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作者于1970年4月~1974年2月在苏联某临床医院作了2321次胃纤镜检查,查出早期胃癌共8例(占0.3%)。所谓早期胃癌系指癌肿浸润深度仅限于粘膜或粘膜下层。早期胃癌的分类根据日本胃肠病内窥镜学会的标准属于Ⅱ型或Ⅲ型,多数为Ⅱ_(?)+Ⅲ型或Ⅲ+Ⅱ_(?)型。早期胃癌的诊断需要与各期胃癌和胃溃疡病相鉴别。在此5年期间,作者应用胃纤镜观察结合活检和手术确诊胃癌共121例(占受检总数的5.2%),其中6.6%患者属于早期胃癌;溃疡型胃癌63例(占52%),其中12.7%患者属于早期胃癌。
From April 1970 to February 1974, the author made a total of 2321 gastric fiberoptic examinations at a Soviet clinical hospital, and identified 8 cases of early gastric cancer (0.3%). The so-called early gastric cancer means that the depth of cancer invasion is limited to the mucosa or submucosa. The classification of early gastric cancer belongs to type II or III according to the standard of the Japanese Society of Gastrointestinal Endoscopy, and most of them are II_(?)+III or III+II_(?). The diagnosis of early gastric cancer needs to be differentiated from gastric cancer and gastric ulcer. During this 5-year period, the author used gastroscopy to observe biopsy and surgical diagnosis of 121 cases of gastric cancer (5.2% of the total number of patients examined), of whom 6.6% belonged to early gastric cancer; ulcerated gastric cancer was 63 cases (52%). Of these, 12.7% of patients belonged to early gastric cancer.