Novosti
Khirurgii

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Year 2016 Vol. 24 No 1

GENERAL & SPECIAL SURGERY

О.N. SADRIEV 1, А.D. GAIBOV 1,2 S.S. ANVAROVA2

POTENTIAL OF COMPUTED TOMOGRAPHY IN DIFFERENTIAL DIAGNOSIS OF ADRENAL TUMORS

Republican Scientific Center of Cardiovascular Surgery 1,
Avicenna Tajik State Medical University2,
Dushanbe
The Republic of Tajikistan

Objectives. To assess the possibilities of computed tomography at differential diagnostics of adrenal tumors.
Methods. Correlation analysis between the results of computed tomography (CT) and morphologiocal structure of the adrenal tumors in patients (n=54) with pheochromocytoma (PCHC) (n=23; 42,6%), aldosteroma (AS) (n=18; 33,3%) and corticosteroma (CS) (13; 24,1%) has been analyzed. At 3-phase CT such parameters as the tumor size, structure and contours, the presence of the capsule, native and maximum density at contrasting, washout time of contrast medium by more than 60% have been assessed.
Results. While comparing the size of PCHC, CS and AS the reliable difference between them has been registered. Round and oval tumors are more typical for CS and AS; PCHC tumors are of irregular shape. Uneven contours, heterogeneity of the structure and the presence of inclusions in the structure of the tumor turned out to be typical mainly for PCHC, while at CS and AS those signs were practically absent. At comparative assessment of PCHC density (+22 (20-25) UH, CS(+14 (11-16) UH; and AS(+6 (4,25-8,5) UH) in the native regimen and at contrasting, PCHC – +41 (40-45) UH; CS – +20 (16-20,5) UH; AS – +11 (9,25-13) UH), their reliable difference has also been established (р<0,001). While comparing washout time of contrast PCHC (+14 (11-15) min.) and adrenocortical tumors (+8 (6-12,75) min. and +4,9 (3,5-6,625) min. for CS and AS, statistically reliable diference has been registered.
Conclusion. The analysis of tumor size, structure, density in different phases of contrasting and washout time of contrast medium, revealed at CT permits to differentiate the different nosological forms of adrenal tumors and to be clinically significant in the choice of further treatment tactics.

Keywords: computed tomography, comparative assessment, adrenal tumors, diagnostics, pheochromocytoma, aldosteroma, corticosteroma
p. 40-46 of the original issue
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Address for correspondence:
734003, Republic of Tadzhikistan,
Dushanbe, prospekt Rudaki, d. 139,
Tadzhikskiy gosudarstvennyiy
meditsinskiy universitet imeni Abuali ibni Sino,
kafedra khirurgicheskih bolezney №2.
tel.: 992 915 25 00 55;
e-mail: sadriev_o_n@mail.ru,
Sadriev Okildzhon Nemadzhonovich
Information about the authors:
Sadriev O.N. A leading researcher of the Republican Scientific Center of Cardiovascular Surgery.
Gaibov A.D. Corresponding member of the academy of Medical Sciences of the Ministry of Health and Social Protection of the Population of the republic of Tajikistan, MD, professor of the surgical diseases chair №2 of Avicenna Tajik State Medical University, professor and tutor of the vascular surgery department of the Republican Scientific Center of Cardiovascular Surgery.
Anvarova S.S. MD, a head of the endocrinology chair of Avicenna Tajik State Medical University.
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