Qizilbash A, Harnarine C, Castelli M
Arch Pathol Lab Med. 1977 Nov;101(11):610-4.
Five cases of early gastric carcinoma were diagnosed during a one-year period at the Henderson General Hospital, Hamilton, Ontario, Canada. All five patients were symptomatic and were diagnosed by a combination of endoscopy, roentgenology, brush cytology, and biopsy specimens. No cases of early gastric carcinoma were diagnosed in our hospital in the preceding ten years. A total of 75% of the cytological preparations were positive and all five biopsy specimens showed carcinoma. The ulcerated or type III lesion was present in three cases. No lymph node metastases were present in the gastrectomy specimens. The increasing rate of detection of early gastric carcinoma is attributed to the use of upper gastrointestinal endoscopy, air-contrast barium meal examinations, cytology, and multiple biopsy specimens.
在加拿大安大略省汉密尔顿市的亨德森综合医院，在一年时间里诊断出了5例早期胃癌。所有5例患者均有症状，通过内镜检查、放射学检查、刷检细胞学检查和活检标本相结合的方式得以确诊。在过去十年中，我院未诊断出早期胃癌病例。细胞学检查标本中75%呈阳性，所有5例活检标本均显示为癌。3例患者存在溃疡型或III型病变。胃切除标本中未发现淋巴结转移。早期胃癌检出率的上升归因于上消化道内镜检查、气钡双重造影检查、细胞学检查以及多次活检标本的应用。
