Serova T N
Vopr Onkol. 1979;25(8):35-9.
The analysis of 102 observations indicated the clinico-roentgenological features of cancer of the greater curvature of the stomach, thus enabling the possibilities of a roentgenological method of examination to be ascertained in the complex of methods for examining patients with the pathology involved. It was noted that in cancer of the larger curvature of the stomach the character of the lesion is not infrequently masked by the symptoms observed in ulcerous disease, chronic gastritis or Menetrie disease. Accessory methods of roentgenodiagnosis: pneumogastrography, double and triple contrasting technic contribute to pinpointing the true character of the process. Application of the mentioned technics allowed the precise diagnosis to be established in 87.2% of cases. When using fibrogastroscopy the correct diagnosis was made in 86.5% of patients. Use of the complex examination allowed the precise preoperative diagnosis in 92.1%. Some problems of the differential diagnosis between cancer of the larger curvature of the stomach and ulcerous gastric disease are discussed.
对102例病例的分析揭示了胃大弯癌的临床放射学特征，从而在对患有相关病理学疾病的患者进行检查的综合方法中，明确了放射学检查方法的可行性。值得注意的是，在胃大弯癌中，病变特征常常被溃疡病、慢性胃炎或门脉性胃病所观察到的症状所掩盖。放射诊断的辅助方法：胃充气造影、双重和三重对比技术有助于明确病变的真实性质。使用上述技术可在87.2%的病例中确立准确诊断。使用纤维胃镜检查时，86.5%的患者可做出正确诊断。综合检查可在92.1%的病例中实现准确的术前诊断。文中还讨论了胃大弯癌与胃溃疡病之间鉴别诊断的一些问题。
