1.Preoperativelocalization of colorectal cancer tumor in Mongolian patients using colonoscopy and computed tomography
Orkhon G ; Nergui B ; Gantuya G ; Gonchigsuren D ; Tuvshinjargal D
Mongolian Medical Sciences 2014;170(4):39-41
Purpose: To evaluate colorectal cancer localization in preoperative patients in Mongolia using CECTand endoscopyMaterials and Methods: Totally 10575 optic colonoscopy examinations were performed at UlaanbaatarSongdo Hospital between January 2009 and December 2012. From these examinations, colorectal cancerwas detected in 218 cases; from them 175 had CT examinations. From patients with CT examinations,111 underwent surgery at UBSH, National Cancer Center, State Central Hospital. (64MDCT SiemensSomatom). Only 86 patients with colorectal carcinoma proved by endoscopic or operative pathologywere included into this study. We retrospectively reviewed from the UBSH’ database their preoperativeCT, colonoscopy, surgical and pathohistologic reports using PACSPLUS, OCS operation systems. Toclassify colorectal tumor localization, we divided colon into 8 anatomic parts. The size of tumor wasmeasured as longest dimension visible on CT examination.Results: Study population’s age range was 25-87 age (mean 61.3years ±13.7SD). F: M= 48 (55.8%):38 (44.2%). Urban residents composed 58 (67.4%), rural- 27 (31.4%), foreigner- 1 (1.2%). Tumor sizerange on CT was 0-13 ñì (mean 6.5±2.2 ñì) . Colonoscopy and CT detected colorectal cancer in rectumin 30(34.9%) and 31 (36.1%), in sigmoid colon in 21(24.4%)’’’ and 19(22.1%), in hepatic flexure- 9(10.5%) and 9(10.5%), retrospectively. Double (synchronous) colorectal cancer was detected in 1(1.1%)at colonoscopy and in 2 (2.2%) at CT.Conclusions: The 60-69 age group composed the largest group (38.4%) in colorectal cancer patients,with slight predominance of urban residents over rural and higher female predilection. Sigmoid andrectum are shown to have highest incidence in colorectal cancer. To our best knowledge, it is firstpublication on detection of synchronous colorectal cancer in Mongoliaby both CT and colonoscopy.CT examination is less risky and reliable method to evaluate the entire colonic length in patients withcolorectal cancer suspicion, if observers are skilled in detection of CT signs of colorectal cancer.
2.Outcomes of retinopathy of prematurity screening at National Center For Maternal And Child Health
Tsengelmaa Ch ; Erdenetuya G ; Tsogzolmaa G ; Gantuya M ; Amgalan P ; Enkhtuya S ; Altantuya Ts ; Bayalag M
Innovation 2021;14(1-Ophthalmology):22-25
Purpose:
To investigate the outcomes of ROP screening of retinopathy of prematurity (ROP).
Methods:
This was a prospective of prematurity infants screened ROP from 2020 April 13th to
April 28th 2020 and from 2020 June 08 th to June 22th 2020 and prospective cohort study of
premature infants with treatment-requiring ROP who received intravitreal injections, laser surgery.
Demographic factors, diagnosis and clinical course were recorded. Indirect ophthalmoscopy
and Retinal imaging was performed using RetCam (Natus Medical, Pleasanton, CA) and
images were taken. Each eye was evaluated by the pediatric ophthalmologist and aimag’s
ophthalmologist for the presence or absence of ROP, zone of vascularization, stage, plus disease,
and aggressive posterior ROP (AP-ROP). The diagnosis and classification of ROP for this current
study were determined by examination using indirect ophthalmoscopy, and treatment plans
were determined according to the International Classification for ROP and the Early Treatment for
ROP Study (ET-ROP).2,13
Results:
A total of 90 premature infants with BW ≤ 2000g and/or GA ≤ 34 weeks were screened for
ROP during the study period. 8 (8.8%) of the 90 infants screened required treatment. The 8 infants
who received ROP treatment had a mean GA of 28.5 ± 1.7 weeks, mean BW of 1237.5 ± 125.42g,
mean PMA of 36 weeks and mean follow-up time of 2 months.
Conclusion
After treatment, resolution of ROP was noted in approximately 100 % of the patients
who had treatment-requiring ROP.