Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm
The OBJECTIVE was to develop a diagnostic algorithm in oncologic patients with pulmonary hemorrhage.METHODS AND MATERIAL. A retrospective single-center study of the medical records of 258 patients who met the inclusion criteria was conducted. Inclusion criteria: age over 18 years, oncologic disease...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2024-10-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/2440 |
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| author | R. S. Kiselev E. A. Tarabrin Z. G. Berikkhanov V. A. Savelieva Yu. V. Kutilin M. Yu. Ivanova |
| author_facet | R. S. Kiselev E. A. Tarabrin Z. G. Berikkhanov V. A. Savelieva Yu. V. Kutilin M. Yu. Ivanova |
| author_sort | R. S. Kiselev |
| collection | DOAJ |
| description | The OBJECTIVE was to develop a diagnostic algorithm in oncologic patients with pulmonary hemorrhage.METHODS AND MATERIAL. A retrospective single-center study of the medical records of 258 patients who met the inclusion criteria was conducted. Inclusion criteria: age over 18 years, oncologic disease of the chest organs complicated by pulmonary hemorrhage. Inclusion criteria: age over 18 years, oncologic disease of the chest organs complicated by pulmonary hemorrhage. Exclusion criteria: age under 18 years, pulmonary hemorrhage of non-oncologic etiology. Pulmonary hemorrhage was considered to be the discharge of any volume of fresh blood or clots from the tracheobronchial tree, which was determined on the basis of anamnesis, clinical manifestations in the hospital, endoscopic examination. Routine diagnostic methods of investigation, such as chest radiography, chest computed tomography (including with contrast enhancement), fibrotracheobronchoscopy, bronchial arteriography were evaluated.RESULTS. The sensitivity for diagnosing the oncologic process in chest radiography, computed tomography, and fibrotracheobronchoscopy, was 84.7 %, 98.4 %, and 94.4 %, respectively. The sensitivity of fibrotracheobronchoscopy to detect the bleeding itself in oncologic patients reached 31.3 %, and the sensitivity of bronchial arteriography to diagnose the source of bleeding was 87.7 %.CONCLUSION. In pulmonary hemorrhage of oncologic genesis, the combination of fibrotracheobronchoscopy with computed tomography has sensitivity in 100 % of cases in determining the source and localization of the pathological process. Bronchial arteriography allows to perform endovascular hemostasis. It is necessary to conduct multicenter studies in order to develop and implement a unified algorithm assessing all etiopathogenetic features of pulmonary hemorrhage in oncologic patients. |
| format | Article |
| id | doaj-art-ad0906bd3fa64df7b992424d08bbdcc4 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2024-10-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-ad0906bd3fa64df7b992424d08bbdcc42024-11-26T10:43:59ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252024-10-011833445010.24884/0042-4625-2024-183-3-44-501612Pulmonary hemorrhage in oncologic patients – a diagnostic algorithmR. S. Kiselev0E. A. Tarabrin1Z. G. Berikkhanov2V. A. Savelieva3Yu. V. Kutilin4M. Yu. Ivanova5I. M. Sechenov First Moscow State Medical University; Regional Clinical Hospital of Ryazan regionI. M. Sechenov First Moscow State Medical UniversityI. M. Sechenov First Moscow State Medical UniversityI. M. Sechenov First Moscow State Medical UniversityI. M. Sechenov First Moscow State Medical UniversityI. M. Sechenov First Moscow State Medical UniversityThe OBJECTIVE was to develop a diagnostic algorithm in oncologic patients with pulmonary hemorrhage.METHODS AND MATERIAL. A retrospective single-center study of the medical records of 258 patients who met the inclusion criteria was conducted. Inclusion criteria: age over 18 years, oncologic disease of the chest organs complicated by pulmonary hemorrhage. Inclusion criteria: age over 18 years, oncologic disease of the chest organs complicated by pulmonary hemorrhage. Exclusion criteria: age under 18 years, pulmonary hemorrhage of non-oncologic etiology. Pulmonary hemorrhage was considered to be the discharge of any volume of fresh blood or clots from the tracheobronchial tree, which was determined on the basis of anamnesis, clinical manifestations in the hospital, endoscopic examination. Routine diagnostic methods of investigation, such as chest radiography, chest computed tomography (including with contrast enhancement), fibrotracheobronchoscopy, bronchial arteriography were evaluated.RESULTS. The sensitivity for diagnosing the oncologic process in chest radiography, computed tomography, and fibrotracheobronchoscopy, was 84.7 %, 98.4 %, and 94.4 %, respectively. The sensitivity of fibrotracheobronchoscopy to detect the bleeding itself in oncologic patients reached 31.3 %, and the sensitivity of bronchial arteriography to diagnose the source of bleeding was 87.7 %.CONCLUSION. In pulmonary hemorrhage of oncologic genesis, the combination of fibrotracheobronchoscopy with computed tomography has sensitivity in 100 % of cases in determining the source and localization of the pathological process. Bronchial arteriography allows to perform endovascular hemostasis. It is necessary to conduct multicenter studies in order to develop and implement a unified algorithm assessing all etiopathogenetic features of pulmonary hemorrhage in oncologic patients.https://www.vestnik-grekova.ru/jour/article/view/2440lung cancermetastaseshemoptysisembolizationbronchial arteriographycomputed tomographyfibrotracheobronchoscopy |
| spellingShingle | R. S. Kiselev E. A. Tarabrin Z. G. Berikkhanov V. A. Savelieva Yu. V. Kutilin M. Yu. Ivanova Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm Вестник хирургии имени И.И. Грекова lung cancer metastases hemoptysis embolization bronchial arteriography computed tomography fibrotracheobronchoscopy |
| title | Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm |
| title_full | Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm |
| title_fullStr | Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm |
| title_full_unstemmed | Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm |
| title_short | Pulmonary hemorrhage in oncologic patients – a diagnostic algorithm |
| title_sort | pulmonary hemorrhage in oncologic patients a diagnostic algorithm |
| topic | lung cancer metastases hemoptysis embolization bronchial arteriography computed tomography fibrotracheobronchoscopy |
| url | https://www.vestnik-grekova.ru/jour/article/view/2440 |
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