Maruyama M, Takemoto N, Takekoshi T
Dept. of Internal Medicine, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Gan To Kagaku Ryoho. 1998 Mar;25(4):468-75.
The diagnosis of gastric cancer has made remarkable progress in the last 20 years, thanks to the establishment of diagnostic methodology including double contrast radiography, endoscopy (gastrocamera and fiberscope), and endoscopic biopsy. The treated number of early gastric cancers began to account for more than 50% around 1985 in the majority of Japanese institutions which specialized in gastroenterology. It is considered that the improvement of the treatment result is mostly due to the increasing number of early gastric cancers, although the progress in surgery for advanced cancer may also be a contributing factor. Now endoscopic mucosal resection has become a common treatment method for small early cancer, and the use of laparoscopic surgery has been increasing. We are now in an era seeking for rationalization of treatment options in view of reductive and function preserving surgery.
在过去20年里，得益于包括双重对比造影、内镜检查（胃相机和纤维内镜）以及内镜活检在内的诊断方法的建立，胃癌诊断取得了显著进展。在大多数日本胃肠病专科医院，1985年左右早期胃癌的治疗病例数开始占到50%以上。虽然进展期癌症手术的进步也可能是一个促成因素，但治疗效果的改善主要被认为是由于早期胃癌数量的增加。如今，内镜黏膜切除术已成为小型早期癌症的常用治疗方法，腹腔镜手术的应用也在增加。鉴于减瘤和保留功能手术，我们现在正处于一个寻求治疗方案合理化的时代。
