位于同一个带状区域的第二病变沿着胃的短轴作为主要病变:边界相同的病变趋势
Toshifumi Iida1, Yoshiaki Kimoto1, Etsuko Yamabe1
1Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Shinagawa-ku, Japan.
Endoscopy international open
|March 4, 2026
概括
同步多重胃癌 (SMEGCs) 具有相似的特征和位置,通常沿胃的短轴出现带状模式. 识别这种"皮带"模式有助于早期检测这些胃瘤.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 胃腺瘤和癌症在亚洲普遍存在,因此早期检测对患者的结果至关重要.
- 同步多发性早期胃癌 (SMEGCs) 占病例的6~14%,但其特征尚不清楚.
- 了解SMEGC对于改善诊断策略和患者预后至关重要.
研究的目的:
- 分析同步多重胃瘤的临床病理特征.
- 确定有助于早期检测SMEGC的模式.
- 评估SMEGCs患者的治疗结果.
主要方法:
- 从2016年1月至2024年3月期间诊断的173名患者的346个同步胃病变的回顾性分析.
- 大 (1号) 和小 (2号) 同步病变之间的临床病理特征的比较.
- 使用基平方和费舍尔精确测试与克拉梅尔V进行统计分析,以评估特征一致性.
主要成果:
- 该研究包括173名患者,平均年龄为73.2岁,主要是男性 (72.8%).
- 大多数病变是分化的,压抑的,棕色的,位于下部/中部胃部,平均直径为13.4毫米.
- 尽管有大小差异,在同步病变之间的位置,形态,组织学,侵袭深度和色彩方面观察到高一致性 (≥0.25克拉梅尔V).
结论:
- 同步多重胃瘤表现出类似的内镜和组织病理特征.
- 这些病变通常以一种特定的模式出现,称为"边界相等病变趋势" (BELT),沿着胃的短轴.
- 对于临床医生来说,在胃瘤的内镜检测过程中,了解BELT模式至关重要.
关键词:
诊断和成像 (包括染色内镜,NBI,iSCAN,FICE,CLE)内镜切除 (ESD,EMRc,等等) 的方法内镜 上部消化道 上部消化道胃肠道外科手术 胃肠道外科手术恶性狭窄症是一种恶性狭窄症.更多相关视频
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