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Author: Victor Catrinici Degree: doctor of medicine Speciality:  14.00.19 - Medical Imagistics Year: 2007 Scientific adviser: Nicolae Ghidirim doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova Scientific consultant: Andrei Roşca doctor habilitat, professor, Public Medical Sanitary Intitution Institute of Oncology Institution: Scientific council:

Status The thesis was presented on the 26 October, 2007 Approved by NCAA on the 20 December, 2007 Abstract – 0.29 Mb / in romanian Thesis CZU [616.62+616.65]-006.6-073.75 2.81 Mb / in romanian 105 pages

Keywords

Summary

The effective treatment of tumoral affection of bladder and prostate depends on precision of determination of local spread degree of process. The X ray investigation of vesiculography elements permits the revealing characteristic alteration of seminal vesicles. The vesiculography was preformed by 151 patients with tumoral alteration of bladder and prostate. The tumaral alteration of the bladder was revealing by 75 patients (with T3 – 42, T4 – 37) and 59 patients with prostate cancer (T3 – 23, T4 – 29 patients). The radiological alterations semiotic are presented by functional and morphological signs. In case bladder cancer the increasing of intervesicular angle was determined by 28% bladder cancer patients in the group with T4, at 16, 2% the vertical displace of seminal system was revealed by 72% of T3 cases and 54% of T4 cases, the unilateral destruction of seminal vesicle in T4 was revealed in 62% cases. The sensibility of method for T3 stage constitute 75% and for T4 stage is 86,2%. The extracapsular spreading of prostate tumor increase the intervesicular angle in 70% cases of T3 and 53, 6% in T4. The vesiculoampular transition displace is characteristic only for prostate cancer. The comparative evaluation of vesiculography with other methods (USG, computer tomography urography, angiography, phlebography) revealed the advantage of vesiculography comparative to phlebography in T3 stage of prostate cancer. The using of intraoperative vesiculography permits to high the effectiveness of surgical method in. It is recommended the using of vesiculography in accordance with algorithm elaborated by us and it is performed in the day following USG and CT.

Oficial Reviewers

• Natalia Rotaru
  doctor habilitat, associate professor (docent), Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
• Anatol Mustea
  doctor, associate professor (docent)

 Theses