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Staging des Magen- und Ösophaguskarzinoms

Staging of gastric and esophageal cancers

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Zusammenfassung

In der lokalen Ausbreitungsdiagnostik des Magen- und Ösophaguskarzinomes dominieren Endoskopie und Endosonographie. Die Kombination beider Methoden erlaubt ein verlässliches Staging von Frühkarzinomen und fortgeschrittenen Tumoren (Genauigkeit ca. 80–90%). Bei fortgeschrittenen Tumoren werden zur Komplettierung des Staging weitere bildgebende Verfahren wie die transkutane Sonographie, Computertomographie (CT) und neuerdings die Positronenemissionstomographie (PET) eingesetzt. Beim Magenkarzinom besitzt die Staginglaparoskopie für den Nachweis einer Peritonealkarzinose einen unbestrittenen Stellenwert.

Abstract

Endoscopy and endoscopic ultrasound are the most accurate techniques for evaluating of local tumor spread of gastric and esophageal cancers. Both methods provide reliable staging of early and advanced tumors (accuracy approximately 80–90%). Radiological imaging, including transcutaneous ultrasound, computed tomography, and positron emission tomography is used to complete staging in advanced cases, mainly to detect distant metastases. Staging laparoscopy is clearly an important method for detecting peritoneal spread in gastric cancer.

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  1. Klinik für Allgemein-, Viszeral-und Onkologische Chirurgie, Helios Klinikum Berlin-Buch, 13122, Berlin, Deutschland

    S. Kneif &  M. Hünerbein

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  1. S. Kneif
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  2. M. Hünerbein
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Correspondence to M. Hünerbein.

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Kneif, S., Hünerbein, M. Staging des Magen- und Ösophaguskarzinoms. Gastroenterologe 4, 202–208 (2009). https://doi.org/10.1007/s11377-008-0269-8

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