Chissov V I, Gritsman Iu Ia, Shafir I I, Batinov I N
Vopr Onkol. 1984;30(1):45-52.
An analysis of 51 cases of erroneous diagnosis and treatment of gastric cancer showed inadequate follow-up to cause advancement in 39 patients suffering from chronic lesions of the gastrointestinal tract. As a result of such superficial approach as well as insufficient oncological experience of general doctors, patients go through 2-6 examinations before diagnosis is established, this taking 5.8 +/- 1.4 months in rural, and 3.9 +/- 0.8 in urban areas. Failure to carry out intraoperative morphological verification of the diagnosis which results in unjustified extension of surgical intervention or, on the contrary, decision not to operate radically is the typical error involved in treatment of gastric cancer at general hospitals.
对51例胃癌误诊误治病例的分析显示，39例患有胃肠道慢性病变的患者因随访不足导致病情进展。由于这种肤浅的方法以及普通医生肿瘤学经验不足，患者在确诊前要接受2至6次检查，农村地区这一过程耗时5.8±1.4个月，城市地区为3.9±0.8个月。未能在术中对诊断进行形态学验证，导致手术干预不合理扩大，或者相反，决定不进行根治性手术，这是综合医院胃癌治疗中典型的错误。
