Triantafillidis John K, Cheracakis Petros
Department of Gastroenterology, Saint Panteleimon General State Hospital, Nicea, Greece.
Hepatogastroenterology. 2004 Mar-Apr;51(56):618-24.
Despite the reduction in the incidence and mortality of gastric cancer in recent years, it remains one of the most common and lethal malignant neoplasms worldwide. The diagnosis of gastric cancer at an early stage (early gastric cancer) represents the only hope for improving survival of these patients. Upper GI endoscopy (including chromoendoscopy and magnifying endoscopy) remains the corner-stone for diagnosis, although other modalities such as endoscopic ultrasonography, conventional radiographs, computed tomography, magnetic resonance imaging and virtual endoscopy, are helpful. Histology always seals the correct diagnosis, and makes the final staging. The experience of the endoscopist is a critical point related to correct diagnosis. Better awareness by endoscopists of the various appearances of early gastric cancer, is mandatory. In this review, we discuss the epidemiology, biological characteristics and diagnosis of early gastric cancer based on data derived from the currently available literature.
尽管近年来胃癌的发病率和死亡率有所下降，但它仍是全球最常见且致命的恶性肿瘤之一。早期胃癌的诊断是提高这些患者生存率的唯一希望。上消化道内镜检查（包括色素内镜检查和放大内镜检查）仍然是诊断的基石，尽管其他检查方式如内镜超声、传统X线片、计算机断层扫描、磁共振成像和虚拟内镜检查也有帮助。组织学检查始终是确诊的关键，并能进行最终分期。内镜医师的经验是正确诊断的关键因素。内镜医师必须更好地了解早期胃癌的各种表现。在本综述中，我们根据现有文献数据讨论早期胃癌的流行病学、生物学特征和诊断。
