Portnoĭ L M, Legostaeva T B, Iaurova N V, Tripatkhi S, Emel'ianova L N, Gaganov L E
M.F. Vladimirsky Moscow Regional Research Clinical Institute.
Vestn Rentgenol Radiol. 1997 Nov-Dec(6):26-32.
From the current concept of an obvious predominance of intramurally growing carcinomas of the stomach over its all other anatomic forms, the authors attempted to evaluate whether they could be diagnosed by ultrasonography. The ultrasound symptomatology characteristic of the carcinomas was described on the basis of 105 verified gastric endophytic carcinomas, by using the known special ultrasound procedures methodologically modified by the authors. Its cardinal features were as follows: the trickened wall at the site of tumor infiltration and impairment of its normal five-layer structure. The whole cycle of investigations was conducted in the comparative context: classical X-ray ("tight filling", double contrasting), endoscopy via sampling of 6-7 biopsy specimens and gastric ultrasound study made by a special procedure. Using classical X-ray and endoscopy as two basic diagnostic techniques, the authors have, nevertheless, concluded that under certain situations, the modified gastric ultrasound study may yield some information which may be useful in establishing a final diagnosis of a gastric intramural growing tumor.
基于目前认为胃壁内生长型癌明显多于胃其他解剖学类型的观念，作者试图评估此类癌症能否通过超声检查进行诊断。作者在105例经证实的胃内生型癌的基础上，运用经其方法学改良的已知特殊超声检查程序，描述了此类癌症的超声症状特征。其主要特征如下：肿瘤浸润部位的胃壁增厚及其正常五层结构的破坏。整个研究过程在对比的背景下进行：经典X线检查（“充盈相”、双重对比造影）、通过采集6 - 7块活检标本进行的内镜检查以及采用特殊程序进行的胃超声检查。尽管作者将经典X线检查和内镜检查作为两种基本诊断技术，但他们得出结论，在某些情况下，改良的胃超声检查可能会提供一些有助于最终诊断胃壁内生长型肿瘤的信息。
