Медицинская литература. Новинки

 

 

 

 

 

 

Роль эндоскопии и эндо-УЗИ в диагностике рака поджелудочной железы

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Протоковая аденокарцинома составляет 90% всех злокачественных новообразований поджелудочной железы, является четвертой по частоте причиной смертности в структуре онкологических заболеваний в Западном мире и пятой - в России. Тщательное предоперационное обследование направлено не только на постановку точного диагноза, но и на определение тактики лечения. Диагностический алгоритм подразумевает проведение эндоскопического ультразвукового исследования как уточняющего метода в сложных случаях. В статье представлены современные возможности эндо-УЗИ в сочетании с контрастированием тканей и проведением тонкоигольной биопсии, а также некоторые аспекты паллиативного эндоскопического лечения.

Ключевые слова:
поджелудочная железа, аденокарцинома, рак, эндоскопия, эндо-УЗИ, тонкоигольная пункция, pancreas, adenocarcinoma, cancer, endoscopy, endosonography, fine-needle aspiration

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Endoscopy and endosonography in the diagnostics of pancreatic cancer

Ductal adenocarcinoma accounts for 90% of all pancreatic malignancies and is the fourth leading malignant cause of mortality in the Western world and the fifth in Russia. Comprehensive preoperative examination is aimed not only at making an accurate diagnosis, but also at determining treatment strategy. The diagnostic algorithm involves endoscopic ultrasound. The modern possibilities of endosonography combined with tissue contrast enhancement and fine-needle aspiration, as well as some aspects of palliative endoscopic treatment are analyzed in the article.

Keywords:
поджелудочная железа, аденокарцинома, рак, эндоскопия, эндо-УЗИ, тонкоигольная пункция, pancreas, adenocarcinoma, cancer, endoscopy, endosonography, fine-needle aspiration