Organizational aspects of ultrasound examination of ptsintes with malignant thyroid neoplasms

Abstract

The study includes 134 patients assigned to oncology at the Kursk Regional Clinical Oncology Dispensary from the year 2012 to 2016 with the diagnosis: thyroid cancer. The protocols of ultrasound investigations, outpatient and inpatient medical records in various institutions of the Kursk region at all stages of diagnosis, treatment and dynamic observation are analyzed. Only 58 patients (42.3 %) have received a survey at the place of residence during primary diagnosis and 76 (56.7 %) at the dispensary observation stage. 34 (25.4 %) patients have to apply to commercial organizations. There is no connection between the location of the primary ultrasound and the place of residence (p > 0.05), the location of the primary ultrasound is fixed with the examination clinic after the end of the specialized treatment (p < 0.05), which indicates a violation of routing. Our data on the informativeness of ultrasound in the diagnosis of thyroid cancer (a significant number of discrepancies, regardless of the stage of the disease [p > 0.05], communication of informativity with the place of examination [p < 0.001]) indicate the need for morphological verification of the thyroid nodal pathology. The relationship between the informative value of fine needle apiration biopsy (p < 0.001) and the site, regardless of the size and histological structure of the node (p > 0.05) is revealed.