内镜早期胃癌诊断的临床体会

目的探讨内镜下早期诊断胃癌的方法。方法回顾性分析37例在我院行胃癌根治术的早期胃癌患者的临床及病理资料。结果所有患者术前均行胃镜检查,可疑病灶部位加病灶周围组织活检,病理确诊为胃癌;内镜下肿瘤以胃窦部分布最多见:为21例(56.8%),病理诊断以管状腺癌最多18例(48.6%),癌灶周边组织均合并有不同程度的病变。结论对于临床怀疑胃癌的患者,特别那些有癌前病变及幽门螺旋杆菌(Hp)感染的患者,胃镜检查应注重胃窦部,必要时行病理活检,病理检查注重管状腺癌的诊断及鉴别。

Clinical Comprehension of Endoscopic Diagnosis in Early Gastric Carcinoma

Objective To explore the method of diagnosis on the early gastric carcinoma (EGC) by gastroscope. Methods The clinical and pathological data of 37 EGC patients who underwent radical gastrectomy were reviewed and analyzed. Results All EGC patients were confirmed by pathologial biopsy in suspicious focus and surrounding tissue through examination of gastroscope. The most location of EGC in stomach was gastric antrum(21 cases,56.8%). The most common confirmation was tubular gland cancer(18 cases,48.6%).Tissue around EGC focus had different pathological changes in all cases. Conclusions For patients who were suspected with EGC, specially who have been confirmed with precancerous changes and Hp infection in stomach, gastroscopic examination shoule be focused on the gastric antrum. If necessary, biopsy should be performed. Tubular adenoma should be considered for diagnosis and differentiation.