Portnoĭ L M
X-Ray Department, M. F. Vladimirsky Moscow Regional Research Clinical Institute.
Vestn Rentgenol Radiol. 1998 Sep-Oct(5):13-20.
The paper analyzes over 3000 diagnosed gastric carcinomas. In the author's opinion, a drastic rise in the incidence of carcinomas of the upper stomach (as high as 60-65%) and the change in its anatomy common to gastric cancer--predominance of diffuse (endophytic) forms require a substantial correction of the present approaches to its detection. The paper gives the main points of radiation diagnosis (classic X-ray study, double contrasting, CT) for endophytic carcinomas at this site. In the author's opinion, nearly, as a rule, endoscopically diagnosed carcinomas of the lower esophagus and frequently involvement of the midesophagus are intramural carcinomas of the upper stomach with infiltration swiftly affecting the esophagus. The author considers radiation therapy to become a main method for detection of upper gastric carcinoma. He thinks that the active use of radiation techniques will also substantially expand diagnostic possibilities in these gastric carcinomas and will choose the most optimum plan of their surgical treatment.
该论文分析了3000多例已确诊的胃癌病例。作者认为，胃上部癌的发病率急剧上升（高达60%-65%），以及胃癌常见的解剖结构变化——弥漫性（内生性）形式占主导，这就需要对目前的检测方法进行重大修正。该论文给出了该部位内生性癌的放射诊断要点（经典X线检查、双重对比造影、CT）。作者认为，几乎通常情况下，内镜诊断的食管下段癌以及食管中段经常受累，实际上是胃上部的壁内癌，其浸润会迅速累及食管。作者认为放射治疗将成为检测胃上部癌的主要方法。他认为积极应用放射技术也将大幅拓展这些胃癌的诊断可能性，并能选择最优化的手术治疗方案。
