Ovsiankina L G
Vopr Onkol. 1978;24(7):82-8.
To recognize the causes of late diagnosis of gastric cancer in patients suffering ulcerous disease, in the oncological examination unit of Orekhovo-Zuevo, Moscow Province there was conducted a retrospective examination (for the period of 1970--1975) of the anamnesis of 35 gastric cancer patients (5.5%). As a rule, there were three periods in patients' address to medical specialist, namely: 1) seeking medical advice for chronic gastric affection; 2) a "calm" period; 3) a new character of gastric complaints with the ultimate diagnosis of gastric cancer. The late diagnosis of cancer of the stomach was due to number of errors on the part of general practitioners: undue cessation of dispensary supervision in a "calm" period of ulcerous disease, their being unable to recognize a new character of complaints after the remission, errors on the part of roentgenologists.
为了查明患有溃疡病的胃癌患者出现诊断延迟的原因，在莫斯科州奥列霍沃-祖耶沃市肿瘤检查科，对35例胃癌患者（占5.5%）的病历进行了回顾性检查（时间段为1970年至1975年）。通常，患者就医过程分为三个阶段，即：1）因慢性胃部疾病寻求医疗建议；2）“平静”期；3）胃部出现新症状，最终诊断为胃癌。胃癌诊断延迟是由于全科医生的一些失误造成的：在溃疡病的“平静”期不适当地停止了门诊监督，他们在病情缓解后无法识别新出现的症状，还有放射科医生的失误。
