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Endoskopska diagnostika malignih tumorjev trebušne slinavke = Endoscopic diagnosis of the malignant pancreatic tumorsMlinarič, Vladimir, 1948-Pancreatic adenocarcinoma represents about 90 % of all pancreatic tumors. In Slovenia, its incidence accounts 10/1000.000. In nearly about 80 % of the patients the local and systemic advanced disease ... is discovered, so no radical (surgical) treatment is possible thouhg now we have higly accurative imaging diagnostic methods. The reasons are in the absence of effective screening methods, unclear characterized risk groups and late clinical symptoms/signs. Image agnostic algorhythm begins with computerized tomography and abdominal ultrasound. Their accuracy for discovering of tumour lesions in the pancreas, its surrounding and parenchimal organs is between 70% and 95%. Smaller tumours, less than 2 or 1 cm in diameter; with the best prognosis, are difficult to detect by them. By endoscopic procedures, including oesophagogastroduodenoscopy(EGDS), endoscopic ultrasound (EUZ), intraductal ultrasound (IDUS), endoscopic retrograde cholangiopancreatography (ERCP), pancreatoscopy and preoperative laparoscopy (LAP) smaller tumours than 2 cm indiameter can be detected. We can assess their local stagging and probably previously undetected metastases. So the patients can be selected for the mostappropriate way of treatment. The most important characteristics, findingsof certain investigations and their ranges are described. Also; the algorhythxn of image diagnostic procedures at the patients with suspected pancreatic malignant disease is proposed.Source: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 5, št. 1, apr. 2001, str. 19-22)Type of material - article, component partPublish date - 2001Language - slovenianCOBISS.SI-ID - 13168345
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source: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 5, št. 1, apr. 2001, str. 19-22)
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Mlinarič, Vladimir, 1948- | 13551 |
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