雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Role of Endoscopy in the Diagnosis of Cancer of the Stomach A. Fujii 1 1Department of Internal Medicine, Cancer Institute Hospital pp.175-183
Published Date 1984/2/25
DOI https://doi.org/10.11477/mf.1403106954
  • Abstract
  • Look Inside

 Role of endoscopy in the diagnosis of cancer of the stomach was analyzed, based on 12,029 examinations of endoscopy which had been done at the Cancer Institute Hospital between 1981 and 1982. The data for 1982 were analyzed by office computer (IBM System/34). The following results were obtained.

 (1) GTF was used in 7,051 examinations (58.6%), GF-B3 in 2,938 examinations (24.4%) and GIF-P in 1,856 examinations (15.5%). GIF was most frequently used for the stomach (57.8%), second frequently for the esophagus (24.9%), and third frequently for the douodenal bulb (17.3%).

 (2) The first endoscopic diagnosis resulted in false negative diagnosis in 121 cases which were finally diagnosed as cancer. Of these, the first diagnosis of peptic ulcer was made in 35.5%, that of ulcer scar in 22.3% and that of polyp in 12.4%. In relation to location of cancer, the incisura angularis was most frequent site of the false negative diagnosis. In relation to the type of endoscope used in this region, the false negative diagnosis was most frequently made by GIF-P (40%), second frequently by GF-B3, and third frequently by GTF (10.7%).

 (3) The false negative diagnosis by the first biopsy was done in 4% by GIF-P and 2.4% by GF-B3. It was most frequent at the gastric body by GIF-P and was most frequent at the gastric antrum by GF-B3.

 (4) Endoscopic diagnosis of cancer was greatly influenced by the information of preceding x-ray diagnosis. It was an interesting fact that 46% of the cases which were not diagnosed as cancer by x-ray were not also diagnosed as cancer by endoscopy.

 (5) Sensitivity to the diagnosis of cancer was 91.5% by GTF, 87.5% by GIF-P and 86.8% by GF-B3, but specificity was lowest by GTF (85.5%) because of over-reading. In respect to location of cancer, sensitivity by GIF-P was low (80.5%) from the incisura angularis to gastric body, and that by GF-B3 was low (83.3%) at the pylorus.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有