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Пациент, 40 лет, жалоб на изжогу, отрыжку, загрудинные боли, боли в эпигастрии не предъявляет. Обратился по поводу болей в подреберье и для исключения "гепатита", выполнены УЗИ органов брюшной полости, затем КТ ОБП и лёгких, где обнаружены множественные метастазы в печень и лёгкие.
И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i: 
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.

 
   

[~DETAIL_TEXT] =>
Пациент, 40 лет, жалоб на изжогу, отрыжку, загрудинные боли, боли в эпигастрии не предъявляет. Обратился по поводу болей в подреберье и для исключения "гепатита", выполнены УЗИ органов брюшной полости, затем КТ ОБП и лёгких, где обнаружены множественные метастазы в печень и лёгкие.
И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i: 
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.

 
   

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[~DEFAULT_VALUE] => ) [PDF_TO_IMG] => Array ( [ID] => 504 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Cделать фото из пдф для превью [ACTIVE] => Y [SORT] => 500 [CODE] => PDF_TO_IMG [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Cделать фото из пдф для превью [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY_ALL] => Array ( [ID] => 597 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY_ALL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ENDOEXPERT] => Array ( [ID] => 598 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => От редакции EndoExpert.ru [ACTIVE] => Y [SORT] => 500 [CODE] => ENDOEXPERT [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => От редакции EndoExpert.ru [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [SPONSOR] => Array ( [ID] => 599 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Материал опубликован при поддержке [ACTIVE] => Y [SORT] => 500 [CODE] => SPONSOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 44 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Материал опубликован при поддержке [~DEFAULT_VALUE] => ) [ARCHIVE_PUBL] => Array ( [ID] => 600 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Архив материалов к публикации [ACTIVE] => Y [SORT] => 500 [CODE] => ARCHIVE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Архив материалов к публикации [~DEFAULT_VALUE] => ) [FILE_PUBL] => Array ( [ID] => 601 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Публикация в электронном виде [ACTIVE] => Y [SORT] => 500 [CODE] => FILE_PUBL [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Публикация в электронном виде [~DEFAULT_VALUE] => ) [BIBLIOGRAPHY] => Array ( [ID] => 602 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Список литературы [ACTIVE] => Y [SORT] => 500 [CODE] => BIBLIOGRAPHY [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Список литературы [~DEFAULT_VALUE] => ) [VIDEO_DESCRIPTION] => Array ( [ID] => 603 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Описание видео [ACTIVE] => Y [SORT] => 500 [CODE] => VIDEO_DESCRIPTION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Описание видео [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [PHOTOS] => Array ( [ID] => 604 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Иллюстрации [ACTIVE] => Y [SORT] => 500 [CODE] => PHOTOS [DEFAULT_VALUE] => [PROPERTY_TYPE] => F [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => jpg, gif, bmp, png, jpeg [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198178 [1] => 198179 [2] => 198180 [3] => 198181 [4] => 198182 [5] => 198183 [6] => 198184 [7] => 198185 [8] => 198186 [9] => 198187 [10] => 198188 ) [VALUE] => Array ( [0] => 65039 [1] => 65040 [2] => 65041 [3] => 65042 [4] => 65043 [5] => 65044 [6] => 65045 [7] => 65046 [8] => 65047 [9] => 65048 [10] => 65049 ) [DESCRIPTION] => Array ( [0] => [1] => [2] => [3] => [4] => [5] => [6] => [7] => [8] => [9] => [10] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 65039 [1] => 65040 [2] => 65041 [3] => 65042 [4] => 65043 [5] => 65044 [6] => 65045 [7] => 65046 [8] => 65047 [9] => 65048 [10] => 65049 ) [~DESCRIPTION] => Array ( [0] => [1] => [2] => [3] => [4] => [5] => [6] => [7] => [8] => [9] => [10] => ) [~NAME] => Иллюстрации [~DEFAULT_VALUE] => ) [INTRODUCTION] => Array ( [ID] => 605 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Введение [ACTIVE] => Y [SORT] => 500 [CODE] => INTRODUCTION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Введение [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [ANNOTATION] => Array ( [ID] => 606 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Аннотация [ACTIVE] => Y [SORT] => 500 [CODE] => ANNOTATION [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Аннотация [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [CONCLUSION_SMALL] => Array ( [ID] => 607 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Короткий вывод [ACTIVE] => Y [SORT] => 500 [CODE] => CONCLUSION_SMALL [DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => HTML [USER_TYPE_SETTINGS] => Array ( [height] => 200 ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Короткий вывод [~DEFAULT_VALUE] => Array ( [TEXT] => [TYPE] => HTML ) ) [DATE] => Array ( [ID] => 608 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Год [ACTIVE] => Y [SORT] => 500 [CODE] => DATE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => Date [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198191 [VALUE] => 01.01.2019 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 01.01.2019 [~DESCRIPTION] => [~NAME] => Год [~DEFAULT_VALUE] => ) [READING_TIME] => Array ( [ID] => 609 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Время прочтения в минутах [ACTIVE] => Y [SORT] => 500 [CODE] => READING_TIME [DEFAULT_VALUE] => [PROPERTY_TYPE] => N [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198193 [VALUE] => 3 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 3 [~DESCRIPTION] => [~NAME] => Время прочтения в минутах [~DEFAULT_VALUE] => ) [SPEC] => Array ( [ID] => 726 [TIMESTAMP_X] => 2019-06-22 10:37:17 [IBLOCK_ID] => 54 [NAME] => Специальность [ACTIVE] => Y [SORT] => 500 [CODE] => SPEC [DEFAULT_VALUE] => [PROPERTY_TYPE] => E [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 28 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198206 [1] => 198207 ) [VALUE] => Array ( [0] => 45896 [1] => 46066 ) [DESCRIPTION] => Array ( [0] => [1] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => 45896 [1] => 46066 ) [~DESCRIPTION] => Array ( [0] => [1] => ) [~NAME] => Специальность [~DEFAULT_VALUE] => ) [LOGO_LICENSE] => Array ( [ID] => 868 [TIMESTAMP_X] => 2019-07-18 13:33:09 [IBLOCK_ID] => 54 [NAME] => Логотип лицензии [ACTIVE] => Y [SORT] => 500 [CODE] => LOGO_LICENSE [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => directory [USER_TYPE_SETTINGS] => Array ( [size] => 1 [width] => 0 [group] => N [multiple] => N [TABLE_NAME] => creativecommons ) [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Логотип лицензии [~DEFAULT_VALUE] => ) [CLOSE_PUBLICATION] => Array ( [ID] => 869 [TIMESTAMP_X] => 2019-07-18 13:33:09 [IBLOCK_ID] => 54 [NAME] => Закрытая публикация [ACTIVE] => Y [SORT] => 500 [CODE] => CLOSE_PUBLICATION [DEFAULT_VALUE] => [PROPERTY_TYPE] => L [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => C [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [VALUE_ENUM_ID] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Закрытая публикация [~DEFAULT_VALUE] => ) [RAIT_SORT] => Array ( [ID] => 914 [TIMESTAMP_X] => 2019-08-26 17:33:02 [IBLOCK_ID] => 54 [NAME] => Рейтинг для сортировки (служебное) [ACTIVE] => Y [SORT] => 500 [CODE] => RAIT_SORT [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => [VALUE] => [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => [~DESCRIPTION] => [~NAME] => Рейтинг для сортировки (служебное) [~DEFAULT_VALUE] => ) [SEND_1] => [SEND_30] => [SEND_7] => [SEND_0] => [SPONSOR_BG] => ) [DISPLAY_PROPERTIES] => Array ( [AUTHOR] => Array ( [ID] => 313 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Автор [ACTIVE] => Y [SORT] => 500 [CODE] => AUTHOR [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => Y [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => Y [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => Array ( [0] => 198190 ) [VALUE] => Array ( [0] => Ольга Букач ) [DESCRIPTION] => Array ( [0] => ) [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => Array ( [0] => Ольга Букач ) [~DESCRIPTION] => Array ( [0] => ) [~NAME] => Автор [~DEFAULT_VALUE] => [DISPLAY_VALUE] => Ольга Букач ) [USER] => Array ( [ID] => 305 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Автор публикации [ACTIVE] => Y [SORT] => 500 [CODE] => USER [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => UserID [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198189 [VALUE] => 1 [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => 1 [~DESCRIPTION] => [~NAME] => Автор публикации [~DEFAULT_VALUE] => [DISPLAY_VALUE] => 1 ) [ORIGINAL_LINK] => Array ( [ID] => 306 [TIMESTAMP_X] => 2019-06-06 23:13:38 [IBLOCK_ID] => 54 [NAME] => Ссылка на оригинал [ACTIVE] => Y [SORT] => 500 [CODE] => ORIGINAL_LINK [DEFAULT_VALUE] => [PROPERTY_TYPE] => S [ROW_COUNT] => 1 [COL_COUNT] => 30 [LIST_TYPE] => L [MULTIPLE] => N [XML_ID] => [FILE_TYPE] => [MULTIPLE_CNT] => 5 [TMP_ID] => [LINK_IBLOCK_ID] => 0 [WITH_DESCRIPTION] => N [SEARCHABLE] => N [FILTRABLE] => N [IS_REQUIRED] => N [VERSION] => 1 [USER_TYPE] => [USER_TYPE_SETTINGS] => [HINT] => [PROPERTY_VALUE_ID] => 198192 [VALUE] => https://www.facebook.com/groups/EndoExpert.ru/permalink/1021752351505821/ [DESCRIPTION] => [VALUE_ENUM] => [VALUE_XML_ID] => [VALUE_SORT] => [~VALUE] => https://www.facebook.com/groups/EndoExpert.ru/permalink/1021752351505821/ [~DESCRIPTION] => [~NAME] => Ссылка на оригинал [~DEFAULT_VALUE] => [DISPLAY_VALUE] => https://www.facebook.com/groups/EndoExpert.ru/permalink/1021752351505821/ ) ) [IBLOCK] => Array ( [ID] => 54 [~ID] => 54 [TIMESTAMP_X] => 15.06.2019 21:31:44 [~TIMESTAMP_X] => 15.06.2019 21:31:44 [IBLOCK_TYPE_ID] => news [~IBLOCK_TYPE_ID] => news [LID] => s1 [~LID] => s1 [CODE] => [~CODE] => [NAME] => Публикации из Facebook [~NAME] => Публикации из Facebook [ACTIVE] => Y [~ACTIVE] => Y [SORT] => 500 [~SORT] => 500 [LIST_PAGE_URL] => /publikatsii-iz-facebook/ [~LIST_PAGE_URL] => /publikatsii-iz-facebook/ [DETAIL_PAGE_URL] => #SITE_DIR#/publikatsii-iz-facebook/#ELEMENT_CODE#/ [~DETAIL_PAGE_URL] => #SITE_DIR#/publikatsii-iz-facebook/#ELEMENT_CODE#/ [SECTION_PAGE_URL] => #SITE_DIR#/publikatsii-iz-facebook/ [~SECTION_PAGE_URL] => #SITE_DIR#/publikatsii-iz-facebook/ [CANONICAL_PAGE_URL] => [~CANONICAL_PAGE_URL] => [PICTURE] => 29912 [~PICTURE] => 29912 [DESCRIPTION] => [~DESCRIPTION] => [DESCRIPTION_TYPE] => text [~DESCRIPTION_TYPE] => text [RSS_TTL] => 24 [~RSS_TTL] => 24 [RSS_ACTIVE] => N [~RSS_ACTIVE] => N [RSS_FILE_ACTIVE] => N [~RSS_FILE_ACTIVE] => N [RSS_FILE_LIMIT] => 10 [~RSS_FILE_LIMIT] => 10 [RSS_FILE_DAYS] => 7 [~RSS_FILE_DAYS] => 7 [RSS_YANDEX_ACTIVE] => N [~RSS_YANDEX_ACTIVE] => N [XML_ID] => [~XML_ID] => [TMP_ID] => [~TMP_ID] => [INDEX_ELEMENT] => Y [~INDEX_ELEMENT] => Y [INDEX_SECTION] => Y [~INDEX_SECTION] => Y [WORKFLOW] => N [~WORKFLOW] => N [BIZPROC] => N [~BIZPROC] => N [SECTION_CHOOSER] => L [~SECTION_CHOOSER] => L [LIST_MODE] => [~LIST_MODE] => [RIGHTS_MODE] => S [~RIGHTS_MODE] => S [SECTION_PROPERTY] => N [~SECTION_PROPERTY] => N [PROPERTY_INDEX] => N [~PROPERTY_INDEX] => N [VERSION] => 1 [~VERSION] => 1 [LAST_CONV_ELEMENT] => 0 [~LAST_CONV_ELEMENT] => 0 [SOCNET_GROUP_ID] => [~SOCNET_GROUP_ID] => [EDIT_FILE_BEFORE] => [~EDIT_FILE_BEFORE] => [EDIT_FILE_AFTER] => [~EDIT_FILE_AFTER] => [SECTIONS_NAME] => Разделы [~SECTIONS_NAME] => Разделы [SECTION_NAME] => Раздел [~SECTION_NAME] => Раздел [ELEMENTS_NAME] => Элементы [~ELEMENTS_NAME] => Элементы [ELEMENT_NAME] => Элемент [~ELEMENT_NAME] => Элемент [EXTERNAL_ID] => [~EXTERNAL_ID] => [LANG_DIR] => / [~LANG_DIR] => / [SERVER_NAME] => endoexpert.ru [~SERVER_NAME] => endoexpert.ru ) [SECTION] => Array ( [PATH] => Array ( ) ) [SECTION_URL] => [META_TAGS] => Array ( [TITLE] => Рак желудка [ELEMENT_CHAIN] => Рак желудка [BROWSER_TITLE] => Рак желудка [KEYWORDS] => [DESCRIPTION] => Рак желудка - нашей официальной группы. ) [RAIT] => NAN [RAIT_USER] => [TORIGHT] => Array ( [NAME] => Резидуальный альвеококкоз левой доли печени [URL] => /publikatsii-iz-facebook/rezidualnyy-alveokokkoz-levoy-doli-pecheni/ ) [TOLEFT] => Array ( [NAME] => Пациент В. 65 лет обратился в стационар... 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Публикации из Facebook: Рак желудка

3 мин
Авторы: Ольга Букач 2019г.
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Пациент, 40 лет, жалоб на изжогу, отрыжку, загрудинные боли, боли в эпигастрии не предъявляет. Обратился по поводу болей в подреберье и для исключения "гепатита", выполнены УЗИ органов брюшной полости, затем КТ ОБП и лёгких, где обнаружены множественные метастазы в печень и лёгкие.
И только после этого пациент попадает на ЭГДС.
Исследование выполняется впервые... процессор Pentax 7010i: 
На фоне цилиндроклеточной метаплазии с циркулярным сегментов протяжённостью приблизительно 1 см( С1) и зубцами, максимальная длина которых приблизительно 2 см (М2) визуализируется площадка с чёткими границами ткани со стёртым паттерном, переходящая в изъязвление. Suspicio инфильтративно-язвенный c-r на фоне цилиндроклеточной метаплазии(С1М2).
Возможно, картинки не идеальные, но случай, мне кажется, заслуживает внимания.
Вопрос возраста и необходимости выполнения 1 ЭГДС остаётся открытым.

 
   

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