandex.ru
ORCID iD: 0000-0001-9823-868X

Russian Federation, 426034,Россия, г. Ижевск, ул. Коммунаров 281

Doctor of medical sciences, professor, head of the department of topographic anatomy and operative surgery

Olga Vladimirovna Surnina

Izhevsk State Medical Academy
The Republican clinical diagnostic center MZ UR

Author for correspondence.
Email: uzd-ur@mail.ru
ORCID iD: 0000-0002-9538-1808

Russian Federation, 426034, Россия, г. Ижевск, ул. Коммунаров 281; 426000 Россия, г. Ижевск, ул. Ленина 87б

Head of Department Department of Ultrasound Diagnostics of the Ural State Medical University "Republican Clinical Diagnostic Center of the Ministry of Health of the Ural Region", Candidate of Medical Science, Associate Professor of Operative Surgery and Topographic Anatomy, IGMA, Chief Free-lance Specialist for Ultrasound Diagnostics of the Ministry of Health of the Urals, doctor of the highest category.

References

  1. Borsukov A.V. Modern aspects of nodular goiter diagnosis: a view from the side of radiation diagnosis. Endocrine Surgery 2015; 2: 36-38.
  2. Vlasov P.V. Complex radiation diagnosis of volumetric mediastinal formations. Part one. Medical Imaging 2005; 3: 29-41.
  3. Dedov II, Melnichenko G.A. Endocrinology. 2 nd ed., Revised. And additional. Moscow: GEOTAR-Media 2013; 752.
  4. Kalinov AV, Federyakin DV Fine needle aspiration biopsy in differential diagnosis of thyroid lesions. Tver Medical Journal 2015; 2: 17-23.
  5. Matyaschuk SI, Naida Yu.N., Shelkova E.A. Indications for puncture biopsy of thyroid nodules. Ліки України 2011; 6: 61-70.
  6. Mironov S.B. New technologies of ultrasound imaging in the diagnosis of thyroid nodules. Siberian Oncological Journal 2007; 70.
  7. Mkrtumyan AM, Podachina SV, Petunina N.A. Diseases of the thyroid gland. A guide for doctors. Moscow 2012; 45.
  8. Panova TN, Nazarochkin Yu.V. Diagnosis and treatment of nodular diseases of the thyroid gland. Moscow: Astrakhan 2007; 151.
  9. Rudas MS, Nasnikova I.Yu., Matyakin G.G. Positron emission tomography in clinical practice. Teaching-methodical manual. Moscow 2007; 45.
  10. Sleptsov IV, Chernikov RA, Chinchuk IK Radiofrequency ablation of autonomously functioning thyroid nodules is the first results of clinical application. Bulletin of St. Petersburg University 2007; 1: 72-80.
  11. Sigal Z.M. Method of studying the viability and motility of hollow organs without surgical intervention. Pathophysiology and experimental therapy 1984; 5; 82-84.
  12. Surnina OV, Sigal ZM, Yuminov OB, Vasilyev M.Yu., Dyachenko E.A. Device for determining tissue viability and optical monitoring. Measuring and Information Technologies in Health Care: Works of the International Conference. SPb 2007; 132-135.
  13. Surnina OV, Zhuykova L.E. The urgency of complex ultrasound diagnosis of diseases of the dairy and thyroid glands in screening studies. Collection of abstracts of the 5th Congress of the Russian Association of Specialists in Ultrasound Diagnostics in Medicine 2007; 2: 56.
  14. Timofeeva LA, Diomidova VN, Voropaeva LA, Bykova AV, Aleshina TN Comparison of the diagnostic value of radiation imaging methods in nodular thyroid formations. Medical almanac 2012; 4 (23): 120-123.
  15. Timofeeva LA, Semenov VD, Tukhbatullin MG. Experience of ultrasonic diagnostics of thyroid gland diseases. Kazan Medical Journal 2010; 5 (91): 707-711.
  16. Timofeeva NI, Chernikov RA, Sleptsov IV, Chinchuk IK, Shesterikov AS Diagnostic value of fine-needle aspiration biopsy of thyroid nodules. Bulletin of St. Petersburg University 2006; 2 (11): 79-85.
  17. Todurov BM, Kundin V.Yu., Nobis O.E. Modern possibilities of myocardial scintigraphy in the diagnosis of left ventricular myocardium. The Ukrainian Cardiological Journal 2010; 5; 100-106.
  18. Troshina EA, Abdulkhabirova FM, Sekinaeva AV, Melnichenko G.А. Prophylaxis of iodine deficiency in pregnant and lactating women. Consilium medicum 2011; 11 (5): 6-7.
  19. Ushakov A.V. Benign thyroid disease. Clinical classification. M .: Clinic of Doctor A.V. Ushakova 2013; 384.
  20. Kharchenko VP, Rozhkova N.I. Mammology: national leadership. Moscow: GEOTAR - Media 2009; 328.
  21. Khmelnitsky, O.K. Histological diagnosis of non-tumorous thyroid diseases: A manual for physicians. Ed. Prof. G.B. Kowalski. SPb 1999; 56.
  22. Shustov S., Halimov Yu., Trufanov G. Functional and topical diagnostics in endocrinology. SPb .: ELBI-SPb 2010; 296.
  23. Baert A.L., Sartor K. Contrast Media in Ultrasonography Basic Principles and Clinical Applications. Springer-Verlag Berlin Heidelberg 2007; 428.
  24. Henry M.K., Shlomo M., Kenneth S. P., P. Read Larsen. Diseases of a thyroid gland 2010; 392.
  25. Syed Z. Ali. Thyroid cytopathology: bethesda and beyond. Acta. Cytologica 2011; 55: 4-12.

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