Inoue Kazuhiko
Department of General Medicine, Kawasaki Medical School.
Nihon Rinsho. 2013 Aug;71(8):1472-8.
Infection with Helicobacter pylori (Hp) is considered a prerequisite for gastric carcinogenesis and gastric mucosal atrophy that develops in association with the infection is a risk factor for gastric cancer. The gastric cancer risk can be diagnosed by the ABC classification consisted of a combination of serum Hp antibody and the pepsinogen (PG) method. The ABC classification may contribute to gastric cancer screening as well as to primary care of digestive organ practice. However, we should remember that we cannot diagnose the gastric cancer by only the ABC classification, and an imaging examination is required.
幽门螺杆菌(Hp)感染被认为是胃癌发生的先决条件,与该感染相关的胃黏膜萎缩是胃癌的一个危险因素。胃癌风险可通过由血清Hp抗体和胃蛋白酶原(PG)方法组合而成的ABC分类来诊断。ABC分类可能有助于胃癌筛查以及消化器官诊疗的初级保健。然而,我们应该记住,仅通过ABC分类无法诊断胃癌,还需要进行影像学检查。