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THE COMPARATIVE ANALYSIS OF THE ULTRASONIC EXAMINATION AND Х-RAY MAMMOGRAPHY OF THE MEN WITH MASS PATHOLOGY IN THE MAMMARY GLAND PROJECTION

https://doi.org/10.17650/1994-4098-2015-1-35-42

Abstract

Based on the scientific materials of domestic and foreign authors as well as on own observations, the results of the ultrasonic and mammographic research of the man’s mass pathology in the mammary gland projection being found in the process of differential diagnosis between malignant and benign tumors with similar clinical picture are presented in the article. Methodologically there has been carried out the analysis of the distinctive and rare signs of the benign process and malignant transformation of the man’s mass pathology in the mammary gland projection. In order to compare X-Ray and ultrasonic characteristics of the mass pathology in the patients’ mammary gland projection similar visual effects in the process of the prebiopsy clinical diagnosis forming has been studied in pairs. Mammography pictures and visualization in B-regime have been studied critically: shape correctness, localization, irregularity and obscurity of contours, presence of pathological inclusions), data of the colour and spectral Doppler sonography and 3D-regime scanning. According to the results of visual examinaion objective indications for needle biopsy of the man’s mass pathology in the mammary gland projection have been presented to the reader. The calculation of operation characteristics of different research methods of the mammary gland and combination of these methods has been done. The regularity of the information increase with an increase of the methods applied has been revealed. Based on the catamnesis examples of 317 men, the analysis of the necessity to make a combined examination variants of the mammary gland as the only definite opportunity to get a clinical diagnosis has been done.

About the Authors

V. B. Akimova
Industrial Hospital of Moscow Printing Factory, “Goznak”; 19 Mytnaya St., Moscow, 115162, Russia
Russian Federation


D. V. Akimov
Clinical and Diagnostic Center No. 4, Moscow Healthcare Department; 3 Krylatskie Kholmy St., 121609, Moscow, Russia
Russian Federation


References

1. Мельников А.А. Клинико-эпидемиоло- гические особенности дисгормональных за- болеваний и рака молочных желез у мужчин в процессе адаптации к условиям среды обитания. Дис. … канд. мед. наук. Благове- щенск, 2005. С. 6, 11–6. [Melnikov А.А. Clinical and epidemiological peculiarities of dishormonal diseases and breast cancer in men during the adaptation to living environment. Thesis ... of candidate of medical sciences Blagoveshchensk, 2005. Рp. 6, 11–6. (In Russ.)].

2. Пунга Ж.В. Клинико-диагностические аспекты рака молочной железы у мужчин в республике Молдова. Материалы IX Все- российского съезда онкологов «Гормоноза- висимые опухоли». СПб., 2002. С. 161–5. [Punga Zh.V. Clinical and diagnostic aspects of breast cancer in men in the Republic of Moldova. Materials of IX All-Russian Conference of Oncologists “Hormone- dependent tumors”. Saint-Petersburg, 2002. Pp. 161–5. (In Russ.)].

3. Narula H.S., Carlson H.E. Gynecomastia. Endocrinol Metab Clin North Am 2007;36(2):497–519.

4. Тодуа Р.А. Диагностика опухолевых за- болеваний молочной железы у мужчин. I съезд онкологов стран СНГ: Материалы съезда. М., 1996. С. 249–50. [Todua R.A. Diagnostics of cancer diseases of mamma in men. I Conference of Oncologists of CIS countries: Materials of the Conference. Мoscow, 1996. Рp. 249–50. (In Russ.)].

5. Olsson H. Male gynecomastia and risk for malignant tumours – a cohort study. BMC Cancer 2002;2:26.

6. Weismann C.F. 3-D expands horisons in daily clinical practice. Diagn Imaging (San Franc) 2000;Suppl:12–5.

7. Kim M.G., Kim E.K., Youk J.H. et al. Application of рower Doppler vocal fremitus sonography in breast lesions. J Ultrasound Med 2006;25(7):897–906.

8. Hines S.L., Tan W., Larson J.M. A practical approach to guide clinicians in the evalution of male patients with breast masses. Geriatrics 2008;63(6):19–24.

9. Gregl A., Horst D., Muschter R. Gynakomastie and mammography (author's transl). Rofo 1979;130(4):439–47.

10. Юдин А.Л. Сологубова Г.Ф. Маммо- графия у мужчин. Медицинская визуали- зация 2002;(2):94–5. [Yudin A.L., Sologubova G.F. Mammography in men. Meditsinskaya vizualizatsiya = Medical Imaging 2002;(2):94–5. (In Russ.)].

11. Синюкова Г.Т., Манзюк Л.В., Артамонова Е.В. Использование энергетической допплерографии образований грудной железы в прогнозировании поражения регионарных лимфоузлов. Тезисы ІІ съезда онкологов Закавказских государств. Баку, 2001. С.158. [Sinyukova G.T., Manzyuk L.V., Artamonova E.V. Using Doppler ultrasonography of mammary tumors in prognosing of regional lymph nodes lesions. Points of ІІ Conference of Oncologists of Transcaucasian States. Baku, 2001. Р. 158. (In Russ.)].

12. Островская И.М., Островцев Л.Д., Ефимова О.Ю. Рак молочной железы у мужчин. М.: Медицина, 1988. С. 55–67. [Ostrovskaya I.M., Ostrovtsev L.D., Efimova О.Yu. Breast cancer in men. Мoscow: Meditsina, 1988. Рp. 55–67. (In Russ.)].

13. Королев В.И., Шумаков А.Г., Топчий В.Б. и др. Клинико-рентгенологическая диагностика гинекомастии и рака молочной железы у мужчин. Респ. Межведомств. сб. Украинского Респ. науч. мед. о-ва рентгенологов и радиоло- гов «Клиническая рентгенология и радиология». 1988;19:17–20. [Korolev V.I., Shumakov A.G., Topchiy V.B. et al. Clinical and X-ray diagnostics of gynecomastia and breast cancer in men. Republican Intergovernmental Issue of Ukrainian Republican Scientific Medical Society of Roentgenologist and Radiologists “Clinical Roentgenology and Radiology”. 1988;19:17–20. (In Russ.)].

14. Sohn C., Stolz W., Grischke D. Doppler sonsgraphie Untersuchung von in Mamma tumoren mit Hilfe der Farb Doppler sonographie, der Duplex sonographie und des CW-Doppler. Stuttgart: Thieme, 2008. 206 р.

15. Yitta S., Singer C.I., Toht Н.B., Mercado C.L. Image presentation. Sonographic аppearances of benign and malignant male breast disease with mammographic and pathologic correlation. J Ultrasound Med 2010;29(6):931–47.


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For citations:


Akimova V.B., Akimov D.V. THE COMPARATIVE ANALYSIS OF THE ULTRASONIC EXAMINATION AND Х-RAY MAMMOGRAPHY OF THE MEN WITH MASS PATHOLOGY IN THE MAMMARY GLAND PROJECTION. Tumors of female reproductive system. 2015;11(1):35-42. (In Russ.) https://doi.org/10.17650/1994-4098-2015-1-35-42

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ISSN 1994-4098 (Print)
ISSN 1999-8627 (Online)