Cancer: Diagnostic Tests

Depending on the type of tumor or its localization, the following examinations are performed:Obligatory medical device diagnostics.

  • Abdominal sonography (ultrasound examination of the abdominal organs), mammary sonography (ultrasound examination of the breast; breast ultrasound), vaginal sonography (ultrasound examination using an ultrasound probe inserted into the vagina), transrectal prostate sonography (ultrasound examination of the prostate through the intestine), etc.
  • X-ray of the thorax (X-ray thorax/chest), in a straight or lateral view (plane) – an inconspicuous image does not exclude the presence of bronchial carcinoma (lung cancer)
  • Mammography (X-ray examination of the breast).
  • Thoracic and abdominal computed tomography
  • Endoscopy – e.g. gastroscopy (gastroscopy), colonoscopy (colonoscopy), bronchoscopy (lungoscopy), etc.
  • Pulmonary function testing (LuFu) and arterial blood gas analysis (ABG) – for signs of respiratory lung insufficiency (limitation of lung function).
  • Computed tomography of the skull (cranial CT, cranial CT or cCT) – if brain tumors are suspected.
  • X-ray contrast breakthrough swallow – when esophageal tumors (esophageal tumors) are suspected.

Depending on tumor type and stage, further diagnostic measures may be indicated, such as:

  • Magnetic resonance imaging of the skull (cranial MRI, cranial MRI or cMRI).
  • Positron emission tomography (PET; nuclear medicine procedure that allows the creation of cross-sectional images of living organisms by visualizing the distribution patterns of weak radioactive substances) or positron emission tomography/computed tomography (PET-CT).
  • Single-photon emission tomography (SPECT; functional imaging method in nuclear medicine, with which cross-sectional images of living organisms can be created based on the principle of scintigraphy).
  • DaTSCAN scintigraphy
  • Immune Scintigraphy
  • Skeletal scintigraphy (nuclear medicine procedure that can depict functional changes in the skeletal system, in which regionally (locally) pathologically (pathologically) increased or decreased bone remodeling processes are present).
  • Thoracoscopy – endoscopic examination (reflection) of the pleural cavity (pleural cavity).
  • Mediastinoscopy
    • Endoscopic examination of the mediastinum (the “middle pleural space” located between the two lungs).
    • To classify the stages of tumor disease and to exclude metastases (daughter tumors) of the lymph nodes.
  • Transthoracic fine needle biopsy (tissue sampling).
  • Pleural puncture (puncture of the pleural cavity)
  • Bone marrow puncture – for abnormal blood count.
  • Very rarely probethoracotomy – for unexplained findings in the chest area.