Современные инструментальные методы диагностики малигнизации язв и рака желудка на ранних стадиях

Автор: Пахомов Е.А., Логунов К.В., Деркачев С.Н.

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Статья в выпуске: 3-2 т.24, 2009 года.

Бесплатный доступ

В странах Западной Европы до 80-90% пациентов с первично выявленным раком желудка имеют позднюю стадию заболевания. Наиболее распространенными методами распознавания малигнизации повреждений слизистой желудка являются фиброгастроскопия с биопсией и рентгеноскопия желудка. Однако их точность определения раннего рака желудка не превышает 80-85%. В статье представлены данные о диагностической значимости современных методов выявления рака и малигнизации язв желудка на ранних стадиях, таких как увеличительная эндоскопия, конфокальная эндомикроскопия, эндоскопические системы NBI и MBI, эндосонография, позитрон эмиссионная томография, компьютерная томография и др. Описаны основные принципы действия. Анализ иностранной литературы показывает, что в настоящее время отсутствуют диагностические методы, однозначно определяющие характер язвы и позволяющие выявлять рак желудка на ранних стадиях со 100%-ной вероятностью. Только сочетанное применение диагностических методов позволяет своевременно выявлять малигнизацию поражений слизистой желудка и точно стадировать течение процесса до операции, тем самым определяя ее объем, вид и прогноз течения заболевания.

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Диагностика, малигнизация язв желудка, ранний рак желудка, частота метастазов

Короткий адрес: https://sciup.org/14919115

IDR: 14919115

Список литературы Современные инструментальные методы диагностики малигнизации язв и рака желудка на ранних стадиях

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