Sokolov L K, Zakharov P I, Golubeva S V, Barchunov B N, Siniaev V P
Ter Arkh. 1986;58(1):74-7.
Clinical and diagnostic problems of early stomach cancer were considered for 157 patients with diagnosis confirmed after operation. Gastroenterological diseases were not mentioned in the past medical history of 22.9% of the patients only. 48.4% of the patients had the so-called stomach precancerous diseases, 28.7% other diseases of the alimentary tract. At diagnosis of carcinoma, 51.6% of the patients had clinical signs of previous diseases. The importance of prophylactic medical examination in the diagnosis of early stomach cancer was emphasized (cancer was detected actively in 84.7%). Since the gross appearance of early stomach cancer looks like benign lesions, the x-ray and endoscopic methods might not be quite informative. Morphological examination of the spot biopsy material raised preoperative diagnostic accuracy up to 92.3%.
对157例术后确诊的早期胃癌患者的临床和诊断问题进行了研究。仅22.9%的患者既往病史中未提及胃肠疾病。48.4%的患者有所谓的胃癌前疾病，28.7%患有其他消化道疾病。在确诊为癌症时，51.6%的患者有既往疾病的临床体征。强调了预防性医学检查在早期胃癌诊断中的重要性（84.7%的癌症是通过主动检查发现的）。由于早期胃癌的肉眼外观类似良性病变，X线和内镜检查方法可能提供的信息不足。对病变活检材料进行形态学检查可将术前诊断准确率提高至92.3%。
