Krylov Iu V, Nikolaev A A, Tovstashov A L, Kogan-Ozeran V A
Vopr Onkol. 1989;35(11):1354-7.
The paper is concerned with the clinico-morphological analysis of the state of the art in diagnosing dysplasia and cancer of the stomach using gastric biopsy in a nononcological department of a regional hospital. Within three years, 13,459 gastroscopies were performed, 31.7% of them involving a biopsy. Cancer of the stomach was diagnosed in 87 patients including incipient form--in 8 (9.2%). Degree II-III dysplasia and alterations suspicious of cancer were identified in 49 while degree I-II dysplasia--in 180 cases. It is emphasized that patients with dysplasia including degree I-II lesions be followed using morphologic, endoscopic and clinical procedures.
本文关注在地区医院非肿瘤科使用胃活检诊断胃发育异常和癌症的现状的临床形态学分析。在三年时间里,共进行了13459例胃镜检查,其中31.7%进行了活检。87例患者被诊断为胃癌,包括早期形式——8例(9.2%)。49例患者被确定为II - III级发育异常和疑似癌症的病变,180例为I - II级发育异常。强调对包括I - II级病变在内的发育异常患者应采用形态学、内镜和临床程序进行随访。