Трансуретральная резекция немышечно-инвазивного мочевого пузыря единым блоком. Обзор литературы

Трансуретральная резекция немышечно-инвазивного мочевого пузыря единым блоком. Обзор литературы

Автор: Павлов А.Ю., Дзидзария А.Г., Фастовец С.В., Кравцов И.Б.

Журнал: Вестник Российского научного центра рентгенорадиологии Минздрава России @vestnik-rncrr

Рубрика: Обзор

Статья в выпуске: 3 т.24, 2024 года.

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Рак мочевого пузыря занимает 12-е место по распространенности среди злокачественных новообразований во всем мире. Краеугольным камнем точной диагностики и местного стадирования является хорошо выполненная трансуретральная резекция мочевого пузыря (ТУР МП), которая дополнительно служит основной стратегией лечения немышечно-инвазивного заболевания. Традиционный подход к ТУР МП включает послойную резекцию опухоли, в результате чего образуются множественные её фрагментов, которые удаляются для гистологического исследования. Такая техника операции может способствовать «рассеиванию опухоли». В этом заключается принципиальное отличие лечения солидной опухоли мочевого пузыря от других видов рака. Дополнительными трудностями при патологоанатомической интерпретации образцов ТУР и интерпретации глубины инвазии являются артефакты прижигания и раздавливания, тангенциальные участки опухоли и отсутствие пространственной ориентации фрагментов опухоли.Резекция мочевого пузыря единым блоком осуществима с использованием различных методов и источников энергии. Данная методика безопасна, имеет стабильно низкую частоту осложнений и позволяет более точно ориентировать извлеченный образец опухоли, имеет большую частотой взятия проб из детрузора, что облегчает стадирование опухоли, а соответственно противоопухолевую эффективность. В данном обзоре рассматриваются различные методики выполнения резекции мочевого пузыря единым блоком и проводится их сравнение с ТУР.

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Немышечно-инвазивный рак мочевого пузыря, трансуретральная резекция мочевого пузыря, резекция мочевого пузыря единым блоком

Короткий адрес: https://sciup.org/149146712

IDR: 149146712

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