胃癌的筛查与早期检测：东方与西方

Screening and Early Detection of Gastric Cancer: East Versus West.

作者信息

Suh Yun-Suhk, Yang Han-Kwang

机构信息

Department of Surgery, Cancer Research Institute, Seoul National University College of Medicine, 101 Daehang-Ro, Jongno-gu, Seoul 110-744, Korea.

出版信息

Surg Clin North Am. 2015 Oct;95(5):1053-66. doi: 10.1016/j.suc.2015.05.012. Epub 2015 Jul 29.

DOI:10.1016/j.suc.2015.05.012

PMID:26315523

Abstract

Low ratio of mortality over incidence of gastric cancer in Asian countries including Korea and Japan could be explained by early detection after screening, different treatment strategy, or genetic disparity between the East and West. Early detection after screening program for gastric cancer and subsequent surgical treatment including appropriate lymph node dissection has been developed successfully in high risk areas such as East Asian countries. Even in countries with a low prevalence of gastric cancer, a specific screening program is recommended for any high-risk population.

摘要

在包括韩国和日本在内的亚洲国家，胃癌死亡率与发病率的比例较低，这可能是由于筛查后的早期发现、不同的治疗策略，或者东西方之间的基因差异所致。在东亚国家等高风险地区，已成功开展了胃癌筛查项目后的早期发现以及包括适当淋巴结清扫在内的后续手术治疗。即使在胃癌患病率较低的国家，也建议对任何高危人群开展特定的筛查项目。