The Present Status of the Process of Endoscopic Diagnosis of Early Gastric Cancer Y. Okazaki 1 1The First Department of Internal Medicine, Yamaguchi University, School of Medicine pp.937-942
Published Date 1983/9/25
DOI https://doi.org/10.11477/mf.1403109343
  • Abstract
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 The problems involved in the process of endoscopic diagnosis of early gastric cancer and its present situation were studied based on our experiences.

 Today, the diagnosis of early gastric cancer has become universal and is easily conducted in hospitals and clinics. Particularly, due to the development of the endoscope apparatus, examinations by endoscopy are given priority during stages of screening for cancer. It is thought that it will give new directions in the detection of early gastric cancer. However recently, gastric biopsy is apt to be done too easily and endoscopic examinations are neglected. It is preferable that biopsy is conducted after a correct diagnosis is made by making full use of the endoscope and its method of examination.

 There are cases wherein the ordinary means of examination with the use of the endoscope is difficult because of the degree of invasion and the size of the lesion. Supplementary methods of diagnosis such as the dyeing method should also be put to use.

 The early gastric cancer type IIb and minute gastric cancer come closest to the primary type of lesion and are those which are given a lot attention, but it is extremely difficult to diagnose them even by using the endoscopic diagnostic method to its fullest capability. It seems that the application of laser endoscopy should be given thought.

Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.


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