Basic Principles of Diagnostic of Extra-organ Small Pelvis Tumors

Ilia Bakradze, Tamar Rukhadze

Department of Oncology, Tbilisi State Medical University, Georgia

Clinics, diagnostics and surgical treatment of extra-organ small pelvis tumors is one of the most acute problems of the oncology. The main signs of extra-organs tumors of the small pelvis reveal in their pressing the adjacent organs what would cause pain in and dysfunction of the latter. All these would create difficulties and sometimes even unsolvable problems during their diagnosing. We have studied 24 patients with extra-organ small pelvis tumors. Clinical investigation showed bleeding from the rectum in 4 (15%) of the cases, pus in 3 (12%) cases, constipation in 5 (17%), and 3 (12%) patients were urgently operated on. District presentations were determined in 7 (28%) cases, fistula in perianal space and festering of the tumor in 5 (20%) cases while neuralgia was found in 2 (8%) cases. As it was found out, 7 (28%) of the patients first addressed to a proctologist, 6 (21%) - to an abdominal surgeon, 5 (17%) - to an urologist, 3 (12%) - to a gynecologist, 2 (8%) - to a soft tissues specialist, 2 (8%) - to a neuropathologist. Nevertheless, 21 (90%) of the above cases remain without exact diagnosis.

Keywords:   small pelvis, soft tissue tumors, rectoscopia, irrigroscopia, computed tomography, RM imaging