Методы топической диагностики АКТГ-продуцирующих нейроэндокринных опухолей различной локализации (обзор литературы)

Топическая диагностика АКТГ-продуцирующих нейроэндокринных опухолей – важнейший этап в обследовании больных с АКТГ-эктопическим синдромом, так как одним из основных методов лечения таких больных является хирургический. Существует множество методов топической диагностики АКТГ-продуцирующих опухолей, которые имеют свои достоинства и недостатки. В то же время до настоящего момента ни один из существующих методов исследования не гарантирует 100%-ный результат, что приводит к получению ложноположительных заключений и, как следствие, проведению необоснованного хирургического вмешательства. В статье обсуждаются основные используемые на данный момент методы визуализации АКТГ-продуцирующих опухолей, приводится их сравнительная характеристика и обсуждается оптимальный диагностический алгоритм.

АКТГ-эктопический синдром, КТ, МРТ, ПЭТ, сцинтиграфия

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