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Abstract:

In this article our first experience of the application of the endoscopic ultrasound (EUS) and of the fine-needle aspiration (FNA) in the oncological practice using the diagnostic complex EVIS EXERA-140 + GF-UC140P-AI5 + SSD-a5 ALOKA worked out by Olympus is presented. The aims of the investigations were: to determine the effectiveness of the EUS/EUS-FNA in the examination of different lesions of the gastrointestinal tract, of the surrounding organs and of the mediastinum; to get the adequate tissue samples for the morphological checkup for the following treatment. The problems resolved with the help of the EUS/EUS-FNA are: 1) the diagnosis of the neoplasia of the gastrointestinal tract, of the panctreatobiliary tract and of the mediastinum; 2) the confirmation of a neoplasia, the estimation of its expansion on the surrounding organs and tissue sampling; 3) the differentiation of the benign and the malignant tissues.

EUS was performed on 27 patients and EUS-FNA - on 14 of them. All tissue samples were examined by a pathologist in real time operation mode. From all the patients who underwent the EUS-FNA we have taken the adequate morphological samples.

EUS/EUS-FNA is a secure and perspective diagnostic method of investigation in the oncological practice.

 

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