DIAGNOSTIC AND THERAPEUTIC MANAGEMENT FOR LEIOMYOMA OF THE UPPER GASTROINTESTINAL TRACT
نویسندگان
چکیده
Summary. Leiomyoma is the most common type of mesenchymal tumor in esophagus (70-80 %) and second (about 45 stomach. But last 20 years, we can find only a small number publications devoted to them. And it leiomyoma mainly became subject differential-diagnostic comparison when evaluating other subepithelial neoplasms.
 Aim. Based on our own experience treating patients with upper gastrointestinal tract, as well being guided by current clinical recommendations related diagnosis treatment SEP, will develop diagnostic therapeutic algorithm that help optimize management tactics tract.
 Materials methods. After analysis results 36 confirmed esophagus, stomach duodenum, was proposed, synthesis global such organizations ESGE, ESMO, NCCN, JGCA, CSCO.
 Results. The depend size neoplasm at time initial diagnosis. Taking into account specifics situation, an active or passive strategy be used each individual case. effective methods surveillance are EGDS EUSG. When choosing surgical intervention, preference given endoscopic resection laparoscopic resection. Postoperative determination etiology SEL carried out performing pathomorphological immunohistochemical diagnostics. Within their histological type, may characterized certain pathohistological pleomorphism, divided simple proliferating - morphological variants. clinical-morphological variant have significantly higher indicators markers Ki-67 CD31 variant. Therefore, reach much larger sizes. leiomyoma, turn, has direct proportional effect likelihood complications.
 Conclusions. heterogeneous lesions require deep detailed study.
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ژورنال
عنوان ژورنال: ?????????? ?????????? ?????
سال: 2022
ISSN: ['2308-7005']
DOI: https://doi.org/10.37699/2308-7005.4-5.2022.10