Diagnostics and treatment of tuberculosis intrathoracic lymph nodes

Giller D.B., Severova L.P.,  Shilova M.V., Ratobyl'skij G.V., Imagozhev YA.G., Ausheva B.H., Martel I.I.

Purpose. The aim of this article is to show abilities of computed tomography (CT) in a tuberculosis clinic in children is, first of all, the ability to visualize all groups of intrathoracic lymph nodes, to investigate a characterise their density and homogeneity. This allows us to evaluate the morphological substrate of adenopathy, to differentiate intra- and extranodal inflammation, to assess the effect of altered lymph nodes on adjacent structures and to eliminate the need for invasive methods in the diagnosis of bronchial lesions.

Results. The use of CT in the clinic showed that this method is the most rational and objective for identifying and evaluating intrathoracic adenopathies.

Discussion. The ability of CT to detect the localization and topography of all affected lymph nodes and surrounding structures is especially important in the preoperative evaluation of children with tuberculosis intrathoracic lymph nodes. Lesions of the mediastinum lymph nodes in primary tuberculosis causes a number of changes in neighboring tissues, also in the vascular structures of the mediastinum

Conclusion. In many cases, CT virtual reconstructions can reduce the use of invasive methods in the preoperative assessment of mediastinum lymph nodes lesions and the bronchi.

1 - National Medical Research Center of

Cardiology.

2 - Sechenov University. Moscow, Russia.

 

Keywords: Tuberculosis, CT, VATS, Mediastinum.

 

Corresponding author:  Giller D.B., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Giller D.B., Severova L.P.,  Shilova M.V., Ratobyl'skij G.V., Imagozhev YA.G., Ausheva B.H., Martel I.I. Diagnostics and treatment of tuberculosis intrathoracic lymph nodes. REJR 2019; 9(4):191-196. DOI:10.21569/2222-7415-2019-9-4-191-196.

.

Received:        22.09.19 Accepted:       28.10.19