Mazzarello M G
Laboratorio Analisi Chimico-Cliniche e Microbiologiche, U.S.S.L. n. 74, Ospedale S. Antonio Abate, Ovada, Alessandria.
Minerva Med. 1990 Oct;81(10):687-90.
Mortality from colon-rectal cancer is rising steadily in Italy; of malignant tumours, those of the nitestine come second after those of the lung. Hence the ned for early diagnosis based on the search for occult blood in the stools. This test takes on important significance for screening purposes in subjects at risk. Alongside diagnosis it is important to effect primary prevention diet, food and environmental factors). A negative result of the identification of occult blood in the stools absolutely does not exclude tumour of the intestinal tract. A positive finding, on the other hand, does not necessarily confirm the presence of a tumour. Such an investigation was carried out at the Analysis Laboratory of the Sant'Antonio di Ovada Hospital, Health Unit 74, in the period between October '87 and June '88. The samples were taken from hospitalised patients and from out-patients. The samples from hospitalised patients totalled 324 and 20 proved positive for occult blood; of the out-patient samples (176), positivity was observed in 12. Hospitalised patients were recontrolled and results were confirmed positive. The out-patients did not present for further controls.
在意大利,结直肠癌的死亡率正在稳步上升;在恶性肿瘤中,肠道肿瘤的死亡率仅次于肺癌,位居第二。因此,基于粪便潜血检测进行早期诊断很有必要。这项检测对于高危人群的筛查具有重要意义。除了诊断之外,进行一级预防(饮食、食物和环境因素)也很重要。粪便潜血检测呈阴性结果并不能绝对排除肠道肿瘤。另一方面,检测结果呈阳性也不一定就证实存在肿瘤。1987年10月至1988年6月期间,在奥瓦达圣安东尼奥医院(第74号健康单元)分析实验室进行了这样一项调查。样本取自住院患者和门诊患者。住院患者的样本共有324份,其中20份粪便潜血检测呈阳性;门诊患者的样本(176份)中有12份呈阳性。对住院患者进行了复查,结果再次证实呈阳性。门诊患者未前来进行进一步检查。