Ii iiaiao ceiea?anoaaiiuo iiaiia?aciaaiee iia?aeoai?-
iie ?aeacu i?iiia?e?iaai 71 iaoeaio a aic?anoa io 35 ai 80
eao. A 48 (67,7%) neo?ayo i?iaaaaiu iaeeeaoeaiua iia?aoee.
?acee?iua aeau iaoiaiuo ?ae?aioaiayueo aianoiiicia auiie-
iaiu o 39 (54,9%) aieuiuo, ?aca?oci?iua aano?iyioa?iaianoi-
iicu iaei?aiu o 9 (12,7%).
A 16 neo?ayo ?acee?iua aeau aeeeiaeaanoeaiuo aianoiiicia
oi?ie?iaaeenu ii iauai?eciaiui iaoiaeeai.
N oaeu? i?ioeeaeoeee ?ao?ia?aaiiai caa?ina oiieieeoa?iiai
niaa??eiiai a ?ae?iua i?ioiee e ?acaeoey ainoiayuaai ainia-
eaiey a aeeea?iii aa?aaa, iaie ?ac?aaioaiu e aiaa?aiu a eee-
ie?aneo? i?aeoeeo iiaua iaoiaeee a?aoe?eniuo aeeeiaeaanoea-
iuo aianoiiicia n eiaaaeiaoeiiiui eeaiaiii oiieie eeoee.
A?aoe?eniua aeeeiaeaanoeaiua aianoiiicu n eiaaaeiaoe-
iiiui eeaiaiii auiieiaiu 23 aieuiui ?ani?ino?aiaiiui ?a-
eii aieiaee iia?aeoai?iie ?aeacu, inei?iaiiui iaoo?aoeii-
iie ?aeoooie.
Eaoaeuiuo enoiaia e inei?iaiee a iineaiia?aoeiiiii ia-
?eiaa ia auei. Ec iniaaiiinoae aaaaiey yoie a?oiiu iaoeaioia
neaaoao ioiaoeou ciiaiaia yioa?aeuiia ieoaiea a oa?aiea ia?-
auo 5 nooie iinea iia?aoee. Koie?iaaiea ?aeoooe ioia?aii a
oa?aiea ia?auo 2-3 iaa.
A ioaaeaiiua n?iee iinea iia?aoee oieaiaeoa e ?aoeaeaa ia-
oo?aoeiiiie ?aeoooe ia auei. 14 iaoeaioia i?i?eee ieiei 7-9
ian n iiiaioa auiieiaiey iia?aoeaiiai aiaoaoaeunoaa. 1
aieuiay ?eaao aieaa 1 aiaa iinea iia?aoee. Noauaa 2 iaoeaioia
iaecaanoia.
Oaeei ia?acii, i?aaei?aiiua iaoiaeee a?aoe?eniuo aeeei-
aeaanoeaiuo aianoiiicia n eiaaaeiaoeiiiui eeaiaiii ia oooa-
oaee oa?aiea ?aiiaai iineaiia?aoeiiiiai ia?eiaa e i?aaioa?a-
uaee ?acaeoea aoi?e?iiai ainiaeaiey a ?ae?iuo i?ioieao.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1999,
Aioaeey, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1999, n. 25.
ÎÁÙÀß ÃÈÏÅÐÒÅÐÌÈß ÏÐÈ ËÅ×ÅÍÈÈ
ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÛÕ
ÎÍÊÎÃÈÍÅÊÎËÎÃÈ×ÅÑÊÈÕ ÇÀÁÎËÅÂÀÍÈÉ
E.A. Ka?aa, O.A. Nieieiaa, A.A. Yeuyiia, A.O. Keeoeianeay,
A.A. ?iaeia
Ie?aai?ianeay ainoaa?noaaiiay iaaeoeineay aeaaaiey,
Eaoaa?a eo?aaie aeaaiinoeee e iieieiaee, I. Iiaai?ia, ?inney
Yooaeoeaiinou ea?aiey ianoii-?ani?ino?aiaiiuo e aenna-
ieie?iaaiiuo ceiea?anoaaiiuo iiooieae ?aineeo iieiauo i?-
aaiia i?e ?acee?iuo ?a?eiao eiiaeie?iaaiiie oeieioa?aiee
ia i?aauoaao 30%. Iaie enneaaiaaia aicii?iinou oneeaiey
i?ioeaiiiooieaaiai yooaeoa n iiiiuu? iauae yeaeo?iiaaieo-
iie oi?aaeyaiie aeia?oa?iee.
I?iaiaeece?iaaiu ?acoeuoaou ea?aiey 40 ?aiuei n ?ani?i-
no?aiaiiuie oi?iaie iieiaeiaeieiae?aneeo caaieaaaiee a
aic?anoa io 25 ai 63 eao. Aeeoaeuiinou iieieiae?aneiai aiaiia-
ca aieuiuo auea io 1 aiaa ai 9 eao. Oieuei 1 iaoeaioea ?aeii
oaeee iaoee, ?ani?ino?aiyaoeiny ia ii?aaie iocu?u, ia iieo-
?aea ea?aiey ai iauae aeia?oa?iee. 37 aieuiui auei i?iaaaa-
ii eiiieaeniia ea?aiea n iieeoeieioa?aieae io 1 ai 12 oeeeia,
ia oiia eioi?iai iaae?aaeanu i?ia?anney caaieaaaiey. 2 ?ai-
ueiu n ?ani?ino?aiaiiui i?ioannii oaeee iaoee iieo?aee
?aiaa oieuei eo?aao? oa?aie?.
Naiay iiiai?eneaiiay a?oiia — 23 iaoeaioee, aieuiua ?a-
eii ye?ieeia. ?ae oaeee iaoee — o 9 aieuiuo, ?ae oaea iaoee —
o 6, na?eiia iaoee — o 2.
15 iaoeaioie iieo?eee ii iaiiio naaino iauae aeia?oa?iee.
Iinea i?ioaao?u o 7 aieuiuo ioia?aee iaino?aiea eia?uaeny
iao?iiaoee, o 1 iaoeaioee — yaeaiey ia?aii?iie iaainoaoi?ii-
noe e e?iaioa?aiea, eioi?ua yaeeenu i?ioeaiiieacaieai aey
i?iaie?aiey ea?aiey a oneiaeyo iauae aeia?oa?iee. 6 ?aiuei
ioia?aee nie?aiea aieae, oiaiuoaiea eeioaoe?aneeo oceia e
eeioinoaca.
25 iaoeaioie iieo?eee io 2 ai 7 naainia aeia?oa?iee n oe-
ieioa?aieae. Eioa?aae ia?ao naainaie iauae aeia?oa?iee
ninoaaeye 3-4 iaa. Ia?aa ea?aui iineaao?uei naainii ioa-
ieaaee yooaeoeaiinou i?aauaouaai eo?na ea?aiey eeeie?anee,
eaai?aoi?ii, eino?oiaioaeuii.
Noaaeeecaoee iiooieaaiai i?ioanna oaaeinu ainoeaioou o 15
(37,5%) aieuiuo. ?anoe?iay ?aa?anney iaae?aaeanu o 4 (10%) ia-
oeaioie, ?oi iicaieeei o 2 ?aiuei n na?eiiie iaoee e ?aeii ye-
?ieeia auiieieou oe?o?ae?aneia oaaeaiea iiooiee. I?ia?anne-
?iaaiea iiooieaaiai i?ioanna iaae?aaeinu o 6 (15%) ?aiuei.
I?eiaiaiea iauae yeciaaiiie aeia?oa?iee aey ea?aiey ?an-
i?ino?aiaiiuo iieiaeiaeieiae?aneeo caaieaaaiee iicaieeei
iiauneou ?oanoaeoaeuiinou iiooieae e oeieii?aia?aoai e ai-
aeouny iauaeoeaiiai yooaeoa o 47,5 % iaoeaioie.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1999,
Aioaeey, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1999, n. 33-34.
ÎÁÙÀß ÝËÅÊÒÐÎÌÀÃÍÈÒÍÀß ÃÈÏÅÐÒÅÐÌÈß
ÏÐÈ ÄÈÑÑÅÌÈÍÈÐÎÂÀÍÍÎÌ ÐÀÊÅ ÒÎËÑÒÎÉ
ÊÈØÊÈ
E.A. Ka?aa, A.A. Yeuyiia, A.O. Keeoeianeay, O.A. Nieieiaa,
A.A. ?iaeia
Ie?aai?ianeay ainoaa?noaaiiay iaaeoeineay aeaaaiey,
Eaoaa?a eo?aaie aeaaiinoeee e iieieiaee, I. Iiaai?ia, ?inney
I?iaeaia oa?aiee aennaieie?iaaiiiai eiei?aeoaeuiiai ?a-
ea inoaaony aaeaeie io ?ac?aoaiey a nayce n oai, ?oi aicii?ii-
noe nia?aiaiiie eaea?noaaiiie oa?aiee iaoanoacia ?aea oie-
noie eeoee aiaieuii ia?aie?aiu.
Iaie i?iaiaeece?iaaiu ?acoeuoaou ea?aiey 68 iaoeaioia n
aennaieie?iaaiiui eiei?aeoaeuiui ?aeii a aic?anoa io 29 ai
64 eao. 32 aieuiui ?aiaa auee auiieiaiu ?aaeeaeuiua iia?a-
oee, 36 aieuiui — i?iaiua eaia?ioiiee e eieinoiiee. Ana ia-
oeaiou eiaee iaoanoaoe?aneia ii?a?aiea ia?aie. 23 aieuiui
ec 68 i?iaaaaii ?aiaa io iaiiai ai o?ao eo?nia oeieioa?aiee,
ia oiia eioi?ie iaae?aaeanu i?ia?anney caaieaaaiey.
Iauay aeia?oa?iey inouanoaeyeanu iia iauae aianoaceae
ia onoaiiaea «A? — ?a» n ?anoioie yeaeo?iiaaieoiiai eceo?a-
iey 13,56 IAo a ?a?eia ?acia?aaa oaea iaoeaioa a eioa?aaea
oaiia?aoo? io 42,7°N ai 43°N. Yoio oaiia?aoo?iue ?a?ei iia-
aa??eaaeny a oa?aiea 80 iei. I?iaiaeee iiieoi?eia oaiia?a-
oo?u aieiaiiai iicaa e ia?aie n iiiiuu? ?aaeioa?iiiao?a. Ia
oiia iaeneiaeuiiai ?acia?aaa aaiaeee oeieii?aia?aou (eae-
eiai?ei, ooi?o?aoee, aieni?oaeoei). Eioa?aae ia?ao naainaie
iauae aeia?oa?iee ninoaaeye 3-4 iaa. Aieuiui auei i?iaaaa-
ii io 2 ai 6 naainia iauae aeia?oa?iee.
Ec 68 iaoeaioia o 16 (23,5%) aieuiuo auea iieo?aia iieiay
eee ?anoe?iay ?aa?anney, o 22 (32,3%) aieuiuo ainoeaiooa noaae-
eecaoey. I?iaaaaiea 2-3 naaina iauae aeia?oa?iee o 3 aieuiuo
i?eaaei e cia?eoaeuiiio oiaiuoaie? iiooieae e naaeaei aic-
ii?iui auiieiaiea aaieeieyeoiiee.
I?eiaiaiea iauae yeciaaiiie aeia?oa?iee o aieuiuo aen-
naieie?iaaiiui eiei?aeoaeuiui ?aeii iicaieeei aiaeouny
iauaeoeaiiai yooaeoa e oaaee?eou au?eaaaiinou aieuiuo.
IV Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1999,
Aioaeey, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1999, n. 34.
ÏÀËËÈÀÒÈÂÍÛÅ ÎÏÅÐÀÖÈÈ
 ÕÈÐÓÐÃÈÈ ÐÀÊÀ ÆÅËÓÄÊÀ
A.E. Kiaaeaa, A.A. Nieieia
?inneeneee ainoaa?noaaiiue iaaeoeineee oieaa?neoao,
Iineaa, ?inney
A iieieiae?aneie oe?o?aee ?aeoaea aii?in auiieiaiey iae-
eeaoeaiuo oe?o?ae?aneeo aiaoaoaeunoa io?aaaony a no?iai ei-
370
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