Bracho Mosquera V E, Yanai H, Tada M, Hatano S, Okita K
Universidad de Yamaguchi, Escuela de Medicina, Japón.
G E N. 1994 Apr-Jun;48(2):98-104.
Early gastric cancer detection is still in its more elementary step in the western hemisphere, while in Japan gastric cancer is detected mainly in its early stage. The aim of this article is to analyze the Japanese method for early gastric cancer detection and staging, by sketch of certain morphologic criterions and a report of a typical case. In our case the lesion's staging was predicted as submucosal by means of endoscopy and double contrast roentgenography. Endoscopic ultrasonography complemented the analysis. The standard anatomopathological work up for early gastric cancer in Japan is also analysed. By this former method the accuracy of the initial staging by endoscopy, and radiologic means was ensured. By a correct early gastric cancer diagnosis and staging a better selection of the surgical strategy and survival can be achieved.
在西半球,早期胃癌检测仍处于较为初级的阶段,而在日本,胃癌主要在早期被检测出来。本文旨在通过勾勒某些形态学标准并报告一个典型病例,来分析日本早期胃癌检测和分期的方法。在我们的病例中,通过内镜检查和双重对比X线造影术预测病变分期为黏膜下。内镜超声检查补充了分析。本文还分析了日本早期胃癌的标准解剖病理学检查方法。通过前一种方法,确保了内镜检查和放射学手段进行初始分期的准确性。通过正确的早期胃癌诊断和分期,可以更好地选择手术策略并提高生存率。