Eitner K, Bosseckert H, Koppe P, Fritze C, Kühne-Heid R, Machnik G
Dtsch Z Verdau Stoffwechselkr. 1985;45(4):141-8.
In the period from 1971 to 1980 we studied 11 650 patients undergoing endoscopy of the stomach. We found in 427 patients a gastric cancer. In 63 patients we found an early cancer, according to 14% of all gastric cancers. The main symptoms were pain and loss of appetite. In 34% of the patients the duration of complaints was more than 1/2 year. In more than 50% the early cancer was located in the distal part of stomach. In 52% we observed the ulcerative lesion of the gastric mucosa. The histological findings were in 52% the intestinal type and in 72% the diffuse type of early gastric cancer. The precise diagnosis of an early cancer based on the histological examination of the gastric wall after gastric resection, with the exception of loopectomy and polypectomy with well-defined diagnosis of an early cancer. By the aid of preventive examination of patients with so-called precancerous condition of the gastric mucosa we see a possibility to increase the detection of early gastric cancer.
在1971年至1980年期间，我们对11650例接受胃内镜检查的患者进行了研究。我们在427例患者中发现了胃癌。在63例患者中发现了早期癌症，占所有胃癌的14%。主要症状为疼痛和食欲不振。34%的患者症状持续时间超过半年。超过50%的早期癌症位于胃的远端。52%的患者观察到胃黏膜溃疡性病变。早期胃癌的组织学发现，52%为肠型，72%为弥漫型。早期癌症的确切诊断基于胃切除术后胃壁的组织学检查，但环周切除术和息肉切除术且早期癌症诊断明确者除外。通过对所谓胃黏膜癌前病变患者的预防性检查，我们发现有可能提高早期胃癌的检出率。
