DETECTION OF METASTATIC SPINAL LESIONS DEPENDING ON THE LOCATION OF THE PRIMARY TUMOR

Abstract

Metastatic damage to organs and tissues is one of the main problems in the treatment of oncological diseases. Along with traditional metastasis to regional lymph nodes, metastatic lesions in distant organs and systems can be detected. Of crucial importance is the metastatic involvement of the skeleton, which is the third organ in terms of the frequency of lesion localization, after the lungs and liver. The purpose of the work is to analyze the results of diagnosis and treatment of patients with metastatic spinal lesions.
Material and methods. The paper presents an analysis of research materials conducted from 2008 to 2023 in the Osh region. Based on the data obtained, the frequency of metastatic spinal lesions in cancer of various localizations, the timing of their detection depending on the detection of the primary tumor, and the features of clinical manifestations were analyzed. The frequency of localization of metastases in various parts of the spine, methods of their diagnosis and treatment explored.
Results. In patients with identified primary tumors (n=66), signs of metastatic spinal lesions were diagnosed at various times after the diagnosis of the primary tumor. Thus, in 16 patients (24.2%), they were detected within 6 months, in 18 patients (27.3%) – from 1 to 3 years, in 7 patients (10.6%) – after 4-5 years.
Conclusion. For early and timely detection of metastatic spinal lesions, the most optimal algorithm for examining patients is needed. Mandatory magnetic resonance imaging of the spine in order to detect changes in soft tissues, computed tomography of the spine to identify pathological changes in the bone structure.