Endoskopische Frühdiagnostik von Karzinomen im oberen Aerodigestivtrakt

Zusammenfassung

Der obere Aerodigestivtrakt ist mit endoskopischen Methoden gut zugänglich. Die Entwicklung moderner endoskopisch bildgebender Verfahren (EBV) hat dazu beigetragen, Tumorerkrankungen im oberen Aerodigestivtrakt frühzeitig zu entdecken und minimalinvasiv, onkologisch wirksam sowie funktionserhaltend zu behandeln. Damit wird ein gutes onkologisches Ergebnis bei Erhalt der Lebensqualität und Reduzierung der Mortalität und Komplikationsrate erreicht.

Abstract

Modern endoscopic imaging techniques make it possible to detect tumor diseases of the upper respiratory and digestive tract and treat them minimally invasive – with a good oncologic outcome and maintaining the functionality of the tissue.

Horizontal techniques permit the inspection of big mucous membrane surfaces, searching vor areas suspicious of dysplasia or tumor. They can be used as screening techniques. Vertical techniques serve for precise examination of in-depth expansion, infiltration chraracteristics and dignity of known lesions. Cellular techniques deal with the detection of cellular changes in vivo. As the techniques have different advantages and disandvantages, it is recommended to combine several techniques for best diagnostic gains.

Schlüsselwörter

Endoskopie - Fluoreszenz - Narrow Band Imaging - Ultraschall - Optische Kohärenztomografie

Key words

endoscopy - fluorescence - narrow band imaging - ultrasound - optical coherence tomography

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