Аннотация
Злокачественные новообразования головы и шеи занимают пятое место в мире по распространенности, при этом треть из них выявляется в ротоглотке и полости рта. Важным остается поиск дополнительных малоинвазивных и эффективных методов ранней диагностики. По данным литературы, параметры диагностической ценности контактной эндоскопии в дифференциальной диагностике доброкачественных и злокачественных новообразований полости рта и ротоглотки могут достигать 85-90%. Однако абсолютное большинство работ было посвящено исследованию контактной эндоскопии с окрашиванием, в которых не применялась единая классификация, а также были отмечены сложности в интерпретации результатов исследования. Перспективным является использование контактной эндоскопии с целью визуализации строения сосудистого русла слизистой оболочки. В полости рта и ротоглотки данный подход полноценно был применен только в одном исследовании и показал более высокую диагностическую ценность, достигающую 97%, чем в исследованиях, оценивающих исключительно клеточную архитектонику новообразования.
Литература
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