Allmendinger G, Blaich E, Hofgärtner F, Lorenz H, Schmid E
Z Gastroenterol. 1984 Feb;22(2):62-5.
35 out of 57 patients with gastric carcinoma presented with a so called "target" pattern. In cases with distal cancer the more advanced cases with endoscopic types Borrmann III/IV showed this sign more frequently than less advanced forms, i.e. suspected early cancer, Borrmann I or Borrmann II. On the other hand in endoscopically advanced cancers Borrmann III/IV a thickening of the gastric wall was more frequent in distal than in proximal localization of carcinoma. The presence of target sign in abdominal ultrasound did, statistically, not influence gastric resection. Other findings, which were observed exclusively in gastric cancer type Borrmann III/IV, like infiltration to the surrounding (pancreas, liver), liver metastasis, and/or ascites, were decisive. Additional sonography of the abdomen is, therefore, a valuable preoperative diagnostic procedure in gastric cancer beside upper GI endoscopy and biopsy.
57例胃癌患者中有35例呈现出所谓的“靶征”。在远端癌病例中，内镜类型为Borrmann III/IV的进展期病例比进展程度较低的类型，即疑似早期癌、Borrmann I型或Borrmann II型，更频繁地出现此征象。另一方面，在内镜下诊断为进展期癌（Borrmann III/IV型）的病例中，胃壁增厚在远端癌比近端癌更常见。腹部超声检查中靶征的出现，在统计学上对胃切除术并无影响。其他仅在Borrmann III/IV型胃癌中观察到的发现，如向周围组织（胰腺、肝脏）浸润、肝转移和/或腹水，则具有决定性意义。因此，除了上消化道内镜检查和活检外，腹部超声检查是胃癌术前一项有价值的诊断方法。
