Malignant neoplasms (MNs) have always been and remain the most complicated social and medical issues. At present, a number of screening tests, the latest methods of diagnosis and early detection of MNs have been proposed, but the incidence is increasing despite all the measures applied.
OBJECTIVE
To draw attention to the importance of early detection of abnormalities in annual medical examinations, screening tests and the role of coordinated work of all specialists (district general physician, radiologist, oncologists working in polyclinic and oncological dispensary).
CASE REPORT
At the annual medical examination of patient P., 28 years old, a rounded formation of the upper lobe of the right lung with suspicion of atypical inflammation has been revealed on a fluoroscopic image of the thoracic organs (TOs). The TOs computed tomography (TOs CT) has revealed a neoplasm with an uneven contour sized 13×10 mm. The patient was referred to a pulmonologist; a preliminary diagnosis has been established: Benign neoplasm of the bronchus and lung. He was referred to the oncologist in the oncological dispensary. During additional examination and contrast-enhanced CT, accumulation of 10—12% of contrast has been noted in the neoplastic focus, that did not allow to completely exclude the malignant nature of the pathological process. Nevertheless, performance of a biopsy with subsequent histological study was complicated due to the localization of the focus. To confirm the diagnosis and exclude the endophytic growth of the formation, a bronchoscopy was done. It has been concluded that the neoplasm corresponds to the locus of fibrosis with atypical inflammation. Treatment was prescribed. A year after, when performing the TOs CT, positive dynamics was noted, that confirmed the fibrous structure of formation.
CONCLUSION
Early detection of oncological diseases by primary care physicians remains a key objective of practical healthcare, since reduction of mortality rate due to oncopathology can be achieved only with timely detection of the disease.
