Surgical Oncology-Based Check-Up Program and Determining of Asymptomatic Pathologies

Yıl 2025, Cilt: 6 Sayı: 1, 36 - 44, 15.03.2025

Kağan Gökçe , Demet Doğan

Öz

Introduction: Our study aims to determine the effectiveness of check-up programs in the early diagnosis of benign and malignant pathologies, and evaluate their importance.

Methods: Posteroanterior chest X-ray, thyroid, and abdominal ultrasonography were performed. Breast ultrasonography was performed on all females and mammography on those over 40 years. Fecal occult blood, carcinoembryonic antigen, and prostate-specific antigen tests were performed on the cases along with hemogram and routine biochemical tests. Radiological images and reports were retrospectively scanned, and fecal occult blood, carcinoembryonic antigen, and prostate-specific antigen values were examined. Breast Imaging Reporting and Data Systems (BIRADS) in breast radiology and the Thyroid Imaging Reporting and Data System (TIRADS) in thyroid radiology were used for classification.

Results: 1411 cases were included in this study. 49.4% were female and 50.6% male. Median age was 50 years. Benign lesions in the liver were detected in 5.31% of the cases, kidney stones in 4.7%, and cholelithiasis in 5.7%. Benign Prostatic Hyperplasia was observed in 20% of the males. Thyroid gland nodule with a risk of malignancy in 3.8% and biopsy was recommended. Malignancy-suspicious lesions were detected in 0.28%, that performed breast ultrasonography and in 0.8%, that performed mammography, and biopsy was recommended. Normal lung parenchymal findings were detected in 75.4%, minor in 22%, and major in 2.6%, and thoracic computed tomography was recommended.

Conclusions: Effective check-up programs are found to be beneficial for public health as they provide diagnosis and follow-up in benign lesions and early diagnosis and treatment opportunities in malignant/premalignant lesions.

Anahtar Kelimeler

Cancer, Check-Up, Health Screening Program, Radiology

Etik Beyan

The approval of this study in accordance with the ethical rules of the Declaration of Helsinki was approved by the ethics committee of İstanbul Okan University at the meeting numbered 169 on 18.10.2023 with decision number 35.

Destekleyen Kurum

No person/organization financially supports the study.

Cerrahi Onkoloji Temelli Check-Up Programı ve Asemptomatik Patolojilerin Belirlenmesi

Öz

Giriş: Çalışmamızın amacı check-up amacıyla başvuran sağlıklı bireylerin bulgularını paylaşmak, check-up programlarının benign ve malign patolojilerin erken tanısındaki etkinliğini saptamaktır.

Yöntemler: Check-up programı dahilinde; tüm olgulara postero-anterior akciğer grafisi, tiroid ve batın ultrasonografisi yapılmıştır. Tüm kadın olgulara meme ultrasonografisi ve 40 yaşından büyüklere mamografi uygulanmıştır. Hemogram ve rutin biyokimyasal testlerle birlikte gaytada gizli kan, karsinoembriyonik antijen ve erkeklerde prostat spesifik antijen testi yapıldı. Radyolojik görüntüler ve raporlar retrospektif olarak tarandı, laboratuvar sonuçlarından ise gaytada gizli kan, karsinoembriyonik antijen ve erkeklerde prostat spesifik antijen testi değerleri incelendi. Meme radyolojisinde meme görüntüleme raporlama ve veri sistemi (BIRADS), tiroid radyolojisinde tiroid görüntüleme raporlama ve veri sistemi (TIRADS) sistemi kullanılarak sınıflandırma yapıldı. Batın ultrasonografi bulguları organ spesifik olarak ayrı ayrı değerlendirildi.

Bulgular: Çalışmaya 1411 olgu dahil edildi. Olguların %49,4’ü kadın, %50,6’sı ise erkek, median yaş 50 idi. Olguların %5,31’inde karaciğerde benign lezyon, %4,7’sinde böbrek taşı, %5,7’sinde kolelitiyazis, kadın olguların %2,72’sinde benign jinekolojik kitle tespit edildi. Erkeklerin %20’sinde benign prostat hiperplazisi görüldü. %3,8’inde tiroid bezinde malignite şüpheli nodül görüldü ve biyopsi önerildi. Meme Ultrasonu yapılan olguların %0,28’inde, mamografi yapılanların ise %0,8’inde malignite şüpheli lezyon saptandı ve biyopsi önerildi. Olguların hepsine akciğer grafisi çekildi. %75,4’ünde normal, %22’sinde minör, %2,6’sında ise majör akciğer parankim bulguları saptandı ve bu olgulara toraks bilgisayarlı tomografisi ile ileri tetkik önerildi.

Sonuç: Çalışmadaki sonuçlarımıza göre; etkin check-up programları benign lezyonlarda tanı ve takibi sağladığından, malign veya premalign lezyonlarda ise erken tanı ve tedavi şansı sunduğundan toplum sağlığı açısından yararlı bulunmuştur.

Anahtar Kelimeler

Check-up, kanser, radyoloji, sağlık tarama programı

Kaynakça

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