nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»nogr-584Research ArticleПЕРЕДОВАЯ СТАТЬЯLEADING ARTICLEЗУБЧАТЫЕ ОБРАЗОВАНИЯ ТОЛСТОЙ КИШКИ: ЭНДОСКОПИЧЕСКАЯ ДИАГНОСТИКА, РОЛЬ В КОЛОРЕКТАЛЬНОМ КАНЦЕРОГЕНЕЗЕTHE SERRATED NEOPLASMS OF THE COLON: ENDOSCOPIC DIAGNOSIS, THE ROLE IN COLORECTAL CARCINOGENESISЗобнинаМ. В.ZobninaM. V.dudka-m@mail.ruКарасевИ. А.KarasevI. A.noemail@neicon.ruЧеркесЛ. В.CherkesL. V.noemail@neicon.ruТуманянА. О.TumanyanA. O.noemail@neicon.ruМалиховА. Г.MalikhovA. G.noemail@neicon.ruМалиховаО. А.MalikhovaO. A.noemail@neicon.ruНМИЦ Онкологии им. Н.Н, Блохина Минздрава РоссииРоссияSMRC Oncology. N. N. BlokhinRussian Federation2018200420180448Copyright © Зобнина М.В., Карасев И.А., Черкес Л.В., Туманян А.О., Малихов А.Г., Малихова О.А., 20182018Зобнина М.В., Карасев И.А., Черкес Л.В., Туманян А.О., Малихов А.Г., Малихова О.А.Zobnina M.V., Karasev I.A., Cherkes L.V., Tumanyan A.O., Malikhov A.G., Malikhova O.A.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/584

В последние годы отмечается тенденция к неуклонному росту заболеваемости колоректальным раком (КРР): прирост абсолютного числа заболевших раком ободочной кишки с 2009 года по 2015 год составил 11,3%; раком прямой кишки - 9,9%. В структуре смертности населения от злокачественных новообразований КРР в нашей стране занимает второе место, уступая лишь раку легкого. Данное обстоятельство обусловлено тем, что при первичном обращении пациентов к врачу запущенные формы рака (III-IV стадии) диагностируются у 71,4% больных раком ободочной кишки и у 62,4% в случаях заболевания раком прямой кишки. Столь поздняя диагностика связана прежде всего с отсутствием соответствующей федеральной скрининговой программы, а также с неосведомленностью медицинских работников в современных представлениях о толстокишечном канцерогенезе и предопухолевых изменениях слизистой оболочки толстой кишки.

In recent years, there has been a trend towards a steady increase in the incidence of colorectal cancer (CRC): the increase in the absolute number of patients with colon cancer from 2009 to 2015 amounted to 11.3%; rectal cancer - 9.9%. In the structure of mortality from malignant tumors of the KRR in our country takes the second place, second only to lung cancer. This fact is due to the fact, that the primary treatment of patients to the doctor advanced forms of cancer (III-IV stage) are diagnosed in 71.4% of patients with colon cancer and 62.4% in cases of rectal cancer. Such a late diagnosis is primarily due to the lack of an appropriate Federal screening program, as well as to the lack of awareness of medical workers in modern ideas about colonic carcinogenesis and precancerous changes in the mucous membrane of the colon.

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