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[早期胃癌的内镜诊断失误]

[Errors in endoscopic diagnosis of early stomach cancer].

作者信息

Reitzig P, Gütz H J

出版信息

Dtsch Z Verdau Stoffwechselkr. 1980;40(5):165-8.

PMID:7449713
Abstract

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.

摘要

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。

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