Revealing combined pathology of genitals, mammary and thyroid glands with sonographic screening

详细

Objective. To study revelation rate of a combined pathology of genitals, thyroid and mammary glands among the conditionally healthy women with sonographic screening.

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Methods. Sonographic screening of 1674 women aged 17-81 was performed. The mean age was 39 years. The examination was made with MED IS ON SA-1500/SA-4800 using 3,5 and 7,5 MHz transducers and 6,5 MHz transvaginal transducer.

Results. The pathology was revealed in 968 women that have made 57,8% from number surveyed. Among them, the combined pathology was found out much more often than isolated. So, from 776 revealed cases of gynecologic pathology, isolated pathology was only in 263 (33,9%), from 353 pathologic findings in mammary glands — in 91 (25,4%), from 397 cases of thyroid gland pathology — in 141 (37,3%). In total, from 1526 pathological conditions only 495 had no combinations with other pathologies, that has made 32,4%. Another 1031 were diagnosed in 473 patients. Most frequent components of combinations were endometriosis (88,4%), endometrial hyperplasia (89,7%), sclerocystic degeneration of ovaries (85,7%), lactocele (90,3%), mammary fibrocystic disease (73,2%), and thyroiditis (80,0%).

Conclusions. Performing a sonographic screening it is necessary to carry out a complex examination, and when one disease is revealed it is advisable to seek an associated pathology for the adequate determination of the further treatment tactics.