Vilardell F
Schweiz Med Wochenschr. 1975 May 3;105(18):556-9.
Gastric cancer is still a major cause of death in Europe. Radiologic examination continues to be the diagnostic method of choice, but its accuracy is no more than 50% at the first examination and 75% after repeated procedures. Fiberscopy with biopsy and/or cytology may provide a definitive preoperative diagnosis in as many as 90% of instances, including early cancer cases. With the widespread use of endoscopy it is possible to predict the discovery of one early cancer every 300-400 endoscopies in patients with gastric symptoms. In 5 years, 1,195 early gastric cancers have been found in Europe. These data afford grounds for greater optimism in gastric cancer management.
在欧洲，胃癌仍是主要的死亡原因之一。放射学检查仍是首选的诊断方法，但其首次检查的准确率不超过50%，重复检查后为75%。纤维内镜检查结合活检和/或细胞学检查在多达90%的病例中可提供明确的术前诊断，包括早期癌症病例。随着内镜检查的广泛应用，对于有胃部症状的患者，每300 - 400次内镜检查中就有可能发现一例早期癌症。在5年时间里，欧洲共发现了1195例早期胃癌。这些数据为胃癌的治疗带来了更大的乐观理由。
