早期食管癌内镜下特点分析Analyzing characteristics of the early esophageal cancer through endoscope
于忆;郝燕;张婷;杨巧兰;冯彦虎;王祥;
摘要(Abstract):
目的总结胃镜检查发现早期食管癌镜下表现的特点。方法采用电子胃镜、内镜下染色、内镜窄带成像技术,超声内镜发现早期食管癌患者的镜下图像特征。15例患者均进行内镜黏膜切除术、内镜黏膜剥离术或外科手术,并经病理学证实。结果发现、证实15例早期食管癌,男性8例,女性7例。年龄最大者80岁,最小者45岁,平均年龄60.02岁。结论提高国内内镜下食管癌早期辨认能力,是目前食管癌早诊早治的重要手段。
关键词(KeyWords): 早期食管癌;内镜;辨认
基金项目(Foundation):
作者(Author): 于忆;郝燕;张婷;杨巧兰;冯彦虎;王祥;
Email:
DOI: 10.13885/j.issn.1000-2812.2013.01.016
参考文献(References):
- [1]WANG Li-dong,ZHOU Qi,GOU Ren-yong,et al. Reproducibility of an esophageal biopsy sampling procedure in a high-incidence area for esophageal cancer in northern China cancer[J].Epidemiol Biomarkers Prev,1996,5(5):405-406.
- [2]幕内博康.食管癌的诊断与治疗进展[J].日本医学介绍,1997,18(12):531-533.
- [3]EGUCHI T,NAKANISHI Y,SHIMODA T,et al. Histopathological criteria for additional treatment after endoscopic mucosal resection for esophageal cancer:analysis of 464 surgically resected cases[J]. Modern Pathology,2006,19(3):475-480.
- [4]RAHDEN B H V,STEIN H J,FEITH M,et al.Lymphatic vessel invasion as a prognostic factor in patients with primary resected adenocarcinomas of the esophagogastric junction[J].J Clin Oncol,2005, 23(4):874-879.
- [5]MORI M,ADACHI Y,MATSUSHIMA T,et al.Lugol staining pattern and histology of esophageal lesions [J].Am J Gsatroenterol,1993,88(3):701-705.
- [6]彭贵勇,冯晓峰,姜晓燕,等.鉴别食管早期癌浸润深度的内镜分型初探[J].中华消化内镜杂志,2008, 25(9):462-465.
- [7]高利军,于涛,顾晓萌,等.共聚焦激光显微内镜对早期食管鳞癌和癌前病变的诊断价值[J].中华消化杂志,2010,30(4):226-229.
- [8]KUZNELSOV K,LAMBERT R,REY J F.Narrow-band imagin:potential and limitations[J].Endoscopy, 2006,38(1):76-81.
- [9]沈奕,钟捷,范荣.FICE技术应用于胃肠道病变的诊断[J].国际消化病杂志,2009,29(5):305-307.
- [10]姬瑞,吴静,周永宁,等.CYPIA1、GSTM1和GSTT1基因多态性与甘肃省武威市食管癌易感性的关系[J].兰州大学学报:医学版,2010,36(2): 29-34.