Starkov Iu G, Solodinina E N, Shishin K V, Novozhilova A V, Kurushkina N A
Khirurgiia (Mosk). 2011(2):15-20.
The endoscopic ultrasonography (EUS) is considered to be the leading method of diagnostic of the submucous gastrointestinal tumors. Results of diagnostics and treatment of submucous tumors of the upper gastrointestinal tract in 38 patients were analyzed. EUS was performed in 37 (97,4%) of patients, which allowed to detect the origin, size and localization of the tumor. The differential diagnostic algorithm was suggested together with certain indications for various surgical treatment modalities. Thereby, endoscopic ablation is reasonable when the tumor invades not deeper than muscle plate of mucosa or the submucose layer. Laparoscopic full-layer resection of the organ wall is necessary when the tumor invades the muscle layer. Larger tumors or those of any size, but with preoperative signs of high malignancy must be eradicated through laparotomy, meeting all principles of oncology.
内镜超声检查（EUS）被认为是诊断胃肠道黏膜下肿瘤的主要方法。对38例上消化道黏膜下肿瘤的诊断和治疗结果进行了分析。37例（97.4%）患者接受了EUS检查，这有助于检测肿瘤的起源、大小和位置。提出了鉴别诊断算法以及各种手术治疗方式的特定指征。因此，当肿瘤浸润不超过黏膜肌板或黏膜下层时，内镜下消融是合理的。当肿瘤浸润肌层时，需要进行腹腔镜全层切除器官壁。较大的肿瘤或任何大小但术前有高度恶性迹象的肿瘤必须通过开腹手术切除，符合所有肿瘤学原则。
