Difficulties in Differentiation of Malignant Neoplasms and Deep Infiltrative Endometriosis
https://doi.org/10.37174/2587-7593-2022-5-4-107-116
Abstract
Purpose: To review the clinical case of deep infiltrative endometriosis in the patient with suspicious of colorectal cancer.
Material and methods: Patient 47 years old with complaints of pain in the right hypogastrium for several weeks. Anamnesis of laparoscopic surgery for infertility, repeated removal of mammary fibroadenomas. At the initial examination, there is a suspicion of a primary tumor in the rectum with metastatic lesions in the liver, pancreas and peritoneum according to the results of ultrasound diagnosis. Contrast enhanced MRI of the abdominal cavity and pelvic, colonoscopy, lung radiography and PET/CT were performed for the purpose of detailed differential diagnosis of the identified lesions.
Conclusion: The multimodal approach in the differentiation of deep infiltrative endometriosis and malignant neoplasms using various methods of radiation diagnosis allows to assess the spread of the pathological process and determine the tactics of treatment of the patient in the shortest time.
About the Authors
T. Yu. DanzanovaRussian Federation
115478, Moscow, Kashirskoye Highway, 24
117997, Moscow, Ostrovityanov str., 1
Competing Interests:
Not declared.
G. T. Sinyukova
Russian Federation
115478, Moscow, Kashirskoye Highway, 24
Competing Interests:
Not declared.
E. A. Zubareva
Russian Federation
117997, Moscow, Ostrovityanov str., 1
Competing Interests:
Not declared.
P. I. Lepedatu
Russian Federation
115478, Moscow, Kashirskoye Highway, 24
Competing Interests:
Not declared.
E. A. Gudilina
Russian Federation
115478, Moscow, Kashirskoye Highway, 24
Competing Interests:
Not declared.
S. N. Berdnikov
Russian Federation
115478, Moscow, Kashirskoye Highway, 24
Competing Interests:
Not declared.
E. V. Kovaleva
Russian Federation
143900, Moscow region, Balashikha, Karbyshev str., 6
Competing Interests:
Not declared.
I. V. Kolyadina
Russian Federation
125993, Moscow, Barricadnaya str., 2/1, p. 1
Competing Interests:
Not declared.
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Review
For citations:
Danzanova T.Yu., Sinyukova G.T., Zubareva E.A., Lepedatu P.I., Gudilina E.A., Berdnikov S.N., Kovaleva E.V., Kolyadina I.V. Difficulties in Differentiation of Malignant Neoplasms and Deep Infiltrative Endometriosis. Journal of oncology: diagnostic radiology and radiotherapy. 2022;5(4):107-116. (In Russ.) https://doi.org/10.37174/2587-7593-2022-5-4-107-116