Difficulties in Differentiation of Malignant Neoplasms and Deep Infiltrative Endometriosis

Т. Yu. Danzanova, G. Т. Sinyukova, E. A. Zubareva, П. И. Лепэдату, Е. А. Гудилина, S. N. Berdnikov, Е. В. Ковалева, I. V. Kolyadina
In: Journal of oncology: diagnostic radiology and radiotherapy · 2022 · vol. 5(4) , pp. 107–116 · doi:10.37174/2587-7593-2022-5-4-107-116 · W4311621356
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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.

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endometriosisinfertility

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