{"id":2802,"date":"2024-03-19T07:54:44","date_gmt":"2024-03-19T06:54:44","guid":{"rendered":"https:\/\/ultrazvukdojke.rs\/razvojni\/?p=2802"},"modified":"2024-05-22T12:01:44","modified_gmt":"2024-05-22T11:01:44","slug":"melanom","status":"publish","type":"post","link":"https:\/\/ultrazvukdojke.rs\/razvojni\/melanom\/","title":{"rendered":"Melanom"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2802\" class=\"elementor elementor-2802\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-642b60aa e-flex e-con-boxed e-con e-parent\" data-id=\"642b60aa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-684b492d elementor-widget elementor-widget-text-editor\" data-id=\"684b492d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<p class=\"wp-block-paragraph\">Melanom predstavlja karcinom ko\u017ee \u010dija se incidenca pove\u0107ava svake godine i predstavlja agresivnu neoplazmu sa nepredvidljivim obrascem \u0161irenja. Mo\u017ee da zahvati bilo koji organ. Modaliteti pregleda su radiografija, UZ, CT, MR limfoscintigrafija, scintigrafija skeleta i PET. Senzitivnost radiografije je \u010desto diskutabilna, zbog malih metastaza u plu\u0107ima koje tumor daje. CT je metoda izbora za detekciju pro\u0161irenosti bolesti, kao i za detekciju recidiva. Protokol podrazumeva nativnu, arterijsku i portnu fazu pregleda. Melanom daje hipervaskularne metastaze. \u010cesto je pra\u0107en pleuralnim i perikardnim izlivom i limfadenopatijom medijastinuma i aksila. Promene na plu\u0107ima su uglavnom dimenzija izme\u0111u 1cm i 2cm. Za ispitivanje creva treba dati oralnu kontrast. Metastaze na jetri \u010desto mogu biti multiple, sa kalcifikacijama, hemoragijom i nekrozom, veli\u010dine od nekoliko mm do preko 12cm. Metastaze u slezini su retke. Bubrezi su vrlo \u010desto zahva\u0107eni, uglavnom bilateralno, a metastaze su solidne, nehomogene. Melanom metastazira u dojku, \u010de\u0161\u0107e nego bilo koji drugi tumor. Tako\u0111e metastaze se mogu na\u0107i u kostima, mi\u0161i\u0107ima i mekom tkivu. Melanom \u010desto metastazira u CNS i tada ima jako lo\u0161u prognozu.<\/p>\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"907\" height=\"392\" class=\"wp-image-2804 aligncenter\" src=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/1-5.jpg\" alt=\"Melanom: Metastaza u CNS\" srcset=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/1-5.jpg 907w, https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/1-5-300x130.jpg 300w, https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/1-5-768x332.jpg 768w\" sizes=\"(max-width: 907px) 100vw, 907px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">MR je metoda izbora za pregled CNS-a, ki\u010dmenog kanala, muskuloskeletnog sistema. Metastaze u mozgu pokazuju visok intenzitet signala na T1W, i nizak intenzitet signala na T2W, ali mogu biti najrazli\u010ditije.<\/p>\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"704\" height=\"363\" class=\"wp-image-2805 aligncenter\" src=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/2-5.jpg\" alt=\"metastaza melanom u mozgu\" srcset=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/2-5.jpg 704w, https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/2-5-300x155.jpg 300w\" sizes=\"(max-width: 704px) 100vw, 704px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Tokom proteklih godina, PET-CT je postao sna\u017eno dijagnosti\u010dko sredstvo u dijagnostici melanoma, jer \u0107elije melanoma imaju jak afinitet za 18F-FDG. Tako\u0111e, postao je bitan modalitet za evaluaciju III i IV stadijuma bolesti. La\u017eno pozitivni nalazi mogu biti zbog nedavno primenjene terapije, normalne aktivnosti u crevima, miokardu ili urinarnom sistemu, kod inflamacije, a la\u017eno negativni kod vrlo malih nodusa u plu\u0107ima (manjih od 8mm).<\/p>\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"722\" height=\"277\" class=\"wp-image-2806 aligncenter\" src=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/3-5.jpg\" alt=\"La\u017eno pozitivni nalazi usled terapije\" srcset=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/3-5.jpg 722w, https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/3-5-300x115.jpg 300w\" sizes=\"(max-width: 722px) 100vw, 722px\" \/><\/figure>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4aa8589 e-flex e-con-boxed e-con e-parent\" data-id=\"4aa8589\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3b5acc9 elementor-widget elementor-widget-author-box\" data-id=\"3b5acc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"author-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-author-box\">\n\t\t\t\t\t\t\t<div  class=\"elementor-author-box__avatar\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-content\/uploads\/2024\/03\/Dejana-225x300.jpg\" alt=\"Picture of dr Dejana Senji\" loading=\"lazy\">\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<div class=\"elementor-author-box__text\">\n\t\t\t\t\t\t\t\t\t<div >\n\t\t\t\t\t\t<h4 class=\"elementor-author-box__name\">\n\t\t\t\t\t\t\tdr Dejana Senji\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-author-box__bio\">\n\t\t\t\t\t\t<p>specijalista radiologije<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Melanom predstavlja karcinom ko\u017ee \u010dija se incidenca pove\u0107ava svake godine i predstavlja agresivnu neoplazmu sa nepredvidljivim obrascem \u0161irenja. Mo\u017ee da zahvati bilo koji organ. Modaliteti pregleda su radiografija, UZ, CT, MR limfoscintigrafija, scintigrafija skeleta i PET. Senzitivnost radiografije je \u010desto diskutabilna, zbog malih metastaza u plu\u0107ima koje tumor daje. CT je metoda izbora za detekciju [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2804,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[39],"class_list":["post-2802","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-strucni-radovi","tag-melanom"],"_links":{"self":[{"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/posts\/2802","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/comments?post=2802"}],"version-history":[{"count":8,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/posts\/2802\/revisions"}],"predecessor-version":[{"id":3399,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/posts\/2802\/revisions\/3399"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/media\/2804"}],"wp:attachment":[{"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/media?parent=2802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/categories?post=2802"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ultrazvukdojke.rs\/razvojni\/wp-json\/wp\/v2\/tags?post=2802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}