3 research outputs found
DijagnostiÄka vrijednost kliniÄkih, radiologijskih i funkcijskih pretraga u bolesnika s azbestozom pluÄa i porebrice
The aim of the study was to determine sensitivity of individual clinical, radiologic and functional examinations for pulmonary and pleural asbestosis, and their correlations. The study included 180 patients of both sexes. All patients underwent plain and oblique x-rays by so-called "hard" radiography, and 60 patients were additionally examined by high-resolution computed tomography. Functional tests included measurements of vital capacity and diffusing capacity for carbon monoxide. Pleural plaques are a frequent sign of pleural asbestosis. In our study, chest x-rays confirmed the presence of pleural plaques in 25 (41.6%), and high-resolution computed tomography in 51 (85%) out of 60 patients. High-resolution computed tomography detected initial pulmonary fibrosis in 11 (18.4%) of 60 patients with 0/0 and 0/1 perfusion according to the International Labour Organization classification. Since plain radiology findings in 28 out of 60 patients were not in agreement, it was impossible to make a definite diagnosis of asbestosis. In 22 (36.6%) patients, high-resolution computed tomography indicated initial, and in 6 (10%) moderate fibrosis. In initial asbestosis, vital capacity and diffusing capacity for carbon monoxide are within the normal limits. Only increased profusion of the pulmonary parenchyma opacity and greater extension of the pleural thickening involvement cause a fall in vital capacity.Cilj rada bio je utvrditi osjetljivost pojedinih radiologijskih i funkcijskih pretraga te njihovih odnosa kod ove bolesti. U radu je sudjelovalo 180 ispitanika oba spola. U svih su ispitanika uÄinjene standardne i kose snimke prsnoga koÅ”a tzv. "tvrdom" tehnikom snimanja. Kod 60 ispitanika uÄinjena je i visoko-rezolucijska kompjutorizirana tomografija. Od funkcijskih pretraga mjeren je vitalni kapacitet i difuzijski kapacitet za ugljiÄni monoksid. Pleuralni plakovi su ÄeÅ”Äi znak azbestoze pleure. U naÅ”em je istraživanju od 60 ispitanika rendgenogram prsiju ukazao na pleuralne plakove u 25 (41.6%), a visoko-rezolucijska kompjutorizirana tomografija u 51 (85%) ispitanika. Od 60 ispitanika s urednim nalazom rendgenograma prsiju (ILO 0/0 i 0/1) poÄetna fibroza pluÄnog parenhima otkrivena je uz pomoÄ visoko-rezolucijske kompjutorizirane tomografije u 11 (18,4%) ispitanika. Zbog nepodudarnosti nalaza radiologa na konvencionalnoj radiografiji, u 28 od 60 ispitanika nije se mogla sa sigurnoÅ”Äu postaviti dijagnoza azbestoze. Visoko-rezolucijska kompjutorizirana tomografija je kod 22 (36,6%) ispitanika ukazala na poÄetnu, a kod 6 (10%) na umjerenu fibrozu. Kod poÄetnih oblika azbestoze vrijednosti vitalnog kapaciteta i difuzijskog kapaciteta za ugljiÄni monoksid su u granicama normalnih vrijednosti. Tek veÄa prožetost sjena pluÄnoga parenhima i veÄa zahvaÄenost zadebljanja pleure dovode do pada vitalnog kapaciteta
DesmoplastiÄni tumor malih okruglih stanica ā DSRCT ā prikaz sluÄaja
Desmoplastic small round cell tumor (DSRCT) is a rare malignant neoplasm of adolescent males with predilection for involvement of the peritoneum. It is an aggressive neoplasm with a poor prognosis. Herein we present a case of a 23 year old man with DSRCT which, at the beginning, has been a diagnostic and clinical problem.DezmoplastiÄni okrugli malostaniÄni tumor ( DSRCT) je rijedak maligni tumor koji se pojavljuje u mla|ih muÅ”karaca i najÄeÅ”Äe zahvaÄa peritonej. To je agresivan tumor s loÅ”om prognozom. Ovdje Äemo prikazati sluÄaj 23-godiÅ”njeg muÅ”karca s dijagnosticiranim DSRCT, koji je u poÄetku predstavljao dijagnostiÄki i kliniÄki problem
DesmoplastiÄni tumor malih okruglih stanica ā DSRCT ā prikaz sluÄaja
Desmoplastic small round cell tumor (DSRCT) is a rare malignant neoplasm of adolescent males with predilection for involvement of the peritoneum. It is an aggressive neoplasm with a poor prognosis. Herein we present a case of a 23 year old man with DSRCT which, at the beginning, has been a diagnostic and clinical problem.DezmoplastiÄni okrugli malostaniÄni tumor ( DSRCT) je rijedak maligni tumor koji se pojavljuje u mla|ih muÅ”karaca i najÄeÅ”Äe zahvaÄa peritonej. To je agresivan tumor s loÅ”om prognozom. Ovdje Äemo prikazati sluÄaj 23-godiÅ”njeg muÅ”karca s dijagnosticiranim DSRCT, koji je u poÄetku predstavljao dijagnostiÄki i kliniÄki problem