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Aim. To estimate an opportunity and advantages of a method of a transillyuminatsionny pulsooptometriya and ultrasound in differential diagnostics of benign formations and malignant neoplasm  of a mammary gland.

Materials and methods. Research of 532 people aged 30 to 50 years. To all patients carried out ultrasound of a mammary gland. Scanning was carried out by the linear sensor 5-7 Mhz. Estimated echogenicity, structure, the sizes and vascularization of educations with measurement of high-speed indexes, indexes of peripheral resistance and the pulsation index. Measurements of hemodynamics and optical density were carried out using the device and the method of Z.M. Sigal. Carried out a computer tomography,  magnetic resonance tomography, a ductography, a mammography. For verification of the nature of education carried out the histologic analysis of the bioptat received at a puncture of mammary glands and during operation. Analyzed structure of tissue, existence of various pathological inclusions, their quantity and the sizes.

Results. Despite all achievements in the modern medicine and creation of new methods of diagnostics and treatment, ultrasound in combination with transillyuminatsionny pulsooptometriya is the most available and reliable.

Conclusions. 1. At ultrasound fibroadenomas of education had mainly ovoidny form (85%), with the lowered echogenicity (87%), the homogeneous structure and smooth, legible contours. A cyst in turn in  99% of a round form, anekhogenny, the homogeneous structure and with smooth contours, at 80% located on the course of ductus lactiferi. By means of ultrasound on our way allows to carry out noninvasively and efficiently a puncture biopsy.

  1. Reliable specific indexes by means of a translyuminatsionny pulsooptometriya according to Z.M. Segal of volume formations of mammary glands of an optical density and APO are established. In a cyst of APO there was the least 8,0±0,5 mm, at the same time an optical density - less than 0,08. At a fibroadenoma of APO was the greatest 17,33±3,38 mm, and an optical density - 0,3±0,15. At a malignant neoplasm - an optical density 0,5±0,12.

About the authors

Zoltan Moyshevich Sigal

Ижевская государственная медицинская академия

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

профессор, заведующий кафедры топографической анатомии и оперативной хирургии ФГБОУ ВО «Ижевская государственная медицинская академия» Министерства Здравоохранения Удмуртской Республики, доктор медицинских наук

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

Olga Vladimirovna Surnina

Ижевская государственная медицинская академия, Республиканский клинико-диагностический центр МЗ УР

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

кандидат медицинских наук, доцент кафедры топографической анатомии и оперативной хирургии ФГБОУ ВО «Ижевская государственная медицинская академия» Министерства Здравоохранения Удмуртской Республики; зав. отделения ультразвуковой диагностики БУЗ УР «Республиканский клинико-диагностический центр МЗ УР»

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


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