hepatoАнналы хирургической гепатологииAnnaly khirurgicheskoy gepatologii = Annals of HPB Surgery1995-54642408-9524НЭИКОН ИСП10.16931/1995-5464.2019336-44hepato-477Research ArticleОНКОЛОГИЧЕСКИЙ КОНСИЛИУМ ПРИ РАКЕ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫCANCER COUNCIL FOR PANCREATIC CANCERРоль эндоскопии и эндо-УЗИ в диагностике рака поджелудочной железыEndoscopy and endosonography in the diagnostics of pancreatic cancerhttps://orcid.org/0000-0003-0010-5294ШишинК. В.ShishinK. V.

Шишин Кирилл Вячеславович – доктор мед. наук, заведующий отделом эндоскопии

Kirill V. Shishin – Doct. of Sci. (Med.), Head of the Endoscopic Division

k.shishin@mknc.ruhttps://orcid.org/0000-0002-6972-8644БыстровскаяЕ. В.BystrovskayaE. V.

Быстровская Елена Владимировна – доктор мед. наук, заведующая отделением диагностической эндоскопии

111394, Москва, ул. Перовская, д. 66, корп. 7, кв. 55. Тел.: +7-915-064-52-32

Elena V. Bystrovskaya – Doct. of Sci. (Med.), Head of the Department of Diagnostic Endoscopy

building 7/55, house 66, ul. Perovskaya, Moscow, 111394. Phone: 8-915-064-52-32

e.bystrovskaya@mknc.ruhttps://orcid.org/0000-0003-2647-4362НедолужкоИ. Ю.NedoluzhkoI. Yu.

Недолужко Иван Юрьевич – канд. мед. наук, заведующий отделением оперативной эндоскопии

Ivan Yu. Nedoluzhko – Cand. of Sci. (Med.), Head of the Department of Operative Endoscopy

i.nedoluzhko@mknc.ruhttps://orcid.org/0000-0003-1433-0070КоваленкоД. Д.KovalenkoD. D.

Коваленко Дарья Дмитриевна – врач-эндоскопист, аспирант отделения диагностической эндоскопии

111396, Москва, Зеленый проспект, д. 42, кв. 100. Тел.: 8-926-127-93-37

Daria D. Kovalenko – Endoscopist, Postgraduate Student of the Department of Diagnostic Endoscopy

building 2/279, house 66, Zelenyy prospekt, Moscow, 111396. Phone: 8-926-127-93-37

orlovadaria@gmail.comhttps://orcid.org/0000-0003-1589-3828ПронинаГ. М.ProninaG. G.

Пронина Галина Михайловна – младший научный сотрудник, аспирант отделения диагностической эндоскопии

Galina M. Pronina – Junior Research Fellow, Postgraduate Student of the Department of Diagnostic Endoscopy

g.pronina@mknc.ruhttps://orcid.org/0000-0002-8219-3963ОрловаМ. В.OrlovaM. V.

Орлова Мария Викторовна – врач-эндоскопист, аспирант отделения диагностической эндоскопии 

Maria V. Orlova – Endoscopist, Postgraduate Student of the Department of Diagnostic Endoscopy

m.orlova@mknc.ruГБУЗ города Москвы “Московский клинический научно-практический центр имени А.С. Логинова Департамента здравоохранения города Москвы”Loginov Moscow Clinical Scientific Center of the Moscow Department of Healthcare2019210820192433644Copyright © Шишин К.В., Быстровская Е.В., Недолужко И.Ю., Коваленко Д.Д., Пронина Г.М., Орлова М.В., 20192019Шишин К.В., Быстровская Е.В., Недолужко И.Ю., Коваленко Д.Д., Пронина Г.М., Орлова М.В.Shishin K.V., Bystrovskaya E.V., Nedoluzhko I.Y., Kovalenko D.D., Pronina G.G., Orlova M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://hepato.elpub.ru/jour/article/view/477

Протоковая аденокарцинома составляет 90% всех злокачественных новообразований поджелудочной железы, является четвертой по частоте причиной смертности в структуре онкологических заболеваний в Западном мире и пятой – в России. Тщательное предоперационное обследование направлено не только на постановку точного диагноза, но и на определение тактики лечения. Диагностический алгоритм подразумевает проведение эндоскопического ультразвукового исследования как уточняющего метода в сложных случаях. В статье представлены современные возможности эндо-УЗИ в сочетании с контрастированием тканей и проведением тонкоигольной биопсии, а также некоторые аспекты паллиативного эндоскопического лечения.

Ductal adenocarcinoma accounts for 90% of all pancreatic malignancies and is the fourth leading malignant cause of mortality in the Western world and the fifth in Russia. Comprehensive preoperative examination is aimed not only at making an accurate diagnosis, but also at determining treatment strategy. The diagnostic algorithm involves endoscopic ultrasound. The modern possibilities of endosonography combined with tissue contrast enhancement and fine-needle aspiration, as well as some aspects of palliative endoscopic treatment are analyzed in the article.

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