Naše izkušnje v predoperativni zamejitvi raka požiralnika z endoskopskim ultrazvokom

Davorin Ćeranić (Author), Bojan Veingerl (Author), Pavel Skok (Author)

Abstract

Izhodišča. Bolniki z rakom požiralnika imajo ob ugotovitvi bolezni običajno slabo prognozo, ki je neodvisna od oblike zdravljenja. Endoskopski ultrazvok je učinkovita slikovna metoda za lokalno zamejitev raka požiralnika po klasifikaciji TNM in izbiro najprimernejše oblike zdravljenja. Bolniki in metode. V obdobju od januarja 2002 do junija 2005 smo pri 28 bolnikih opravili endosonografijo za zamejitev raka požiralnika. Izsledke preiskave smo primerjali z rezultati računalniške tomografije, CT prsnega koša, kirurškim preparatom in histopatoloskim izvidom. Rezultati. Med vsemi preiskovanci smo 12 bolnikov (42,9 %) operirali, 3 bolnike (10,7 %) smo zdravili z radioterapijo ali neoadjuvantnim zdravljenjem, en bolnik (3,6 %) pa je odklonil kirurško zdravljenje. Zaradi napredovale oblike raka požiralnika ali pridruženih bolezni 12 bolnikov (42,9 %) nismo operativno zdravili. Pri 6 bolnikih (21,5 %) je bil operativni poseg uspešen in radikalen, pri 6 (21,5 %) pa le paliativen. Pri 10 bolnikih (35,7 %) požiralnik ni bil prehoden za endoskopski instrument zaradi napredovale zožitve. Pri 4 bolnikih (14,3 %) smo pri zamejitvi podcenili stadij T. Zanesljivost zamejitve endosonografske preiskave in računalniške tomografije za stadij T je bila 67 %, enodonografska natančnost zamejitve za stadij N je bila 67 %. Zaključki. Izsledki analize potrjujejo dobro lokalno zamejitev raka požiralnika z endoskopskim ultrazvokom. Žal bolezen pogosto ugotovimo v napredovali obliki, ko preiskave zaradi napredovale zožitve prebavne cevi ne moremo opraviti.

Keywords

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Data

Language:	Slovenian
Year of publishing:	2006
Typology:	1.01 - Original Scientific Article
Organization:	UM - University of Maribor
UDC:	616.32-006
COBISS:	2490431
ISSN:	1318-0347
Parent publication:	Zdravniški vestnik
Views:	815
Downloads:	36
Average score:	0 (0 votes)
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Other data

Secondary language:	English
Secondary title:	Our experiences in preoperative staging of esophageal cancer with endoscopic ultrasound
Secondary abstract:	Background. Patients with esophageal cancer have still poor prognosis independent of form of therapy. Endoscopic ultrasonography is an excellent diagnostic tool in staging carcinoma for selecting proper therapeutically approach. Patients and methods. From January 2002 till June 2005 in 28 patients with oesophageal cancer, endoscopic ultrasound and computed tomography of the chest was performed. The purpose of the study was to compare the assesment of esophageal cancer with surgical and histopathologic findings using TNM classification. Results. Among our patients, 12 (42.9 %) have been treated surgically and 3 (10.7 %) with radiotherapy or neoadjuvant therapy, one patient (3.6 %) refused surgical treatment. Due to advanced disease or other comorbid conditions 12 patients (42.9 %) could not be treated operatively. For 6 patients (21.5 %) surgical treatment was successful and radical, but for 6 (21.5 %) of them just palliative therapy was possible. In 4 patients (14.3 %) we underestimated T-stage. In 10 patients (35.7 %) oesophagus could not be traversed due to advanced malignant stenosis. Accuracy of endosonography and computed tomography for T-staging was 67 %, for N-staging 67 % for endoscopic ultrasound. Conclusions. Endosonography is a accurate imaging method for esophageal cancer staging. The results of our analysis have shown that the disease was confirmed in advanced stage in a significant proportion of patients and that malignant stenosis could not be traversed with the conventional endosonographic instrument.
Secondary keywords:	Esophageal Neoplasms;diagnosis;mortality;surgery;Požiralnik, novotvorbe;Diagnostika;Umrljivost;Kirurgija;Endosonography;Endosonografija;Neoplasm Staging;Novotvorba, stadij;Tomography, X-Ray Computed;Tomografija, radiografska, računalniška;
URN:	URN:NBN:SI
Type (COBISS):	Not categorized
Pages:	str. II-21 - II-26
Volume:	ǂLetn. ǂ75
Issue:	ǂsupl. ǂII
Chronology:	2006
ID:	9090270