Tanida N, Sakagami T, Nakamura Y, Kawaura A, Hikasa Y, Shimoyama T
Department of Internal Medicine 4, Hyogo College of Medicine, Nishinomiya, Japan.
Nihon Geka Gakkai Zasshi. 1996 Apr;97(4):257-62.
H. pylori has been included as a definite biological carcinogen by WHO/ IARC. H. pylori is thought to play a role in the gastritis-metaplasia-carcinoma sequence by inducing atrophic gastritis. Clinical and epidemiological studies have shown a close association between H. pylori infection and gastric cancer. Yet, experimental evidence is equivocal. Epidemiological evidence also suggests that there are significant variable(s) other than H. pylori infection in gastric carcinogenesis. Clearly many questions regarding the role of H. pylori in gastric carcinogenesis have been left for further study. The authors have summarized these aspects together with their experimental results.
幽门螺杆菌已被世界卫生组织/国际癌症研究机构列为明确的生物致癌物。幽门螺杆菌被认为通过诱发萎缩性胃炎在胃炎-化生-癌序列中发挥作用。临床和流行病学研究表明幽门螺杆菌感染与胃癌之间存在密切关联。然而,实验证据并不明确。流行病学证据还表明,在胃癌发生过程中,除幽门螺杆菌感染外,还有其他显著的变量。显然,关于幽门螺杆菌在胃癌发生中作用的许多问题仍有待进一步研究。作者将这些方面及其实验结果进行了总结。