Tsuchigame T, Ogata Y, Sumi M, Fukui K, Saito R, Nakashima K, Urata J, Arakawa A, Saito Y, Takahashi M
Department of Radiology, Kumamoto University Hospital, Japan.
Acta Radiol. 1991 Jan;32(1):37-41.
The endoscopic and radiographic findings of 45 gastric adenomas in 39 patients were followed for 6 months to 13 years and compared with type IIa early gastric cancer observed in 9 patients. Difficulties in the differential diagnosis of these disorders were evaluated. The following features were suggestive of gastric adenomas: clustered lesion; protuberance with gentle slope; smooth surface; and relatively young patients. Discrimination of adenoma from type IIa early gastric cancer is often difficult by visual observation alone; biopsy was essential in most patients. A group III adenoma verified on biopsy should be followed closely because the lesion may harbor a cancer (so-called carcinoma-in-adenoma) or a cancer may later develop.
对39例患者的45个胃腺瘤的内镜和影像学检查结果进行了6个月至13年的随访，并与9例IIa型早期胃癌患者的情况进行了比较。评估了这些疾病鉴别诊断中的困难。以下特征提示胃腺瘤：病变呈簇状；隆起处坡度平缓；表面光滑；患者相对年轻。仅通过肉眼观察往往难以将腺瘤与IIa型早期胃癌区分开来；大多数患者都必须进行活检。活检证实为III组腺瘤的患者应密切随访，因为病变可能隐藏癌症（所谓的腺瘤内癌），或者后来可能发生癌症。
