Oguro Y
Endoscopy Department, National Cancer Center Hospital, Tokyo, Japan.
Gan To Kagaku Ryoho. 1994 Oct;21(14):2384-91.
There have been many names similar to the name of scirrhous gastric cancer, and for a correct endoscopic diagnosis, an understanding of the delicate differences between these names is necessary. Another prerequisite is a thorough knowledge of the pathological/macroscopic morphology. In endoscopy examination accompanied by frequent belching, there is often a normal stomach with much tension, so one should always keep in mind the possibility of scirrhous gastric carcinoma. Since there is severe stenosis in such scirrhous gastric cancers, one can only observe the cardiac orifice side, and the biopsy may show false negative. For an improved prognosis, discovery and treatment in the very early stages is the only way.
与硬癌性胃癌名称相似的情况有很多，为了进行正确的内镜诊断，有必要了解这些名称之间的细微差别。另一个先决条件是对病理/宏观形态有全面的了解。在内镜检查伴有频繁嗳气时，胃通常张力正常，因此应始终牢记硬癌性胃癌的可能性。由于此类硬癌性胃癌存在严重狭窄，只能观察贲门侧，活检可能出现假阴性。为了改善预后，早期发现和治疗是唯一途径。
