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作者报道1986年4月至1992年3月在上消化道癌高发区扬中县应用隐血珠初筛、胃镜普查和门诊胃镜检查共发现上消化道早期癌143例,占同期切除病例总数的15.4％(143/926)。其中早期食管癌49例,早期胃癌94例。早期胃癌的部位分布中贲门癌57例,占早期胃癌的60.6％。术后随访1、3、5年生存率分别为98.3％、97.5％、和95.2％。作者认为:上消化道早期癌病变发展较慢,病人往往有足够的时间在早期阶段被发现,在上消化道癌高发区对高危人群用隐血珠初筛胃镜普查的方法值得推广。
The authors reported that 143 cases of early cancer of the upper gastrointestinal tract were found in Yangzhong County, a high incidence area of upper gastrointestinal cancer, from April 1986 to March 1992, accounting for 15.4% of the total number of cases undergoing simultaneous resection. (143/926). There were 49 cases of early esophageal cancer and 94 cases of early gastric cancer. There were 57 cases of gastric cardia cancer in the distribution of early gastric cancer, accounting for 60.6% of early gastric cancer. The 1-, 3-, and 5-year survival rates after follow-up were 98.3%, 97.5%, and 95.2%, respectively. The authors believe that early cancerous lesions in the upper gastrointestinal tract are slow to develop, and patients often have enough time to be discovered at an early stage. It is worthwhile to popularize the method of occult blood bead screening for high-risk patients in high-risk areas of upper gastrointestinal cancer.