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рака тонкого кишечника в тамбове","retina":false,"avatarId":"0","isMacOS":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Рак тонкого кишечника: что это?","markdown":"**Рак тонкого кишечника** — злокачественная опухоль, которая развивается в тканях тонкой кишки, чаще всего в её двенадцатиперстной, тощей или подвздошной кишке [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/)[4](https://oncology-spb.ru/zabolevaniya/organy-zhkt/rak-kishechnika/rak-tonkogo-kishechnika)[5](https://www.smclinic.ru/diseases/rak-tonkogo-kishechnika/). Заболевание редкое, встречается в 2% случаев всей онкопатологии органов ЖКТ [4](https://oncology-spb.ru/zabolevaniya/organy-zhkt/rak-kishechnika/rak-tonkogo-kishechnika). \n\nНекоторые гистологические типы рака тонкого кишечника: аденокарцинома, саркома, лимфома и другие [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/)[5](https://www.smclinic.ru/diseases/rak-tonkogo-kishechnika/).\n\n\n\n## Причины\nТочные причины развития рака тонкого кишечника неизвестны, но есть факторы, которые повышают риск [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/)[6](https://www.invitro.ru/library/bolezni/37790/). Некоторые из них: \n* **Хронические заболевания тонкой кишки** — например, болезнь Крона, целиакия [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/)[6](https://www.invitro.ru/library/bolezni/37790/). \n* **Наследственные синдромы** — например, семейный аденоматозный полипоз и синдром Линча [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/). \n* **Возраст** — большинство случаев диагностируются у людей старше 60 лет [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/). \n* **Гендер** — мужчины имеют больший риск развития рака тонкой кишки, чем женщины [2](https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/).\n\n## Симптомы\nСимптомы зависят от локализации опухоли и её размера [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/). Некоторые проявления: \n* боли в животе (тупые или схваткообразные) [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/); \n* вздутие [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/); \n* нарушение стула (запоры или поносы) [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/); \n* снижение массы тела [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/); \n* скрытое или явное кровотечение (анемия) [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/); \n* непроходимость кишечника при значительном росте опухоли [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/). \n\nЧасто рак тонкой кишки обнаруживается на поздних стадиях, так как его симптомы легко спутать с другими заболеваниями пищеварительной системы [1](https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/).\n\n## Диагностика\nПри подозрении на рак тонкого кишечника необходимо обратиться к врачу-онкологу [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). Некоторые методы диагностики: \n* **Компьютерная томография (КТ) органов грудной клетки и брюшной полости с контрастированием** — позволяет оценить размеры и расположение опухоли, предположить наличие метастазов в лимфатических узлах и других органах [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). \n* **Магнитно-резонансная томография (МРТ) органов брюшной полости и малого таза** — позволяет оценить соотношение размера опухоли с размерами рядом расположенных органов [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). \n* **Гистологическое исследование** — окончательно установить диагноз можно только с помощью гистологического исследования после биопсии или хирургического лечения [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/).\n\n## Лечение\nПодход к лечению зависит от стадии заболевания, наличия осложнений и общего состояния пациента [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). Некоторые методы лечения: \n* **На 1–3-й стадиях** — обычно назначают операцию, цель которой — удалить участок кишечника с опухолью и ближайшими лимфатическими узлами [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). \n* **На 4-й стадии** — проводят только лекарственную терапию, которая помогает сдерживать рост опухоли и не допускает появление новых метастазов [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/). \n\nСхему лечения врач подбирает индивидуально [11](https://ProBolezny.ru/rak-tonkogo-kishechnika/).","linksData":[{"sourceId":1,"url":"https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/","shownUrl":"https://inuclear.ru/zabolevanija/rak-tonkoy-kishki/","title":"Рак тонкой кишки: симптомы, диагностика, лечение","shortUrl":"inuclear.ru","isTranslated":false,"description":"","greenUrl":"inuclear.ru"},{"sourceId":2,"url":"https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/","shownUrl":"https://semeynaya.ru/directions/onkologiya/rak-tonkogo-kishechnika/","title":"Рак тонкого кишечника","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":3,"url":"https://clinicnacpp.ru/diseases/onkologicheskie-zabolevaniya/rak-tonkogo-kishechnika/","shownUrl":"https://clinicnacpp.ru/diseases/onkologicheskie-zabolevaniya/rak-tonkogo-kishechnika/","title":"Лечение рака тонкого кишечника в Москве | Клиника НАКФФ","shortUrl":"clinicnacpp.ru","isTranslated":false,"description":"","greenUrl":"clinicnacpp.ru"},{"sourceId":4,"url":"https://oncology-spb.ru/zabolevaniya/organy-zhkt/rak-kishechnika/rak-tonkogo-kishechnika","shownUrl":"https://oncology-spb.ru/zabolevaniya/organy-zhkt/rak-kishechnika/rak-tonkogo-kishechnika","title":"Рак тонкого кишечника: симптомы, причины, стадии, диагностика, лечение, прогноз","shortUrl":"oncology-spb.ru","isTranslated":false,"description":"","greenUrl":"oncology-spb.ru"},{"sourceId":5,"url":"https://www.smclinic.ru/diseases/rak-tonkogo-kishechnika/","shownUrl":"https://www.smclinic.ru/diseases/rak-tonkogo-kishechnika/","title":"Рак тонкого кишечника: признаки, стадии, методы диагностики и лечения | «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":6,"url":"https://www.invitro.ru/library/bolezni/37790/","shownUrl":"https://www.invitro.ru/library/bolezni/37790/","title":"Рак тонкого отдела кишечника - причины появления, симптомы заболевания, диагностика и способы лечения","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":7,"url":"https://lapino2.ru/napravleniya/onkoproktologiya/rak-tonkoy-kishki/","shownUrl":"https://lapino2.ru/napravleniya/onkoproktologiya/rak-tonkoy-kishki/","title":"Рак тонкого кишечника: симптомы, признаки, диагностика, лечение","shortUrl":"lapino2.ru","isTranslated":false,"description":"","greenUrl":"lapino2.ru"},{"sourceId":8,"url":"https://nnood.ru/patients/diagnostika-lechenie/vidy-zabolevaniy/opukholi-pishchevaritelnoy-sistemy/informatsiya-o-zabolevanii-pish/rak-tonkoy-kishki/","shownUrl":"https://nnood.ru/patients/diagnostika-lechenie/vidy-zabolevaniy/opukholi-pishchevaritelnoy-sistemy/informatsiya-o-zabolevanii-pish/rak-tonkoy-kishki/","title":"Рак тонкой кишки","shortUrl":"nnood.ru","isTranslated":false,"description":"","greenUrl":"nnood.ru"},{"sourceId":9,"url":"https://onco.rehab/publikacii/stati/poleznye-materialy/rak-tonkoy-kishki-prichiny-simptomy-diagnostika-i-lechenie/","shownUrl":"https://onco.rehab/publikacii/stati/poleznye-materialy/rak-tonkoy-kishki-prichiny-simptomy-diagnostika-i-lechenie/","title":"Рак тонкой кишки – почему возникает это заболевание, как проявляется и как лечится","shortUrl":"onco.rehab","isTranslated":false,"description":"","greenUrl":"onco.rehab"},{"sourceId":10,"url":"https://gastroscan.ru/patient/disease/13/cancer-intestine/","shownUrl":"https://gastroscan.ru/patient/disease/13/cancer-intestine/","title":"Рак тонкой кишки","shortUrl":"gastroscan.ru","isTranslated":false,"description":"","greenUrl":"gastroscan.ru"},{"sourceId":11,"url":"https://ProBolezny.ru/rak-tonkogo-kishechnika/","shownUrl":"https://ProBolezny.ru/rak-tonkogo-kishechnika/","title":"Рак тонкой кишки: причины, симптомы и лечение в статье онколога Евсеев В. 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