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[早期胃癌的临床及诊断特征]

[Clinical and diagnostic characteristics of the early forms of stomach cancer].

作者信息

Sokolov L K, Zakharov P I, Golubeva S V, Barchunov B N, Siniaev V P

出版信息

Ter Arkh. 1986;58(1):74-7.

PMID:3961696
Abstract

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%.

摘要

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%。

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