上部消化管腫瘍画像診断において臨床医が病理医に求めるもの

What Clinicians Require from a Pathologist in Diagnostic Imaging of Upper Gastrointestinal Tumors

要旨●消化管病変を臨床医が前向きに診断する際，比較的よく見かける病変では臨床診断のバラつきも少なく，診断の確認目的で生検を行うことがほとんどであろう．しかし，簡単にはいかない病変の場合，生検診断に委ねざるを得ないことも数多く経験することと思われる．その際には，必要な情報を病理医に提供するだけでなく，適切な生検検体を採取することは当然として，病理医と十分にディスカッションしながら診断を行う必要がある．病理医と良好な信頼関係を築きながら診断を行うことが重要である．

　When a clinician makes a prospective diagnosis of gastrointestinal lesions, there is often little variability in the clinical diagnosis, and biopsy is usually performed to confirm the diagnosis. However, it is likely that many patients will have to rely on a biopsy diagnosis in cases where the diagnosis is difficult. In these instances, it is important to provide the necessary information to the pathologist to ensure that appropriate biopsy specimens are collected and to make a diagnosis in consultation with the pathologist. Thus, it is crucial to establish a relationship of trust with the pathologist so that the correct diagnosis is made.