Reitzig P, Gütz H J
Dtsch Z Verdau Stoffwechselkr. 1980;40(5):165-8.
Authors deal with gastroscopic findings in 60 patients with early gastric cancers. With respect of macroscopic findings exclusively, one third early gastric cancers was thought by the endoscopist to be a benign lesion. The differentiation between benign and malignant ulcer was especially difficult. Authors therefore underline the well-known demand to control each ulcer endoscopically and histologically until complete healing. In so-called discrete lesions (scars, erosions, thick folds) biopsies are performed. Indication for further control depends on the safety of endoscopic and bioptic findings.
作者研究了60例早期胃癌患者的胃镜检查结果。仅从宏观检查结果来看，内镜医师认为三分之一的早期胃癌是良性病变。良性溃疡与恶性溃疡的鉴别尤其困难。因此，作者强调了一个众所周知的要求，即对每一个溃疡都要进行内镜和组织学检查，直到完全愈合。对于所谓的离散性病变（瘢痕、糜烂、增厚的皱襞）要进行活检。进一步检查的指征取决于内镜和活检结果的可靠性。
