Radial research methods in monitoring the treatment of patients with metastatic vaginal cancer
Summary. The main task of the dynamic observation of patients in the long-term periods after the conservative treatment is the timely detection of the disease recurrence. For this purpose, radiation methods, first of all, ultrasound and magnetic resonance imaging (MRI) are used. Objective — estimate the radiation research methods in monitoring the treatment of patients with metastatic vaginal cancer. Materials and methods. A complex radiological examination was performed using ultrasound and MRI of 20 patients with metastatic vaginal cancer before, during and after combined radiation treatment while using chemoradiomodifiers to assess its effectiveness. The control group — 10 patients with no signs of continuing illness. Ultrasound and MR-semiotics are compared with the clinical course of the disease and morphological study data. Results. Ultrasound and MRI signs of metastatic vaginal cancer and regression of recurrent neoplasm due to conservative treatment were determined. The sensitivity, specificity and accuracy in detecting of metastatic vaginal cancer with ultrasound were 75.0; 80.0 and 76.7 %, with MRI — 85.0; 90.0 and 86.6% respectively. The sensitivity, specificity and accuracy of evaluating the effectiveness of conservative treatment of metastatic vaginal cancer with ultrasound were 62.5; 75.0 та 65.0%, with MRI – 75.0; 87.0 and 77.5 % respectively. Conclusions. Ultrasound and MRI are informative methods for detecting and evaluating the effectiveness of conservative treatment of metastatic vaginal cancer.
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