Gütz H J
Z Gesamte Inn Med. 1976 Nov 1;31(21):882-5.
A short report is given on the development of diagnostics of early gastric cancers, whereby it is especially referred to the importance of the Japanese investigations of this phenomenon. The notion of the early carcinoma for gastric carcinomata which have affected only the mucous membrane or only in a slight degree the submucosa is widespread. But it contains a notion of time which is falsely presumed. As we at present do not certainly know, whether the early gastric carcinomata, all over the world known as "early cancer", really could not fail in developing to advanced gastric carcinomata, the name "early" carcinoma is questionable. Concerning this question further investigations are necessary, which should be directed to the definition of a risk group of gastric cancer. Finally is reported on own results in the diagnosis of 12 early gastric cancers.
本文简要介绍了早期胃癌诊断方法的发展情况,特别提及了日本在这方面研究的重要性。对于仅侵犯黏膜层或仅轻度侵犯黏膜下层的胃癌,“早期癌”这一概念已被广泛接受。但这其中包含了一个错误假定的时间概念。由于目前我们尚不确定全世界都称为“早期癌症”的早期胃癌是否真的不会发展为进展期胃癌,所以“早期”癌这一名称值得质疑。关于这个问题,有必要进行进一步的研究,这些研究应针对胃癌高危人群的定义展开。最后报告了本人诊断12例早期胃癌的结果。