SUMY STATE UNIVERSITY, SUMY, UKRAINE.
ODESSA NATIONAL MEDICAL UNIVERSITY, ODESA, UKRAINE.
Wiad Lek. 2021;74(2):282-287.
The aim: To analyze contemporary practical means to improve diagnostics of primary fallopian tube cancer.
Materials and methods: Authors analyzed specifics of clinical signs and anamnesis in 152 PFTC patients. Diagnostic capacity of cytological analysis of pathologic vaginal discharge, X-ray contrast methods of examination, sonography, tumor markers, and computed tomography was studied. Own results of PFTC diagnostics using different methods and world practice using MRI, PET-CT and laparoscopy were discussed.
Results: Using own observations authors conclude that clinical analysis and complex use of the listed methods allows to mainly determine high risk group patients and set correct preoperative diagnosis in 35% and preliminary diagnosis in 20% of PFTC patients.
Conclusions: Complex examination allows to recognize primary fallopian tube cancer on preoperative stage and to avoid inadequate surgical interventions in majority of PFTC patients.
分析提高原发性输卵管癌诊断的当代实用方法。
材料和方法：作者分析了 152 例原发性输卵管癌患者的临床症状和病史特点。研究了阴道排液细胞学分析、X 射线造影检查、超声、肿瘤标志物和计算机断层扫描的诊断能力。讨论了使用不同方法的原发性输卵管癌诊断的结果，以及 MRI、PET-CT 和腹腔镜检查的世界实践。
结果：通过我们的观察，作者得出结论，临床分析和综合使用这些方法主要可以确定高危组患者，并在 35%的原发性输卵管癌患者中确定正确的术前诊断，在 20%的患者中确定初步诊断。
结论：综合检查可以在术前阶段识别原发性输卵管癌，并避免大多数原发性输卵管癌患者进行不适当的手术干预。
