References

nogr

Экспериментальная и клиническая гастроэнтерология

Experimental and Clinical Gastroenterology

1682-8658

«Global Media Technologies»

10.31146/1682-8658-ecg-213-5-132-138

nogr-2497

Research Article

ОБЗОР

REVIEW

Возможности современных методов эндоскопической диагностики раннего кардиоэзофагеального рака

Modern endoscopy in the diagnosis of early esophago-gastric junction cancer

https://orcid.org/0000-0002-3860-9853

Юцевич

О. К.

Yutsevich

O. K.

sphealls@mail.ru

https://orcid.org/0000-0002-8101-2155

Пирогов

С. С.

Pirogov

S. S.

noemail@neicon.ru

Волченко

Н. Н.

Volchenko

N. N.

noemail@neicon.ru

Перфильев

И. Б.

Perfiliev

I. B.

noemail@neicon.ru

https://orcid.org/0000-0002-1037-2364

Рябов

А. Б.

Ryabov

A. B.

noemail@neicon.ru

https://orcid.org/0000-0001-8784-8415

Каприн

А. Д.

Kaprin

A. D.

noemail@neicon.ru

МНИОИ им. П. А. Герцена - филиал ФГБУ «НМИЦ Радиологии» Минздрава РоссииРоссияP. A. Herzen Moscow Cancer Research Institute, branch of National Medical Research Radiology CenterRussian Federation

2023

25052023

05132138

2023

Юцевич О.К., Пирогов С.С., Волченко Н.Н., Перфильев И.Б., Рябов А.Б., Каприн А.Д.

Yutsevich O.K., Pirogov S.S., Volchenko N.N., Perfiliev I.B., Ryabov A.B., Kaprin A.D.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.nogr.org/jour/article/view/2497

Проблема эндоскопической диагностики раннего кардиоэзофагеального рака (КЭР) является одной из крайне важных в современной эндоскопии и онкологии, так как большинство злокачественных опухолей в области пищеводно-желудочного перехода выявляются на IV стадии опухолевого процесса и 5-летняя выживаемость таких больных невелика. В обзоре рассмотрены вопросы определения раннего КЭР, критериев его эндоскопической резектабельности, особенности протекания опухолевого процесса на ранней стадии и определены его основные эндоскопические критерии с использованием современных уточняющих эндоскопических методик. Показано, что наиболее точными методами в диагностике раннего КЭР являются узкоспектральная эндоскопия с увеличением (NBI-ME) или с близким фокусом (NBI Dual Focus), в сочетании с эндоскопической ультрасонографией (EUS), представлены патогномоничые эндоскопические признаки неинвазивного рака пищеводно-желудочного перехода. Описанные критерии рассмотрены на примере клинического наблюдения мультимодальной эндоскопической диагностики больного ранним кардиоэзофагеальным раком, выполненной в МНИОИ им. П. А. Герцена, филиале ФГБУ «НМИЦ Радиологии» МЗ РФ.

The problem of endoscopic diagnosis of early esophago-gastric junction cancer is one of the most important in modern endoscopy and oncology, since most malignant tumors of the esophagogastric junction are detected at late stage. The 5-year survival rate of such patients remains low. Definition of early esophagogastric junction cancer, resectability criteria, features of the course of the disease at early stage will be considered in this article. It has been proven that NBI-ME and NBI Dual Focus in combination with endosonography are the most accurate in the diagnosis of early esophagogastric junction cancer. The most typical endoscopic features of early esophagogastric junction cancer are discussed in this review. All these methods are applied to the patient in Herzen Moscow Cancer Research Institute, branch of National Medical Research Radiology Center.

ранний КЭРэндоскопическая диагностикаNBI Near Focusузкоспектральная близкофокусная эндоскопияэндоскопическая ультрасонографияЭУСNBI Dual Focus

early esophagogastric junction cancerendoscopic diagnosisNBI Dual Focusnarrow band imagingendosonographyEUS

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The authors declare that there are no conflicts of interest present.