Tada M, Tokiyama H, Matsumoto Y, Yanai H, Okita K
First Department of Internal Medicine, Yamaguchi University School of Medicine.
Nihon Rinsho. 1996 May;54(5):1371-4.
In the therapy for early gastric cancer, Endoscopic diagnosis is essential. When early gastric cancer is diagnosed within certain range, it is possible to be cured without surgery only endoscopic therapy. Indication for now endoscopic therapy is limited lesion which is well differentiated adenocarcinoma not more than 2 cm in size with mucosal infiltration but no ulceration. In the endoscopic therapy, it is important to detect serial multiple occurrence of early gastric cancer and recurrence of residual cancerous lesion. For these problems, annual endoscopic examination is needed.
在早期胃癌的治疗中,内镜诊断至关重要。当早期胃癌在一定范围内被诊断出来时,仅通过内镜治疗而不进行手术就有可能治愈。目前内镜治疗的适应证是分化良好的腺癌,大小不超过2cm,有黏膜浸润但无溃疡的局限性病变。在内镜治疗中,检测早期胃癌的连续多发以及残留癌灶的复发很重要。针对这些问题,需要每年进行内镜检查。