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Radiologische Primär- und Ausbreitungsdiagnostik des Magen- und Kardiakarzinoms

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Zusammenfassung

Sowohl in der Lokaldiagnostik als auch in der Ausbreitungsdiagnostik spielt die radiologische Bildgebung eine wichtige Rolle in der diagnostischen Aufarbeitung des Magenkarzinoms. In der Lokaldiagnostik ist die konventionelle Röntgendiagnostik weitestgehend durch die Endoskopie abgelöst worden, allerdings liegt die Stärke der Schnittbildgebung in der Bestimmung des wandüberschreitenden Wachstums und somit in der Bestimmung des v.a. fortgeschrittenen T-Stadiums. In der Ausbreitungsdiagnostik können lokoregionäre und distante Lymphknoten- und hämatogene Metastasen diagnostiziert werden, welches einen wichtigen Einfluss auf Outcome und Therapie hat. Letztendlich dient die Bildgebung auch zur Kontrolle des Therapieerfolgs. In diesem Kapitel soll zunächst eine Übersicht über verfügbare bildgebende Techniken gegeben werden und danach die Rolle in der Lokal- und Ausbreitungsdiagnostik diskutiert werden.

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Kolb, M., Aydin, R., Notohamiprodjo, M., Marcus, R. (2017). Radiologische Primär- und Ausbreitungsdiagnostik des Magen- und Kardiakarzinoms. In: Kreis, M., Seeliger, H. (eds) Moderne Chirurgie des Magen- und Kardiakarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53188-4_5

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