切换至 "中华医学电子期刊资源库"

中华消化病与影像杂志(电子版) ›› 2018, Vol. 08 ›› Issue (03) : 97 -101. doi: 10.3877/cma.j.issn.2095-2015.2018.03.001

所属专题: 文献

述评

早期胃癌的诊治进展
刘鑫1, 张静1, 丁士刚1,()   
  1. 1. 100191 北京大学第三医院消化科
  • 收稿日期:2018-03-18 出版日期:2018-06-01
  • 通信作者: 丁士刚

Progress of diagnosis and treatment of early gastric cancer

Xin Liu1, Jing Zhang1, Shigang Ding1,()   

  1. 1. Department of Gastroenterology, Peking University Third Hospital, Beijing 100191, China
  • Received:2018-03-18 Published:2018-06-01
  • Corresponding author: Shigang Ding
  • About author:
    Corresponding author: Ding Shigang, Email:
引用本文:

刘鑫, 张静, 丁士刚. 早期胃癌的诊治进展[J/OL]. 中华消化病与影像杂志(电子版), 2018, 08(03): 97-101.

Xin Liu, Jing Zhang, Shigang Ding. Progress of diagnosis and treatment of early gastric cancer[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2018, 08(03): 97-101.

胃癌是严重威胁人类健康的恶性肿瘤,早期胃癌的诊断和治疗对改善患者的预后至关重要。消化内镜的发展和内镜治疗技术的进展为早期胃癌的早期诊断和微创治疗提供了可能。本文就早期胃癌的诊治进展进行总结,希望为消化内镜医师的工作提供帮助。

Gastric cancer is a malignant tumor which is a serious threat to human health.The diagnosis and treatment of early gastric cancer is very important to improve the prognosis of the patients.The development of endoscopy and the progress of endoscopic therapy provide the possibility of early diagnosis and minimally invasive treatment of early gastric cancer.This article reviews the diagnosis and treatment of early gastric cancer and provides help for the work of digestive endoscopic physicians.

1
Torre LA, Bray F, Siegel RL, et al.Global cancer statistics, 2012[J]. CA Cancer J Clin, 2015, 65(2): 87-108.
2
Chen W, Zheng R, Baade PD, et al.Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132.
3
Isobe Y, Nashimoto A, Akazawa K, et al.Gastric cancer treatment in Japan: 2008 annual report of the JGCA nationwide registry[J]. Gastric Cancer, 2011, 14(4): 301-316.
4
Orditura M, Galizia G, Sforza V, et al.Treatment of gastric cancer[J]. World J Gastroenterol, 2014, 20(7): 1635-1649.
5
Yada T, Yokoi C, Uemura N. The current state of diagnosis and treatment for early gastric cancer[J]. Diagn Ther Endosc, 2013, 2013: 241320.
6
Gotoda T, Uedo N, Yoshinaga S, et al.Basic principles and practice of gastric cancer screening using high-definition white-light gastroscopy: Eyes can only see what the brain knows[J]. Dig Endosc, 2016, 28 Suppl 1: 2-15.
7
Ezoe Y, Muto M, Uedo N, et al.Magnifying narrowband imaging is more accurate than conventional white-light imaging in diagnosis of gastric mucosal cancer[J]. Gastroenterology, 2011, 141(6): 2017-25 e3.
8
Ang TL, Pittayanon R, Lau JY, et al.A multicenter randomized comparison between high-definition white light endoscopy and narrow band imaging for detection of gastric lesions[J]. Eur J Gastroenterol Hepatol, 2015, 27(12): 1473-1478.
9
Li Z, Yu T, Zuo XL, et al.Confocal laser endomicroscopy for in vivo diagnosis of gastric intraepithelial neoplasia: a feasibility study[J]. Gastrointest Endosc, 2010, 72(6): 1146-1153.
10
Pittayanon R, Rerknimitr R. Role of digital chromoendoscopy and confocal laser endomicroscopy for gastric intestinal metaplasia and cancer surveillance[J]. World J Gastrointest Endosc, 2012, 4(10): 472-478.
11
Choi KS, Jung HY.Confocal laser endomicroscopy and molecular imaging in barrett esophagus and stomach[J]. Clin Endosc, 2014, 47(1): 23-30.
12
Horiguchi N, Tahara T, Yamada H, et al.In vivo diagnosis of early-stage gastric cancer found after Helicobacter pylori eradication using probe-based confocal laser endomicroscopy[J]. Dig Endosc, 2017: 1-9.
13
Ji R, Zuo XL, Li CQ, et al.Confocal endomicroscopy for in vivo prediction of completeness after endoscopic mucosal resection[J]. Surg Endosc, 2011, 25(6): 1933-1938.
14
Yao K, Doyama H, Gotoda T, et al.Diagnostic performance and limitations of magnifying narrow-band imaging in screening endoscopy of early gastric cancer: a prospective multicenter feasibility study[J]. Gastric Cancer, 2014, 17(4): 669-679.
15
Hu YY, Lian QW, Lin ZH, et al.Diagnostic performance of magnifying narrow-band imaging for early gastric cancer: A meta-analysis[J]. World J Gastroenterol, 2015, 21(25): 7884-7894.
16
Ok KS, Kim GH, Park do Y, et al.Magnifying Endoscopy with Narrow Band Imaging of Early Gastric Cancer: Correlation with Histopathology and Mucin Phenotype[J]. Gut Liver, 2016, 10(4): 532-541.
17
Goetz M, Kiesslich R. Advanced imaging of the gastrointestinal tract: research vs.clinical tools?[J]. Curr Opin Gastroenterol, 2009, 25(5): 412-421.
18
Osawa H, Yamamoto H, Miura Y, et al.Diagnosis of extent of early gastric cancer using flexible spectral imaging color enhancement[J]. World J Gastrointest Endosc, 2012, 4(8): 356-361.
19
Osawa H, Yamamoto H. Present and future status of flexible spectral imaging color enhancement and blue laser imaging technology[J]. Dig Endosc, 2014, 26 Suppl 1: 105-115.
20
Yoshifuku Y, Sanomura Y, Oka S, et al.Clinical Usefulness of the VS Classification System Using Magnifying Endoscopy with Blue Laser Imaging for Early Gastric Cancer[J]. Gastroenterol Res Pract, 2017, 2017: 3649705.
21
Dohi O, Yagi N, Majima A, et al.Diagnostic ability of magnifying endoscopy with blue laser imaging for early gastric cancer: a prospective study[J]. Gastric Cancer, 2017, 20(2): 297-303.
22
Bollschweiler E, Berlth F, Baltin C, et al.Treatment of early gastric cancer in the Western World[J]. World J Gastroenterol, 2014, 20(19): 5672-5678.
23
Min YW, Min BH, Lee JH, et al.Endoscopic treatment for early gastric cancer[J]. World J Gastroenterol, 2014, 20(16): 4566-4573.
24
El-Sedfy A, Brar SS, Coburn NG.Current role of minimally invasive approaches in the treatment of early gastric cancer[J]. World J Gastroenterol, 2014, 20(14): 3880-3888.
25
Chen XZ, Zhang WH, Hu JK.Individualized proximal margin for early gastric cancer patients[J]. World J Gastroenterol, 2014, 20(44): 16793-16794.
26
陈坚,周仲文,邱志兵,等.内镜黏膜下剥离术治疗早期胃癌可行性及手术指征分析[J].中华消化内镜杂志, 2013, 30(1): 25-27.
27
刘岚,王云霞,郭建强,等.内镜黏膜下剥离术和内镜下黏膜切除术治疗早期胃癌的Meta分析[J].中国老年学杂志, 2015, (7): 1804-1808.
28
Ahn JY, Choi KD, Na HK, et al.Clinical outcomes of argon plasma coagulation for the treatment of gastric neoplasm[J]. Surg Endosc, 2013, 27(9): 3146-3152.
29
Choi HS, Chun HJ, Seo MH, et al.Endoscopic submucosal tunnel dissection salvage technique for ulcerative early gastric cancer[J]. World J Gastroenterol, 2014, 20(27): 9210-9214.
30
Choi IJ, Lee JH, Kim YI, et al.Long-term outcome comparison of endoscopic resection and surgery in early gastric cancer meeting the absolute indication for endoscopic resection[J]. Gastrointest Endosc, 2015, 81(2): 333-341.
31
Meng FS, Zhang ZH, Wang YM, et al.Comparison of endoscopic resection and gastrectomy for the treatment of early gastric cancer: a meta-analysis[J]. Surg Endosc, 2016, 30(9): 3673-3683.
32
钟超,杨建宇,李启睿,等.内镜黏膜下剥离术与外科手术治疗早期胃癌的有效性及安全性的Meta分析[J].中国内镜杂志, 2017, 23(5): 57-63.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1089-1091.
[2] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[3] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[4] 杨建波, 马欢, 黄小梅, 刘华柱. 结肠镜辅助下EMR、CSP和RFA术治疗直径<1cm结直肠息肉的疗效和安全性比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 76-79.
[5] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[6] 梁孟杰, 朱欢欢, 王行舟, 江航, 艾世超, 孙锋, 宋鹏, 王萌, 刘颂, 夏雪峰, 杜峻峰, 傅双, 陆晓峰, 沈晓菲, 管文贤. 联合免疫治疗的胃癌转化治疗患者预后及术后并发症分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 619-623.
[7] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[8] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[9] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[10] 李浩, 陈棋帅, 费发珠, 张宁伟, 李元东, 王硕晨, 任宾. 慢性肝病肝纤维化无创诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 863-867.
[11] 谭瑞义. 小细胞骨肉瘤诊断及治疗研究现状与进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 781-784.
[12] 崔军威, 蔡华丽, 胡艺冰, 胡慧. 亚甲蓝联合金属定位夹及定位钩针标记在乳腺癌辅助化疗后评估腋窝转移淋巴结的临床应用价值探究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 625-632.
[13] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
[14] 王子阳, 王宏宾, 刘晓旌. 血清标志物对甲胎蛋白阴性肝细胞癌诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 677-681.
[15] 陈慧, 邹祖鹏, 周田田, 张艺丹, 张海萍. 皮肤镜对头皮红斑性皮肤病辅助鉴别诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 692-698.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?