[大规模筛查所发现胃癌的治疗特点与进展]

[Characteristics and progress of treatment for gastric cancers detected by mass screening].

作者信息

Muta Y, Baba Y, Nishiyama M, Bandou K, Ogata S, Sakaguti K

机构信息

Dept. of Internal Medicine of Cancer Institute Hospital, Tokyo, Japan.

出版信息

Gan To Kagaku Ryoho. 1998 Aug;25(10):1505-13.

PMID:9725041

Abstract

We devised an X-ray examination to detect early gastric cancer, especially small gastric cancer, during the period between 1996 and 1997. As a result, the rate of gastric cancer detection by mass screening was 0.50%; and the rate of early gastric cancer detection was 79%. 1. Characteristics of gastric cancer detected by mass screening: Characteristics of gastric cancer were depressive-type undifferentiated cancer less than 4.0 cm diameter in work-place screening and depressive-type differentiated cancer less than 4.0 cm in area screening; 2. gastric cancer less than 2.0 cm in diameter was 75 (68%) of the 110 cases (total detected gastric cancer). 2) We have to consider that gastric cancer differs by sex and age. 3) EMR accounted for 39 (35%) of the 110 cases in treatment. This method resulted in a higher gastric cancer detection rate and served to maintain QOL.

摘要

我们在1996年至1997年期间设计了一种X射线检查方法，用于检测早期胃癌，尤其是小胃癌。结果，大规模筛查的胃癌检出率为0.50%；早期胃癌检出率为79%。1. 大规模筛查中检测出的胃癌特征：在工作场所筛查中，胃癌特征为直径小于4.0 cm的凹陷型未分化癌，在区域筛查中为直径小于4.0 cm的凹陷型分化癌；2. 直径小于2.0 cm的胃癌占110例（总检出胃癌）中的75例（68%）。2）我们必须考虑到胃癌因性别和年龄而异。3）在治疗的110例病例中，内镜下黏膜切除术（EMR）占39例（35%）。这种方法提高了胃癌检出率，并有助于维持生活质量。