Cancer of liver, biliary tracts and pancreas at chronic opisthorchosis
https://doi.org/10.20538/1682-0363-2002-2-71-77
Abstract
The long-term opisthorchiasis invasion leads to serious complications followed by surgery. Between 1170 patients with O.felineus, undergone an operation at the Tomsk hepatologic center, carcinoma of the liver, bile ducts and pancreas was revealed in 13% of cases. Clinical manifestations of carcinoma are masked by signs of opisthorchiasis for a long time, that leads to the process of a disease of stage III—IV. Ultrasonography and endoscopic methods of examination such fibrogastroscopy, pancreatography, laparoscopy seem to be of great importance in diagnosis. All operations are, mainly, of palliative (57,4%) or explorative (13%) character. Radical operations were made in 10,6% of cases only, laparotomy was of no use in 19% of patients. It is recommended to make a prophylactic medical examination of patients with opisthorchiasis including obligatory ultrasound and endoscopic methods once a year at least, an adequate timely dehelminthization.
About the Authors
N. A. Brazhnikova
Сибирский государственный медицинский университет;
Городская клиническая больница ‹ 3
Russian Federation
Russian Federation
M. V. Tolkaeva
Сибирский государственный медицинский университет;
Городская клиническая больница ‹ 3
Russian Federation
Russian Federation
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Review
For citations:
Brazhnikova N.A., Tolkaeva M.V. Cancer of liver, biliary tracts and pancreas at chronic opisthorchosis. Bulletin of Siberian Medicine. 2002;1(2):71-77. (In Russ.) https://doi.org/10.20538/1682-0363-2002-2-71-77
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